- Healthfirst (NC)
- …products, claims editing, reference data and their enhancements including claims configuration improvements, compliance and systems enhancements. + Follow ... the annual product development processes to manage major claims configuration projects, including claims business rule set up outlier management. + Interpret… more
- Commonwealth Care Alliance (Boston, MA)
- …the Sr . Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr . Analyst will be responsible for developing prospective ... small to large Operations Management + Collaborate system and data configuration into CES ( Claims Editing System) with BPaaS vendor and other PI partners,… more
- Molina Healthcare (Albuquerque, NM)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... resolution for assigned component + Assists with development of configuration standards and best practices while suggesting improvement processes...in research, review and audits for adjudication rates of claims + Must be able to work in cross… more
- Sharp HealthCare (San Diego, CA)
- …requirements for the position, and employer business practices. **What You Will Do** The Sr . Systems Analyst role within IT is responsible for systems analysis, ... good fit for you if you had the following certifications: **Tapestry Claims and Contracts Administration** **Benefit Engine for Tapestry** 3+ years' experience with… more
- UIC Government Services and the Bowhead Family of Companies (Dahlgren, VA)
- **Overview** Senior Configuration Management (CM) Analyst (ECM-2024-21289) Bowhead is seeking to network with multiple highly experienced and qualified ... Senior Configuration Management (CM) Analysts for an...characteristics EOE/AA/M/F/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- Molina Healthcare (Orem, UT)
- …organizational and technical challenges. Performs research and analysis of healthcare claims data, pharmacy data, and external data to derive proper courses ... in defect resolution for assigned component + Assists with development of configuration standards and best practices while suggesting improvement processes to ensure… more
- Molina Healthcare (TX)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... for all assigned areas of responsibility. + Assists with development of configuration standards and best practices while suggesting improvement processes to ensure… more
- Fairview Health Services (Minneapolis, MN)
- **Overview** The Senior Application PB/HB Claims Analyst role with Epic Hospital and/or Professional billing (HB and/or PB) will provide technical expertise ... works to provide application workflow and functional analysis, build and configuration , unit and integrated testing, and plans for transition to application… more
- PeaceHealth (Vancouver, WA)
- **Description** PeaceHealth is seeking a Applications Systems Analyst for a Full Time, 1.00 FTE, Day position. The salary range for this job opening at PeaceHealth ... testing and creating testing plans. *Ideal candidate will Ihave experience in hospital claims , professional claims or Home Health and Hospice billing. **Must… more
- University of Michigan (Ann Arbor, MI)
- …Business Systems Analyst Senior / Intermediate **Job Title** Business Systems Analyst Sr **Work Location** Michigan Medicine - Ann Arbor Ann Arbor, MI ... Business Systems Analyst Senior / Intermediate Apply Now...maintenance of Hospital Billing, Professional Billing, Single Billing Office, Claims , Contracts, and other Revenue Cycle workflows. As a… more