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588 Jobs

  • Concept Development Analyst - DRG- PCCV

    COTIVITI, INC. - SOUTH JORDAN, Utah
    ... Healthcare   Position Type Full-Time Overview As a Concept Development Analyst (CDA) within the Clinical ... strategies focused on inpatient claims. This position involves research, development, implementation, and ...
  • Concept Development Analyst - DRG - APR Expansion

    COTIVITI, INC. - SOUTH JORDAN, Utah
    ... Concept Development Analyst - DRG - APR Expansion Job Locations US-Remote ID 2024-12704 Category Audit - Healthcare   Position Type Full-Time Overview As a Concept Development Analyst (CDA ...
  • Sr Analyst, Tech Config Info Mgmt

    Molina Healthcare - United States
    ... implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business ...
  • Configuration Analyst II - Pricing or Benefits

    CDPHP - Albany, New York
    ... CDPHP’s core claims systems and any integrated systems. The Configuration Analyst II will recommend ... . The Configuration Analyst II is responsible for leading the analysis, maintenance, and configuration ...
  • Configuration Analyst I - Pricing or Benefits

    CDPHP - Albany, New York
    ... implementation strategy and defining metrics to ensure the successful configuration of CDPHP’s core claims ... . The Configuration Analyst I is responsible for analysis, maintenance, and configuration of CDPHP’s ...
  • Concept Development Analyst - Readmissions

    COTIVITI, INC. - SOUTH JORDAN, Utah
    ... Audit - Healthcare   Position Type Full-Time Overview In the role of Concept Development Analyst ... implementation of innovative concepts within the healthcare billing and coding field. Drawing from your industry ...
  • Payment Integrity Analyst III (ALD)

    L.A. Care Health Plan - Los Angeles, California
    ... Payment Integrity Analyst III (ALD) Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US ...
  • Healthcare Data Analyst - CBHC *Internal Candidates Only*

    Riverside Community Care - Milford/Norwood, Primarily Remote, Massachusetts
    ... If you want to make a difference, join our Riverside team! Healthcare Data Analyst - CBHC Internal Candidates Only We are seeking a Healthcare Data Analyst ...
  • Decision Support Analyst II - PFK Business Services

    Nationwide Childrens Hospital Inc - Columbus, Ohio
    ... am - 5pm The Decision Support Analyst II supports the design, development, and implementation of ... Decision Support Analyst II - PFK Business Services Requisition ID 2024-48999 Category Information ...
  • HC/Senior Consultant - Healthcare, Infosys Consulting - 119023BR

    Infosys Limited - Atlanta, Georgia
    ... healthcare organizations. Participate in analyst meetings, industry speaking engagements, publish white ... SME capacity, on a large CRM, Claims Adjudication systems, Care Management system implementation; plus ...
  • Configuration Analyst III - Pricing or Benefits

    CDPHP - Albany, New York
    ... claims systems and any integrated systems. The Configuration Analyst III will be responsible for the ... . Configuration Analyst III is responsible for oversight of the Configuration team’s delivery of the analysis ...
  • EDI Solutions Analyst - Remote

    UnitedHealth Group - Eden Prairie, Minnesota
    ... Claims systems (FACETS, IDX, Xcelys and IKA, just to name a few). The EDI Solutions Analyst ensures that ... :** **2+ years of experience within the healthcare data environment - eligibility, provider, claims, etc ...
  • Software Operations Analyst - Remote

    Convey Health Solutions - Fort Lauderdale, Florida
    ... ’ experience working with healthcare data such as medical claims, pharmacy claims, membership, or provider data ... Convey Health Solutions is seeking a Data Operations Analyst who understands client portfolio ...
  • Senior or Principal Healthcare Risk Adjustment Data Analyst

    Blue Cross Blue Shield of Minnesota - Eagan, Minnesota
    ... hierarchy and can be hired at either the Senior Healthcare Risk Adjustment Analyst level or Principal Healthcare Risk Adjustment Analyst level. The identified candidate will be hired at a level commensurate with ...
  • Manager Coding Policy *Remote*

    Providence St. Joseph Health - Renton, Washington
    ... , and analyst metrics Ensure appropriate review and payment of coding related claims in a timely fashion ... responsible for the management and supervision of all Coding Policy development, quality, implementation ...
  • Coding Policy Analyst *Remote*

    Providence St. Joseph Health - Renton, Washington
    ... , and specialty societies, and assists with implementation of such changes to the claims adjudication ... people, we must empower them. Providence Health Plan is calling a Coding Policy Analyst who will: Be ...
  • Business Intelligence Analyst (Quality & Process Improvement) Remote - 27674

    TriWest Healthcare Alliance - Seattle, Washington
    ... analytics experience Call Center reporting experience Healthcare Claims reporting experience Experience ... Intelligence Analyst is customer focused and facilitates turning data into information to drive business ...
  • Business Intelligence Analyst (Quality & Process Improvement) Remote - 27674

    TriWest Healthcare Alliance - Seattle, Washington
    ... analytics experience Call Center reporting experience Healthcare Claims reporting experience Experience ... Intelligence Analyst is customer focused and facilitates turning data into information to drive business ...
  • Facets Reimburse Configuration Analyst II

    Moda Health - United States
    ... Facets Reimburse Configuration Analyst II Job Title Facets Reimburse Configuration Analyst II Duration Open Until Filled Description ...
  • Manager Coding Policy *Remote*

    Providence St. Joseph Health - Billings, Montana
    ... , work queues, and analyst metricsEnsure appropriate review and payment of coding related claims ... the management and supervision of all Coding Policy development, quality, implementation, publication ...
  • Senior Epic Resolute Hospital Billing Analyst II

    VHC Health - Arlington, Virginia
    ... Senior Epic Resolute Hospital Billing Analyst II Job Description Purpose ... the implementation and eventual support of the Epic hospital billing module installation ...
  • Senior Enterprise Business Analyst

    Brighton Health Plan Solutions, LLC - New York, New York
    ... Qualifications  Minimum 6-7 years of experience as a business analyst in healthcare payer industry ... Business Analyst who can collaborate effectively with internal and external stakeholders to analyze, define ...
  • Charge Integrity Coordinator

    Nuvance Health - Danbury, Connecticut
    ... . Support the Charge Integrity team as well as the CDM Analyst. Assist in the development of charge ... collaboration with the CDM Analyst. Subject matter expert relating to the CDM structure, CPT, HPHCS, revenue ...
  • Senior Contract Compliance Analyst

    CommonSpirit Health - Englewood, Colorado
    ... ** The Senior Analyst, Contract Compliance will leverage knowledge of revenue cycle functions to identify trends in claims denials and underpayments adversely impacting overall financial performance. This role ...
  • Manager Coding Policy *Remote*

    Providence - New Mexico
    ... all Coding Policy development, quality, implementation, publication, and interim or routine update ... certified Coding Policy Analysts and all coding-related reviews, work queues, and analyst metrics ...
  • Manager Coding Policy *Remote*

    Providence - Alaska
    ... all Coding Policy development, quality, implementation, publication, and interim or routine update ... certified Coding Policy Analysts and all coding-related reviews, work queues, and analyst metrics ...
  • Manager Coding Policy *Remote*

    Providence - Oregon
    ... all Coding Policy development, quality, implementation, publication, and interim or routine update ... certified Coding Policy Analysts and all coding-related reviews, work queues, and analyst metrics ...
  • Manager Coding Policy *Remote*

    Providence - Nevada
    ... all Coding Policy development, quality, implementation, publication, and interim or routine update ... certified Coding Policy Analysts and all coding-related reviews, work queues, and analyst metrics ...
  • Manager Coding Policy *Remote*

    Providence - Beaverton, Oregon
    ... all Coding Policy development, quality, implementation, publication, and interim or routine update ... certified Coding Policy Analysts and all coding-related reviews, work queues, and analyst metrics ...
  • Manager Coding Policy *Remote*

    Providence - Texas
    ... all Coding Policy development, quality, implementation, publication, and interim or routine update ... certified Coding Policy Analysts and all coding-related reviews, work queues, and analyst metrics ...
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