Pricing & Contracts Analyst — Healthcare Claims & SQL
TalentAlly
A health care consulting firm in San Antonio is seeking a Provider Pricing Configuration Analyst to manage contracts and ensure claim payment accuracy. The ideal candidate will work closely with various departments for seamless operations and must have a bachelor's degree or relevant healthcare experience. Proficiency in SQL is preferred. Join us to contribute to our commitment to quality in healthcare delivery in a dynamic team. #J-18808-Ljbffr TalentAlly
- ...SUMMARY/RESPONSIBILITIES The Provider Pricing Configuration Analyst maintains and oversees the loading of provider contracts and fee schedules into claims processing system to ensure claims... ...college education. System Configuration or SQL experience is preferred. #J-18808-...SQLClaims
$80k - $133k
...surveillance, clinical, claims, laboratory, survey,... ...Role is contingent upon contract awardWhat You Will Need... ...scale public health or healthcare datasets.Experience in SAS, R, Python, SQL, or comparable analytical... ...or supervising junior analysts.Publication history in...SQLClaimsPermanent employmentFull timeContract workFlexible hours$70k - $90k
...Revenue Cycle Analyst (Tableau) - 100% Remote / Fortune... ...multi-billion dollar healthcare organizations with an... ..., and follow-up of claims for company's patients... .... 4. Utilizing your SQL/ETL experience to manage... ...and/or its agents and contracted partners. Frequency varies...SQLClaimsPermanent employmentFull timeLocal areaRemote work$128k - $252.5k
...complex challenges across the healthcare ecosystem. As an Actuarial Senior... ...and product types, focused on pricing, underwriting, forecasting,... ...Develop structured query language (SQL) models to price health plan... ...changes, or other detailed claims analytics Review Medicare Advantage...SQLClaimsWork at officeLocal areaVisa sponsorship$82.76k - $150.22k
...Sr. Pricing Analyst page is loaded## Sr. Pricing AnalystApplylocations: San Antonio, TX (CH Guenther... ...Develops and maintains reporting using SQL queries and data visualization tools... ...of relevant ad hoc analyses.* Deal and Contract management. + Maintain integrity of contract...SQLContract workWork at officeLocal areaFlexible hours- ...Requirements Very strong experience in Guidewire Claim Center (functional + integration testing)... .... Solid expertise in Snowflake SQL, Kafka validation, and database validation... ...level : Mid-Senior level Employment type : Contract Job function : Quality Assurance #J-18808...SQLClaimsContract workWeekend work
- ...professional with strong experience in Guidewire Claim Center and API testing tools. The role requires solid skills in Snowflake SQL and Kafka validation, along with flexibility... ...excellent opportunity for you. The position is onsite and contract-based. #J-18808-Ljbffr NAMYANSQLClaimsContract workWeekend work
- ...real-world data, including CMS, commercial claims, and clinical health data, to generate... ...scale health datasets using R, Python, and SQL. Utilize DataBricks and Snowflake for... ...generative AI, NLP, or advanced analytics in healthcare settings. Strong background in...SQLClaimsTemporary workLocal areaFlexible hours
$53k - $88k
...epidemiologic analysis of surveillance, clinical, claims, survey, and other public health datasets... ...initiatives. Roles is contingent upon contract award. What You Will Need: Must be... ...languages such as SAS, R, Python, SQL, or similar tools. Familiarity with...SQLClaimsPermanent employmentFull timeContract workTemporary workLocal areaFlexible hours$100.4k - $197.9k
...and state governments, and pharmacy benefit managers. Develop structured query language (SQL) models to price health plan benefit changes, network changes, or other detailed claims analytics Use strategic thinking to shape the direction of health insurers, including...SQLClaimsWork at officeLocal areaVisa sponsorship- ...Pricing Analyst Department: Machine Division (MAC) Employment Type: Full Time Location: San Antonio Description The Pricing Analyst will be... ...skills with proficiency in data analysis tools (e.g., Excel, SQL, Business Intelligence Tools). Excellent verbal, written, communication...SQLFull timeWork at office
$18 - $25 per hour
...records Obtaining cell phone records Handling property damage claims Making Open Records Requests for reports, dash cam and body camera... ...- $25.00 per hour Application Question(s) This is a temporary contract position with an anticipated duration of 2-4 months. Are you...ClaimsHourly payContract workTemporary workWork at officeImmediate start$110 per hour
...(PMHNP) to join our diverse network of contracted providers. Contracting with Rula is free... ...mission Rula's mission is to make mental healthcare work for everyone. Minimum... ...weeks with no need to worry about unpaid claims No-show protection: Rula pays you 1...ClaimsFor contractorsPrivate practice$75k - $90k
...Fortune Best Workplaces in Financial Services & Insurance Sr. Pricing Analyst PRIMARY PURPOSE OF THE ROLE: To analyze and handle higher... ...or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...ClaimsTemporary workLocal areaRemote workFlexible hours- ...physician medical group. This role will focus heavily on insurance claim denial follow-up, unpaid claims, payment recovery, billing... ...within a physician practice, medical group, hospital, or other healthcare setting.Knowledge of government insurance programs, including Medicare...Claims
$19 per hour
...detail-oriented and knowledgeable Professional Reimbursement Specialist to join our healthcare team. The ideal candidate will be responsible for managing and processing medical claims, ensuring accurate reimbursement from insurance providers, and maintaining compliance...ClaimsFull timeWork at office- ...take the requirements, write the test cases based on that, and coordinate with Developers and vendors and do claims financial system testing.Associate should have SQL knowledge to query databases to validate test cases, perform Qtesting.Guidewire claims center.Domain,...SQLClaims
$100k - $120k
...Office Ally, we've been revolutionizing healthcare administration since our inception. What... ...clearinghouse focused on simplifying insurance claims processing for healthcare providers has... ...& Growth Drive renewals and contract expansions in partnership with Sales and...ClaimsContract workWork at officeLocal area- ...Property & Casualty insurance market, focusing on Policy Center / Claims insurance domain.Experience with Guidewire Policy Center /... ...consistency.Effectively communicates with customers, team members or other stakeholders to ensure successful outcomes.SQL knowledge...SQLClaimsWork experience placement
- ...and closing new health plan contracts to support the company's national... ...or lead role. Strong SQL skills, experience in BI migration... ...requires experience in managing analysts, strong communication skills,... ..., and experience in a healthcare or regulated data environment...SQL
- ...Company Innovative in-home healthcare provider Industry... ...economic performance of value-based contracts, measuring and managing financial... ...as leading a small team of analysts and setting high standards... ...leadership experience. Proficiency in SQL and actuarial-informed...SQLContract work
- ...role focuses on delinquent surgery center claims, requiring extensive communication with... ...ideal candidate will have 2-3 years of healthcare collections experience, excellent communication... ...managing claims, interpreting insurance contracts, and providing exceptional service under...Claims
- A contract employer in the tech industry is seeking a Technical Architect with extensive experience in RSA Archer. This mid-senior level... ...role in San Antonio requires strong skills in GRC methodologies, SQL, and API integration. You will be responsible for installing and...SQLContract work
- ...Description Java Full Stack Developer 核心 Java (8+), 后端框架 (Spring Boot, Hibernate), 前端技术 (HTML, CSS, JavaScript, React/Angular), 数据库管理 (SQL/NoSQL) Backend Development (Java) Building secure, scalable, and high-performance server-side applications using Java, Spring Boot,...SQLContract workLocal area
- ...scientist to lead quantitative analyses on real-world health data, spanning CMS, claims, and clinical datasets. You will develop models, pipelines, and dashboards using R, Python, and SQL to inform federal public health strategies. The role requires collaboration with...SQLClaims
- ...on other areas (i.e. Membership, Finance, Claims, HSM, Network Management ) and to ensure... ...Configuration Manager or Sr. Configuration Analyst. EDUCATION/EXPERIENCE Bachelor's... ...Cognizant/TriZetto QNXT ZeOmega Jiva Amisys Advance TCS Acuity Basic Microsoft SQL...SQLClaimsPart timeWork at officeImmediate start
- ...pipelines • Support integration from multiple source systems (policy, claims, billing, finance) Python & Automation • Develop Python... ..., orchestration, and integration support • Work with SQL + Python for advanced analytics and troubleshooting Role Descriptions...SQLClaims
- ...tasks in order to recognize the maximum reimbursement from each claim. This position will be responsible for navigating the... ...MPOWERHealth as a Reimbursement Specialist – Where Your Skills Drive Healthcare Forward! Are you a natural problem-solver who thrives on turning...ClaimsWork at office
$17 - $19 per hour
A global healthcare technology organization is seeking a W2 Contract Billing Specialist in San Antonio, Texas. The ideal candidate will have a high school diploma... ...of experience in medical billing or healthcare claims. You will manage DME billing submissions and ensure...ClaimsHourly payContract work- ...integration from insurance source systems (Policy, Claims, Billing, Reinsurance) into Snowflake • Provide technical oversight for SQL, Python, and ELT based transformations... ...inputs o Premium leakage and pricing analytics • Guide teams in using Python...SQLClaimsLocal area
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