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
- ...San Antonio is seeking a Provider Pricing Configuration Analyst to ensure claims payment accuracy through the management of provider contracts and fee schedules. The role... ...'s degree in computer science or healthcare and possess SQL experience. Effective communication...SQLClaims
- ...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... ...for college education. System Configuration or SQL experience is preferred.SQLClaims
$103.45k - $197.73k
...opportunities available on our Pricing, Indications , and Reserving... .... As a dedicated Actuarial Analyst I , you will be a near-credentialed... ..., modeling, catastrophe risk, claims analytics, product management,... ...and procedures in Python, R, SQL, SAS, BI tools or other...SQLClaimsH1bWork at officeRemote workRelocation packageFlexible hours- ...The Senior Manager, Healthcare Analytics will lead the... ...critical role in managing the analysts, driving operational... ...# Interpret and apply contract language to analytical... ...eligibility, quality, and claims data sets and how those... ...analysis tools (e.g., SQL, SAS, R) and database...SQLClaimsFull timeContract workWork experience placementRemote work
- ...deep expertise in Epic data ecosystems and healthcare analytics. This role will focus on... ...support population health, quality of care and claims analytics. Key Responsibilities... ...models and analytics workflows. Strong SQL and data modeling expertise. Experience...SQLClaims
- ...Pricing Analyst The function of the Pricing Analyst position is to facilitate the delivery of... ...and processes regarding customer price contract negotiations. This includes direct recommendations... ...pages into PriceFx software utilizing SQL, MySQL, P21, PriceFx, and other...SQLContract workShift work
$19 - $23 per hour
...is dependent on experience - proven healthcare revenue cycle experience required. ⏰... ...Antonio, TX (Onsite/Hybrid) ⏳ Duration: Contract-to-hire Work Model & Training:... ...Antonio. Key Responsibilities: Claim Management: Monitor claim statuses and...ClaimsContract workWork at officeMonday to Friday- ...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
- ...Pricing Data Analyst San Antonio, TX Build an Aviation Career You're Proud... ...precision, compliance with contracts, and any additional... ...Power BI. Experience with SQL, ERP systems, and CRM platforms... ...Better ~ Comprehensive Healthcare ~401(k) with 100% company...SQLFull timeTemporary workWork at officeWorldwideFlexible 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-188...SQLClaimsContract workWeekend work
$59.81k - $129.59k
...Title Provides lead level analyst support for configuration information... ...of critical information on claims databases, synchronizing... ...customers as it pertains to contracting, benefits, prior authorizations... ...Internal Job Board. Molina Healthcare offers a competitive benefits...SQLClaimsFull timeWork experience placementWork at officeRemote work- ...Pricing Analyst The Pricing Analyst will be responsible for developing and implementing pricing strategies to maximize profitability and... ...skills with proficiency in data analysis tools (e.g., Excel, SQL, Business Intelligence Tools). Excellent verbal, written, communication...SQLWork at office
- ...Representative Senior (Onsite) San Antonio, TX Contract-to-Hire | 3 Months Hospital Revenue... ...career potential within a collaborative healthcare environment. Schedule Monday... ...patient account balances Review and work claim edits and payer rejections for...ClaimsContract workWork at officeMonday to FridayShift work
$159.3k - $273.2k
...Requisition number: 2356798 Job category: Network Contracting & Pricing At UnitedHealthcare, we're simplifying the health care experience... ..., Ambulatory Surgery Center Groupers, capitation, delegated claims/um, case rate methodology, outlier methodology, etc. ~...ClaimsMinimum wageFull timeContract workWork experience placementLocal area- ...Test Lead(Guidewire - Claims Center) - Selenium Automation Job Description 1. Claims center experience 2. Testing of Integration... ...Claims Center Migration - Post migration experience 4. Basic SQL experience 5. Willing to work in Test lead/Tester role and...SQLClaimsWeekend work
- A healthcare services company in San Antonio is seeking a Medical Biller responsible for initial and secondary billing, handling government and non-government claims. The ideal candidate has 1-3+ years of experience in billing within the healthcare sector and is knowledgeable...Claims
- ...GW Business Analyst Full Time Employment Location - San Antonio TX or Plano TX (Onsite... ...insurance market, focusing on Policy Center / Claims insurance domain. ~ Experience with... ...members or other stakeholders to ensure successful outcomes. ~ SQL knowledge...SQLClaimsFull timeWork experience placement
- ...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...ClaimsWork at office
- ...Job Description: Healthcare Talent Support is a nationwide healthcare recruitment company... ...and their families. Status: 1099 contract Schedule: ~ Monday through Friday... ...hours ~ Med mal: under Federal Torte Claims Act About the opportunity:...ClaimsContract workMonday to Friday
- ...The Business Analyst, Pricing and Underwriting , is responsible... ...to support pricing contracts for Specialty services... ...analyses. Utilize SQL, Excel, and data visualization... ...-driven to improve healthcare outcomes for patients.... .... Analyze pharmacy claims, drug pricing, rebate...SQLClaimsFull timeTemporary workWork at officeRemote workWork from home
- ...access; setting up and maintaining projects, contracts, purchase orders, etc.; training; and... ...6 software. Experience with Power Query, SQL, and Power BI with ability to design, develop... ...for employment verification. Applicants claiming military service to meet the experience...SQLClaimsFull timeContract workFor contractorsWork at officeMonday to Friday
- ...Operations About the Company Flourishing healthcare & benefits services platform Industry... ...across complex, multi-jurisdictional contracts. This includes leading all core TPA... ...such as eligibility, enrollment, billing, claims administration, customer service, and...ClaimsContract workLocal area
- ...Medical Claims Specialist *3-month contract to hire* Schedule: Mon–Fri, 8 AM–5 PM | Full-Time, Onsite Summary Experienced Patient Financial... ...~ High School Diploma required ~3years in healthcare revenue cycle, billing, collections, or claims ~ Knowledge...ClaimsFull timeContract work
$127.31k - $243.34k
...you will lead the future of state‑level pricing strategy. Working in our newly formed Go-... ...you will work with a team of actuaries and analysts to design, tailor, and advance pricing... ...analysis queries and procedures in Python, R, SQL, SAS, BI tools or other analysis software...SQLH1bWork at officeRemote work- A leading healthcare consulting firm is looking for a Business Process Analyst in San Antonio, TX. This role includes analyzing customer... ...experience, and be proficient with SQL, PowerBI, and advanced Excel. The position offers a contract duration of six months with full-time...SQLFull timeContract work
$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- ...Test Management, Automation Testing, Functional Testing, Guidewire Claims Center Testing Job Description: Minimum of 15 years of... ...preferably with relevant certification (AWS). Expert knowledge of both SQL and NoSQL databases. Strong background in test-driven development...SQLClaims
- A leading healthcare organization is seeking an experienced Patient Financial Representative to join its Revenue Cycle team in San Antonio... ...will bring strong healthcare billing knowledge, insurance claims experience, and a commitment to delivering exceptional service...ClaimsWork at office
$22.4 - $30.87 per hour
Zurich North America is hiring virtual Service Contract Associates in San Antonio, Texas. You'll be responsible for handling calls related to mechanical breakdown claims, ensuring customer satisfaction through effective resolution and communication. We're looking for candidates...ClaimsRemote jobHourly payContract work- ...delays, and/or patient experience./liliBilling review and work on claim edits./liliWorks payor rejected claims for resubmission./... ...HCFA 1500 billing forms preferred./li/ulpImpresiv Health is a healthcare consulting partner specializing in clinical operations management...ClaimsWork at officeImmediate start
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