Claims Configuration Oversight Analyst
$49.43k - $107.1kMolina Healthcare of Illinois
Molina Healthcare is seeking an Analyst to provide critical support for claims configuration. Responsibilities include analyzing claims data, conducting audits, and ensuring compliance with business requirements. Candidates should have at least 2 years of auditing experience in healthcare, along with strong analytical skills and proficiency in Microsoft Excel. The role offers a competitive compensation package, with a salary range of $49,430.25 to $107,098.87 annually. #J-18808-Ljbffr
$45 - $70 per hour
...hr Insight Global is seeking a NetworX Configuration Analyst to support one of our healthcare... ...configuration for QNXT, FACETS, or a similar claims platform -Experience building rate... ...days ago Lead Analyst, Configuration Oversight - Payment Integrity - Remote Kearney,...ClaimsFull timeContract workWork at officeRemote work- ...Description Job Description - Business Analyst Manager Responsibilities In-... ...to resolve data and product configuration issues. Provides leadership and oversight on all aspects of a project translating... ...policy administration, claims and agent compensation. Experience...ClaimsTemporary workWork experience placementFlexible hours
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$72k - $89k
...Title: Clinical Care Configuration Analyst (Remote work) Location: Any location within the US Duration: FTE / Permanent Salary is in the range... ...have minimum 5 years of experience in a Systems Configuration, Claims, or Operations department within a healthcare organization....ClaimsPermanent employmentRemote work- ...Epic Certified Professional Billing (PB) Analyst to support the build, optimization, and ongoing... ...standards. Key Responsibilities Build, configure, and maintain Epic Professional Billing... ...capture, coding, billing edits, and claim generation processes Analyze billing workflows...ClaimsTemporary work
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$80k - $100k
...oriented and analytical Product Underwriting Analyst to support the development, performance... ...management, underwriting, actuarial, claims, IT, marketing, and data teams to... ...and data teams to ensure accurate product configuration within policy administration systems. Provide...ClaimsRemote work- ...This Quality Assurance Analyst will be responsible for reviewing the Claims Processing Systems for configured benefits and reimbursement methodologies. Experienced candidates must demonstrate working understanding of claims processing systems and working knowledge of...ClaimsContract workRemote work
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$125k - $140k
...Description Senior Pharmacy Data Analyst AArete is one-of-a-kind when it comes to... ...Analyst to analyze large-scale pharmacy and claims datasets, generate insights, and support... ...pharmacy plan, client, and contract configuration activities through analytic review, testing...ClaimsContract workTemporary workWork at officeFlexible hours$70k - $80k
...and states. As a Revenue Cycle Solutions Analyst, you will focus on the implementation or... ...and optimization of integration and configuration of home care-focused revenue cycle solutions... ...on experience with X12 formats (837/835 claims and remittances) is required. HL7 and...ClaimsFull timeLocal areaNight shift$60k - $100k
...and detail-oriented Workday Technology Analyst to support the ongoing administration, enhancement... ...play a hands‑on role in system support, configuration, testing, and reporting, helping ensure... ..., you may be barred from filing a claim under the provisions of the Workers’...ClaimsWork at officeLocal area$92.54k - $125.59k
...Discovery Business and System Analyst Employment Type: Full-Time, Executive-Level Department... ...from industry solution providers that claim to satisfy the identified business... ...- Contractor shall review all solution configuration changes to insure that the Discovery Program...ClaimsFull timeFor contractorsWork at officeFlexible hours- We are seeking an experienced SAP Functional Analyst with strong expertise in SAP FI-AR/FI-AP and Healthcare Claims Integration to support a critical enterprise initiative... ...Responsibilities Lead functional design and configuration for SAP FI-AR and FI-AP processes Design and...Claims
- ...Job Description Job Title: Quality Analyst Job Location: Must have the ability... ...and work engagement services, claims systems, and other critical programs. These... ...continuous integration, job scheduling, and configuration. • Extensive experience using GitLab as...ClaimsTemporary workImmediate start
$60k - $80k
...and apply them accurately to benefit calculations and system configurations. Support the installation and conversion of group annuity contracts... ...technical questions related to participant inquiries, claims, and death processing. Contribute to process improvements,...ClaimsContract workWork at officeFlexible hours$85k - $100k
...Platform (EHP), which consolidates all claim administration‑related workflows in one... ...Remote Position Summary The Data Exchange Analyst is a crucial member of our Data... ...problems Document data exchange processes, configurations, and troubleshooting steps Process Improvement...ClaimsWork experience placementLocal areaRemote workFlexible hours- ...Description of Service The ServiceNow Business Analyst will support the design and delivery of... ...across onboarding, payments, claims, underwriting, customer management, and... ...contribute to high-level data modeling. Configure and support ServiceNow CSM modules, leveraging...ClaimsContract workRemote work
$98.09k - $156.95k
...area for implementation of a packaged system software. Lead configuration and administration of the Packaged Software, and participating... ...of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in...ClaimsLocal area$89.17k - $142.68k
...Description As a Senior Business Systems Analyst - Provider Network Pricing (Medicare... ...both functional and technical areas for claims and provider pricing to drive impactful... ...architectural enhancements as needed. Configure and maintain critical system tables and...Claims- ...Configuration Analyst – Burgess Source The Burgess Source Configurator is responsible for configuring, maintaining and optimizing the Burgess Source claims pricing and payment integrity platform. This role ensures accurate reimbursement logic, regulatory compliance...ClaimsContract workWork experience placementWork at office
- ...& NJ About the Role This role is a Program Analyst function focusing on oversight of TB&T's projects portfolio, identifying and tracking project... ...may request a reasonable accommodation (1) if they claim a disability is affecting the interview process, or (2)...ClaimsContract workRemote work1 day per week
$170k - $185k
...deliver state of the art technology that helps insurance claims teams make claims handling more accurate, fair, and... ...and enhance client experience. Data & Technical Oversight: Oversee data integrations, configurations, and UAT/validation processes; ensure solutions meet...ClaimsTemporary workWork at officeFlexible hours
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