Optimization Analyst (Eligibility Focus) (Fully Remote)
Pivotal Health
- Remote job
You'll be the first intake for payor eligibility inquiries, handle CS tickets and calls, and pull claims data to root-cause issues. You'll run the ineligible claims review, determine which flags are truly ineligible or product defaults to correct, and communicate outcomes. You'll fix problems at the source by documenting recurring patterns, building CS-facing materials, and owning eligibility-risk dashboards. #J-18808-Ljbffr Pivotal Health
$46.26k - $73.99k
...This position is not eligible for Sponsorship. MedImpact... ...solutions that optimize satisfaction, service,... ...Summary The Eligibility Analyst I serves as a liaison between... ...Solving Customer Focus Drive for Results... ...company location (or from a remote location with...Remote workFull timeWork at officeLocal areaMonday to FridayNight shiftWeekend work$90k - $105k
...dedicated team as a Senior Analyst, Laboratory Optimization.Summary: The Senior... ...branded practices, with a focus on using data analysis and... ...position offers a hybrid or remote work arrangement based on... ...outside of these areas are eligible for full remote work.A generous...Remote workWork at office$85.91k - $162.89k
...the ability to join a highly dynamic team focused on providing exceptional client service... ...address key risksAssess, manage and optimize information technology risk across a wide... ...comprehensive compensation and benefits package to eligible employees.The national pay rate range is...SuggestedFull timeWork experience placementLocal areaWorldwide$52k - $66.56k
...third-party payers, focusing on complex... ...driven Healthcare Analyst for our Zero Balance... ...initiatives, reimbursement optimization, and strategic... ..., authorization, eligibility, coding, medical... ...environment. Remote work experience... ...written approval. Fully remote position...Remote workFull timeContract workWork experience placement$85.91k - $162.89k
...Cybersecurity & Risk Senior Consultant (SOC Focus) Are you interested in joining one of... ...address key risks Assess, manage and optimize information technology risk across a wide... ...offers a comprehensive compensation and benefits package to eligible employees. Baker TillySuggestedWork experience placement$81.8k - $106.6k
...takes a whole team of dedicated customer-focused advocates to make it happen! From our... ...and Responsibilities The Senior Analyst - Digital Optimization will be responsible for the analytics... ..., and skills. This position is also eligible for bonus and/or long-term incentive...Hourly payWork experience placementWork at office$101.1k - $138.4k
Sr. Business Analyst, Capital One Shopping (Remote-Eligible) This is your opportunity to join Capital One’s fast-growing consumer app: Capital One Shopping... ...skills Clear results orientation: display an intense focus on achieving both short and long term goals. He/she...Remote workFull timeTemporary workPart timeLocal area$89.29k - $131.85k
...Sentara is hiring an IT Specialty Analyst! This position is fully remote. Work Location: Remote opportunities... ...for the day-to-day support, optimization, and advancement of Epic... ...ifestablished system and employee eligibility criteria is met. Sentara Health...Remote workFull timeTemporary workWork experience placementShift work$61.6k - $102.9k
...Innovate Remotely This position is fully remote, allowing you to enjoy... ...Impact The Facility Analyst plays a key role in... ...strategies, optimizing vendor performance,... ...benefit programs and eligibility, please visit our benefits... ...through programs focused on creating safe,...Remote workHourly payFull timeLocal areaWork from home$37.84 - $58.75 per hour
Description Providence is calling Provider Compensation Analyst -Remote - Most states eligible The Provider Compensation Analyst provides analysis and... ...Integration and thrive in our culture of patient-focused, whole-person care built on understanding, commitment,...Remote jobMinimum wageFull timeContract workLocal areaShift work$154k - $207k
..., and people. You will focus on security risk — identifying... ...This position may be fully on-site at our San Jose... ..., hybrid, or fully remote from an approved U.S.... ...stack enables customers to optimize every dimension of... ...under 8 U.S.C. § 1158, (B) eligible to access the export...Remote workPermanent employmentFull timeTemporary workWork at officeFlexible hours$90k - $100k
...possibilities. This is a fully remote position, allowing you... ...Sales Support Analyst plays a critical role... ...and operations teams to optimize sales performance and... ...or identify areas of focus Build and maintain... ...experience. This position is eligible for an annual bonus...Remote workWork at officeLocal areaWork from homeWorldwide$125k - $150k
...seeking a Senior Deal Desk Analyst to join the Deal Desk... ...distance, the role is fully remote. What you will do Deal... ..., and continuously optimize the sales and deal... ...This role is primary focus on Pacific Standard Time... ...based compensation, and eligibility for a company bonus or...Remote workContract workWork at officeWork from homeWorldwideMonday to FridayFlexible hours$86k - $115k
...Data Systems Analyst Team members are at the core... ...Member and Community Focused: We are dedicated to making... ..., troubleshoot, and optimize system solutions.... ...Monday through Friday. Fully Remote position.... ...-town learners may be eligible for reimbursement of travel...Remote workFull timeWork at officeLocal areaMonday to FridayShift work- ...Infrastructure product portfolio and optimize process along side cross-... ...keeping in mind a team focused approach to include different... ...Supplemental 1 employees may be eligible for up to 8 paid holidays,... ...Optimization - Data Science Analyst Intern 2027 Date posted 2...Full timeContract workPart timeFixed term contractInternshipWork at officeShift work
$100k - $105k
...EPIC Analyst III, Prelude and Eligibility This range is provided by Duly Health and Care. Your actual pay... ...III, Prelude and Eligibility - Remote - Information Technology Position... ...features, enhanced workflow design, and optimization (40%) Investigate complex system...Remote workFull timeWork experience placementWork at officeImmediate startMonday to FridayShift work$66.3k - $78k
...Position Summary The Revenue Cycle Optimization Analyst will provide operational and analytical... ...cycle optimization initiatives, focusing on collecting, analyzing, and maintaining... ...note: While this position is primarily remote, candidates must be in a Columbia University...Remote workContract workTemporary workWork at officeLocal areaMonday to Friday$114k - $124k
...Overview Location: Milwaukee, WI (Remote with Very Occasional Travel) Are you a Business Analyst who excels at connecting... ...IT Infrastructure & Security Focused to join our client's team.... ...Experience implementing, optimizing, or supporting Microsoft 365 environments...Remote workHourly payTemporary workWork at officeWorldwide$80k - $108k
...'s best companies optimize their digital applications... ...Deal Desk Analyst! Join our Finance... ...sales. The primary focus of this position will... ...as well as being fully compliant with New... ...This role may be eligible for the corporate... ...office-based, fully remote, or hybrid. Our...Remote workFull timeWork at officeFlexible hours$85.49k - $128.23k
...Full time Benefits Eligible: Yes Hou rs Per... ...Additional Information: fully remote; may require minor... ...NCCT Business Process Analyst Sr plays a pivotal role... .... This role is not focused on product ownership.... ...state process models that optimize operations through...Remote workDaily paidFull timeTemporary workPart timeWork experience placementWork at officeFlexible hoursShift work- Job Title: Business Analyst - Eligibility (EDI) Location: Remote (Boston, MA base; Washington, DC on-site if required) Employment Type: Contract (W2 through... ...for a leading healthcare organization. This role focuses on implementing 834 and proprietary eligibility, COB,...Remote workContract workTemporary work
$99.32k - $159.52k
...Overview: Sentara is hiring a Lead IT Analyst This position is fully remote. Work Location: Remote... ...to support the implementation and optimization of ServiceNow AI solutions across... ...ifestablished system and employee eligibility criteria is met. Sentara Health...Remote workFull timeTemporary workShift work- ...seeking an experienced Operations Analyst to enhance performance through data-driven insights. The role focuses on operational metrics, logistics optimization, and process improvement, requiring... ...Tableau. This position is 100% remote with flexible scheduling and offers...Remote jobFlexible hours
- Gundersen Health System in the United States is seeking an experienced Application Analyst - Cadence to support and optimize our Epic Cadence application, focusing on scheduling workflows, provider templates, and patient access. You will troubleshoot issues, provide end...Remote job
- CDM Smith is seeking a Senior Business Analyst to join the Digital Engineering Solutions team. This role focuses on translating business needs into actionable strategies while optimizing processes to deliver projects aligned with objectives and customer requirements. The...Remote job
- Yuma Regional Medical Center dba Onvida Health seeks an ERP Analyst to manage and optimize its ERP systems across departments such as finance, HR,... ...users to ensure integrated business processes. The role focuses on system reliability, data integrity, and reporting, with...Remote job
- ...Leaders, LLC is seeking a qualified Epic PB Analyst for a remote contract opportunity starting ASAP and... ...running through December 19. The role focuses on Epic Professional Billing workflows... ...with configuration, testing, and optimization of PB workflows while collaborating...Remote jobContract workImmediate start
- ZipStaff Inc. seeks an experienced Business Analyst specializing in Electronic Data Interchange (EDI... ...deliverables for a leading healthcare organization. This remote-leaning role focuses on implementing 834 and proprietary eligibility, COB, and group files for various health plans...Remote job
$85 - $95 per hour
Must be certified within Eligibility & Enrollment for Epic TapestryMust... ...2028.Beyond the typical analyst responsibilities, candidates... ...documentation, and file layoutsThis is a remote position with expected travel... ...2026.Workplace TypeThis is a fully remote position.About...Remote workContract workTemporary work$115k - $125k
...healthcare professionals to focus on what truly matters—caring... ...on data-driven insights, CRM optimization, reporting capabilities and... ...Excellence Team and will be fully remote. In this role, you will have... ...remote working arrangements for eligible roles and are committed to...Remote workHourly payFull timeWork from homeFlexible hoursNight shift
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