Healthcare Contract Configuration Analyst - Claims Validation
Blue Shield of CA
Blue Shield of CA is seeking a Contract Configuration Analyst Associate to perform in-line audits of negotiated provider contracts and run test claims to ensure correct payment according to terms. You will validate contract builds, support process improvements, and identify gaps for remediation in a hybrid in-office setting. This role emphasizes strong medical claims knowledge, auditing experience, and collaboration with internal teams. #J-18808-Ljbffr Blue Shield of CA
- ...Hospital Billing (HB) Analyst with deep... ...HB Administration, Claims, Remittance, Contract Management, and Proration... ...extensive experience configuring and supporting... ...engagement supporting a healthcare organization's Epic... ...reimbursement validation and payment variance...Contract workClaimsRemote job
- ...Senior System Business Analyst with strong experience... ...deep understanding of healthcare financial workflows to... ...is a remote 2-year contract that is salaried only.... ...improvements Support testing, validation, and implementation of... ...access, billing, claims, and collections...Contract workClaimsRemote job
- ...Epic HB Home Health Billing Analyst to support the ongoing optimization... ...billing, charge capture, claims processing, reimbursement,... ...year engagement supporting a healthcare organization's Epic environment... ...workflows Analyze, design, configure, test, implement, and support...ClaimsRemote job
$85k - $145k
...seeking multiple Requirements Analyst III in Tidewater, VA and San... ...Position Type Contingent on Contract Award. Salary $85k-$145k (... ...through implementation and validation. Collaborate with engineering... ...requirements changes and maintain configuration control of requirements...Contract workTemporary workLocal areaFlexible hours$90k - $120k
...Join to apply for the Business Analyst – Healthcare role at Lumenalta . Base pay range... ...internal teams to understand, document, and validate business needs across Medicaid,... ...Analyze current‑state workflows (e.g., claims processing, eligibility and enrollment...ClaimsFull timeRemote workMonday to FridayFlexible hours$70k - $125k
...multiple Life Cycle Management (LCM) Analyst I in Tidewater, VA and San Diego, CA.... ...benefits. Position Type: Contingent on Contract Award. Salary: $70k-$125k (... ...accurate records of hardware, software, and configuration items in asset management systems or...Contract workTemporary workLocal areaFlexible hours$30 - $36 per hour
...Business Analyst I Location: San Diego, CA (Hybrid) Employment Type: Contract-to-Hire Compensation: $30-36/hr About... .... Cleanse, transform, validate, and prepare data for downstream... ..., permissions, and system configurations. Assist with...Contract workHourly payTemporary workLocal area- ...SEIU Bargaining Unit with a contract expiration date of 9/30/2027.... ...~ AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare... ...completes the ART and state claim formsFollows safety... ...staffing patterns, as appropriate.Validates understanding of new patient...Contract workClaimsHourly payFull timeImmediate startShift workWeekend workDay shift
$80 per hour
...Overview The Salesforce Business Analyst will play a pivotal role in... ...diagrams. Solution Design & Configuration: Collaborate with technical... ...flows, reports, dashboards, validation rules) in alignment with... ...Employment type Employment type Contract Job function Job function...Contract workHourly payWork at officeLocal areaRemote workWork from home$40 - $45 per hour
...Engineering Tech support, and Configuration Management Analysis (APN).... ...required for testing, evaluating, validating, and verifying in support of... ...not create an employment contract. Employees of the Company... ...e-mails or call from people claiming to be from the company. These...Contract workClaimsDaily paidTemporary workFor contractorsWork at officeLocal areaImmediate start- ...SEIU Bargaining Unit with a contract expiration date of 9/30/2027.... ...Qualifications AHA Basic Life Support for Healthcare Professional (AHA BLS... ...calls into patient rooms to validate request. Answers phone within... ...completes the ART and state claim forms. Identifies and...Contract workClaimsHourly payFull timeImmediate startShift workNight shiftWeekend work
- ...seeking self‑motivated Project Analysts with experience in project... ...Location San Diego, CA Contract Term 12+ Months Schedule Weekly... ...including Master Validation Plan and FMEAs. Communicate... ...Plants, Material Extension. Configuration Management. BOMs. Qualifications...Contract workWork at officeDay shift
- ...Management Analyst T3W Business Solutions, Inc. is a Woman-Owned Small Business with... ...Diego, California. **Contingent Upon Contract Award** Performs organizational... ...improve operational efficiency. Supports configuration management, maintains acquisition and engineering...Contract workFor contractorsFor subcontractor
$125k - $182k
...Appointment Percent: 100% Union: HX Contract Total Openings: 1 Work... ...24 Sr. Rev Cycle Application Analyst - Epic HB Filing Deadline: Fri... ...Certification. Epic Claims/Remittance Certification. Epic... ...that provides understanding of healthcare operations. SPECIAL CONDITIONS...Contract workClaimsHourly payWork at officeLocal areaRemote workMonday to Friday- ...Overview Position: Senior Contract Analyst Location: San Diego, CA Duration: 3 Months Contract Total Hours/week: 40.00 Responsibilities... ...requirements for (15+) product platforms and the detailed configuration of each, including international requests. Maintaining up to...Contract work
- ...Business Quality Assurance Analyst II - Medicaid FFS... ...expert in benefit configuration and quality assurance... ...This role leads complex validation efforts, oversees... ...special projects. Analyze claims adjudication results... ...as listed. Healthcare, Managed Care, Government...ClaimsFull timeWork at officeLocal areaRemote workMonday to FridayNight shiftWeekend work
- ...activities of the City’s safety, loss control, property/liability claims, and other risk management programs; Administers workers’... ...insured claims checking account and request transfers; Reviews contracts between the City and others seeking to optimize risk transfer and...Contract workClaimsTemporary workWork experience placement
- ...compliance programs. We are looking for a Sr. Management Analyst in San Diego, California. Contingent Upon Contract Award Summary Conducts advanced organizational... ...development of procedures, data models, metrics, configuration control frameworks, and process improvements....Contract workFor contractorsFor subcontractor
- MedImpact Healthcare Systems Inc. is seeking a Client Services Business Quality Assurance Analyst II to enhance benefit configuration and quality assurance across PBM programs. The successful candidate will lead validation efforts, ensure compliance, and drive continuous...Full time
- ...Entry Level Employment Type: Contract on W2 (Need US Citizens or GC... ...Position: Service Portfolio Analyst Location: San Diego, CA Duration... ...by reviewing review versions, configurations, and product lifecycle status. The analyst will validate serials/SKUs, assess...Contract workShift workDay shift
$69.3k - $158k
...Training Analyst The Opportunity: The Training Analyst will serve as a Subject... ...ensuring training reflects the latest system configurations. Coordinate the PMT Advisory Board (... ..., and experience, as well as contract-specific affordability and organizational...Contract workPermanent employmentFull timePart timeFor contractorsInterim roleWork at officeLocal areaRemote work$83.02k - $140k
...API-level testing including payload validation, error handling, and contract verification for in-house and... ...mock services, and QA environment configurations for reliable, repeatable test execution... ...background, specifically in Claims Management and/or Insurance Billing...Contract workClaimsFull timeWork at officeLocal areaShift work$5,274 per month
...Assessment Analyst (Institutional Research Analyst II) Job No: 555093 Work Type: Staff... ...including step advancements, are subject to contract negotiations. Full Benefits Package... ...Retirement: CalPERS pension plan with retiree healthcare, and reciprocal agreements with other...Contract workPermanent employmentFull timeInternshipH1bWork at officeLocal areaMonday to Friday$66.5k - $94.5k
Job Description The Configuration Management (CM) Analyst I works with a cross‑functional team to create/write, review, analyze, track, edit, and process... ...positions will require current U.S. citizenship due to contract requirements. Benefits AV offers an excellent benefits...Contract work- ...ensuring timely follow‑up on outstanding claims, resolving payer issues, and maximizing... ...systemic payer issues when needed. Knowledge Healthcare revenue cycle processes, including... ...across multiple appeal levels Payer contract terms, reimbursement policies, and payment...Contract workClaims
$107 per hour
...passionate team of mental health advocates and healthcare veterans, Grow is looking for providers... ...credentialing, billing, and insurance claims so providers can enjoy the freedom of... ...Interested in a full-time or part-time contract position Minimum of 3 years with a PMHNP...Contract workClaimsHourly payFull timePart timePrivate practiceRemote work- ...technical lead for outpatient, retail, and specialty pharmacy workflows within Epic. The Analyst will have healthcare IT experience and is responsible for support, configuration, and optimization of the Epic Willow Ambulatory module, collaborating with Accenture team...Local area
- Team Analyst - Organic Repair Capability Assessment Team Position Summary: Life Cycle... ...and IPE assessment, Root Cause Analysis, configuration audit, and NSWC Corona data delivery.... ...RCA documentation to the standard. This contract has a contingent start of September 202...Contract workWork at officeImmediate startFlexible hours
- ...Coding team seeks an experienced Business Analyst, Consultant with strong analytical,... ...logic is accurately translated into system configuration, directly impacting claims accuracy, regulatory compliance, and cost of healthcare outcomes, while influencing cross-functional...ClaimsShift work2 days per week
- ...Position Product Implementation Analyst Location San Diego, CA Duration 6 Months Contract Total Hours/week 40.00 Shift 1... ...installation, workflow, system design and configuration tasks, integration engineering... ...understanding of the healthcare business environment Establish...Contract workWork experience placementRemote workFlexible hoursShift workNight shiftDay shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Healthcare Contract Configuration Analyst - Claims Validation. Be the first to apply!
- senior healthcare data analyst San Diego, CA
- medical claims auditor San Diego, CA
- claims associate San Diego, CA
- claims attorney San Diego, CA
- vice president claims San Diego, CA
- claims counsel San Diego, CA
- healthcare internship San Diego, CA
- behavioral health care coordinator San Diego, CA
- business analyst healthcare San Diego, CA
- healthcare copywriter San Diego, CA

