Healthcare Claims Analyst - 95% Accuracy & PDGM
tango
tango is seeking a Claims Analyst to manage complex healthcare claims, ensuring compliance with policies and provider contracts. The ideal candidate will have 3-5 years of experience in healthcare insurance and detailed knowledge of claim adjudication processes. This position involves analyzing claims processes and collaborating with providers to enhance understanding of regulations. Strong analytical skills and the ability to process over 185 claims per day are essential. #J-18808-Ljbffr tango
- A healthcare technology company is seeking a Value-Based Performance Reporting Analyst in the United States to measure and improve AI chatbot models. Candidates should have... ...expertise in evaluating AI outputs to ensure medical accuracy and quality responses. #J-18808-LjbffrSuggestedHourly payRemote workFlexible hours
$89.17k - $142.68k
...are seeking a highly skilled Senior Data Analyst with deep expertise in Affordable Care Act... ..., and technical teams to ensure the accuracy, completeness, and timeliness of EDGE data... ...experience with ACA data flows (enrollment, claims, supplemental), HCC modeling, and reconciliation...SuggestedWork at officeLocal areaRemote workFlexible hours2 days per week$26.76 - $39.81 per hour
CommonSpirit Health in Phoenix, Arizona is looking for a Financial Analyst to apply financial expertise to support strategic goals. You will analyze financial data, ensuring accuracy and compliance while communicating findings to stakeholders. The successful candidate will...SuggestedHourly pay$23.16 per hour
...Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround... ...client performance evaluations to assess the accuracy of client reports submitted to the... ...years of experience in a Stop Loss Claims Analyst role. SKILLS Ability to communicate concise...SuggestedFor contractorsWork at officeLocal area- A leading AI training company is seeking a Healthcare Billing Compliance Analyst to enhance AI models by providing diverse healthcare-related problems... ...logic and performance of AI outputs to ensure medical accuracy. This remote position offers flexible scheduling and...SuggestedRemote jobHourly payFlexible hours
$27 per hour
Overview Job posting for a Healthcare/Policy-related role with Axius Technologies Inc. Location and work arrangement details are provided below. This description includes compensation ranges, location, duration, schedule, and job responsibilities. Compensation & Location...Contract workWork at officeRemote work$73k
Entry-level Healthcare Analyst Position Overview Cognizant is helping healthcare leaders make the shift—with practical insights, more automation and efficiency, innovative products and services, and modern infrastructure which drives better outcomes at a lower cost. When...Temporary workSummer workInternshipWork at officeRemote workRelocationShift work2 days per week- ..., Arizona is seeking an experienced EDI Analyst. This role involves managing EDI transactions... ...such as HIPAA eligibility inquiries and claims status while ensuring accurate... ...candidates will have 5+ years of experience in healthcare revenue cycle management and familiarity...
- ...Healthcare Business Analyst Sonsoft, Inc. is a USA based corporation duly organized under the laws of the Commonwealth of Georgia. Sonsoft Inc... ...Working knowledge of healthcare EMR/EHR/Healthcare claims data Hands on knowledge of clinical and health economics...Permanent employmentFull timeWork experience placementH1b
- A healthcare consulting firm is seeking a Business Analyst skilled in healthcare data analysis and report creation. The role involves analyzing data for trends, developing key performance indicators, and collaborating with teams to enhance operational efficiency. Candidates...Remote work
- 70 HonorHealth Support Services is seeking an IT Applications Analyst to support vendor proprietary enterprise application software... ...should have an associates degree or equivalent experience in healthcare fields, alongside 3 to 5 years of IT or healthcare experience....
- HonorHealth is seeking an IT Applications Analyst responsible for the development and support of enterprise application software. You... ...to ensure it matches clinical operations within the healthcare system. The role requires an understanding of healthcare workflows...
- A reputable consulting firm is seeking a Test Analyst specialized in Healthcare Functional and Automation Testing. The candidate should have a Bachelor's degree and at least two years of experience in IT and Healthcare domain expertise. Responsibilities include creating...Full time
$68k - $80k
...Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Workers Comp This role requires direct experience... ...and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency....Contract workFlexible hours- Analyze healthcare data to identify trends and opportunities for improvement. Develop and maintain key performance indicators (KPIs) for... .../Qualifications 3 - 5 years’ experience in a Business Analyst or data analysis role Increasing involvement in moderate to complex...Remote work
$26.44 - $34 per hour
The Hong Kong Study Skills Research Institute is seeking a Healthcare Data Entry Analyst in Phoenix, AZ. This role requires processing and auditing incoming commission payments. Candidates must have 2 years of experience, particularly in healthcare insurance, and be proficient...Hourly pay$26.44 - $34 per hour
Healthcare Data Entry Analyst job at TEKsystems in Phoenix, AZ. The role involves processing, reviewing, and auditing incoming commission payments into proprietary software systems based on company guidelines. Qualifications & Skills MUST HAVE 2 years of experience with...Hourly payTemporary work- Blue Cross Blue Shield of Arizona is seeking a data analyst who will provide strategic analysis that impacts healthcare business decisions. You will perform data analysis, healthcare cost analysis, and report production to support corporate initiatives. The ideal candidate...
$73k
A leading healthcare technology firm is seeking an Entry-level Healthcare Analyst in Phoenix, Arizona. The role involves assisting in designing and developing software solutions for the healthcare industry, emphasizing automation and collaboration. Ideal candidates should...Remote work- Carex Consulting Group in Scottsdale, Arizona is seeking a Data Analyst with strong SQL and Power BI skills to support transition... ...at least 5 years of experience in analytics, particularly with healthcare data. Effective communication skills and a strong attention to...
- TriWest Healthcare Alliance in Phoenix is seeking a Healthcare Analyst who will work on solutions related to provider data analysis and management, collaborating in a remote environment. The ideal candidate has a Bachelor's degree and five years of experience in healthcare...Remote job
$45 - $55 per hour
Join to apply for the Healthcare Senior Business Analyst (Homecare Homebase focus) role at Phoenix Staff, Inc. Join to apply for the Healthcare Senior... ...Analyst II, Account Health Support Business Analyst - Claims & Encounters Processing Phoenix, AZ $50,000.00-$60,000.00...Full timeContract workRemote work- A leading healthcare technology firm is seeking an IT Analyst - Healthcare to support teams by gathering requirements and analyzing issues in healthcare applications. This role involves documenting business needs, developing test scripts, and acting as a liaison between...Remote job
- ...reports and entries for the organization. Candidates should have at least five years of experience in accounting within a complex healthcare environment. A bachelor's degree in Accounting or Finance is required, with a master's degree preferred. Strong Excel skills are...
- ...strategic decision‑making. Key areas include workload forecasting, staffing analysis, volume trends, and performance metrics. The analyst develops reports, dashboards, and recommendations based on complex data sets from multiple sources, supporting business leaders with...
- NACBA in Scottsdale, AZ is seeking an Accounting Analyst to support their Pharmacy Benefit Manager's accounting organization. This role offers a strong starting point for a career in healthcare finance, providing hands-on exposure to general ledger accounting and financial...Full time
- A leading consulting firm is seeking a full-time Test Analyst specializing in healthcare functional and automation testing. Located in Phoenix, AZ, the successful candidate will have a Bachelor's degree or equivalent experience combined with at least 2 years in Information...Full timeWeekend work
$20 per hour
A healthcare technology company is searching for a Risk Adjustment Analyst to enhance AI models by providing health-related problems to chatbots. The ideal candidate has expertise in medical fields and a relevant degree, ensuring quality assurance for AI outputs. This...Remote jobHourly payFlexible hours$43.89k - $93.57k
...Hispanic Alliance for Career Enhancement is seeking an Accounting Analyst to support the Pharmacy Benefit Manager's accounting... ...crucial for daily operations, providing a strong starting point in healthcare finance. Responsibilities include assisting in month-end closures...Full time- Job Description Cornerstone Service Center, Inc. seeks a talented and energetic Healthcare Billing Analyst to play a key role in the growth and development of Cornerstone Healthcare, Inc., a leading organization dedicated to providing life‑changing home health and hospice...Full timeWork at officeRemote work
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