Healthcare IT Configuration Analyst — Claims & Compliance
Independent Living Systems, llc
Independent Living Systems, llc is seeking a Configuration Analyst in Miami, FL to ensure healthcare software configurations meet regulatory and operational needs. The role emphasizes analyzing system configurations, testing changes, and collaborating with clinical, administrative, and IT teams to support member care workflows and compliance. The ideal candidate has knowledge of UB04/CMS1500, ICD-10 coding, claim adjudication, EDI/OCR submission, and Medicare/Medicaid reimbursement methods, with #J-18808-Ljbffr Independent Living Systems, llc
$42k - $45k
...currently seeking a Clinical IT Field Analyst I to join our team of... ...recommendations based on optimal configuration of hardware or software... ...by the University. How to Claim Vet Preference Since 1945,... ...Disclosures Clery Notice In compliance with the Jeanne Clery Disclosure...ClaimsPermanent employmentFull timeTemporary workPart timeFor contractorsWork at officeLocal areaRemote workShift work- ...programs. Our approach unites operations, compliance, and technology experts, enabling us to... ...programs at every stage – from design, configuration, tech integrations, to optimization. Our... ...initiatives. This is an opportunity to take your IT risk, audit, and compliance skills, and...SuggestedFull timeWork at officeRemote work
- ...the best primary care environment for patients and are seeking healthcare enthusiasts to join us.Job SummaryAs a Senior Actuary within the... ...and support trend analysis of medical and pharmacy claims data for the Medicare and Medicaid lines of businessCollaborate...ClaimsWork at officeFlexible hoursWeekend work
- ...Utilize company’s proprietary Compliance Model · Calculate client... ...and discussions · Work with IT to further develop Compliance... ...pharmacy benefit audit or b) claim adjudication research experience... ...that keep the cost of healthcare down. We are building a model...ClaimsContract workWork at office
- ...hospital for Jackson Health System and it has been a beacon of medical... ...multidisciplinary team of healthcare professionals.Job SummarySenior Business Analyst is responsible for producing comprehensive... ...-chronic disease populations via claims, pharmacy, and other...ClaimsFull timeContract workWork at office
- ...Systems (ILS) is seeking a Senior Business Analyst (Application Management) in Miami, Florida... ...to gather requirements, ensuring compliance and quality assurance. Candidates should have an associate's degree in Healthcare Management and 2-3 years of relevant experience...
- ...application process. Configuration Analyst Product Management Full... ...in ensuring that healthcare software systems and... ...administrative, and IT teams to tailor configurations... ...care workflows and compliance standards. By... ...as a medical Senior Claim Examiner, Call Center...ClaimsFull timeWork at office
- ...Job Description Epic Senior Analyst | Quality and Population Health... ...Advantage programs • Configure CMS quality programs, including... ...Qualifications • Bachelor's degree in healthcare information technology,... ...plan operations and external claims data integration •...Claims
$118.98k - $171.87k
...Discovery Business and System Analyst Employment Type: Full-Time,... ...Contractor shall provide business and IT systems analysis support to... ...solution providers that claim to satisfy the identified... ...Contractor shall review all solution configuration changes to insure that the...ClaimsFull timeFor contractorsWork at officeFlexible hours- ...major period of growth and our IT team is leading the way. As... ...we are hiring certified Epic Analysts across multiple specialties to... ...Supports basic Epic build, configuration, and maintenance under close... ...Requirements Analyst 1: 3+ years in healthcare IT, clinical, or related...Full timeShift work
- ...litigation strategy, complex claims, technology, medical network,... ...submissions, holding company act compliance, and license renewals across... ...internal clients — Finance, IT, Operations, HR, and PMO — on... ...\n \n Medical Network & Healthcare Legal \n \n Oversee the...ClaimsContract workWork at officeWorldwide
- Independent Living Systems is seeking a Claims Examiner in Miami, FL to thoroughly review and evaluate insurance claims for accuracy and compliance. You will analyze medical documentation, policy terms, and billing data to determine validity, collaborating with providers...Claims
- Business Systems Analyst (BSA) UKG Kronos job at FOUR SQUARED SOLUTIONS... ..., ensuring accuracy and compliance with payroll standards. Support... ...and reporting. Assist in the configuration and implementation of Kronos/... ...Squared Solutions offers IT & Professional Services Staffing...Local area
- ...certification preferred* 3 years of experience, preferably in healthcare or healthcare-related organization* Preferable to have build experience... ...health plan concepts and workflows.* Familiarity with outside claims data ingestion.* Ability to work evenings, nights, and weekends...ClaimsWork at officeNight shiftWeekend workAfternoon shift
- ...seeks an experienced Medical Malpractice Analyst / Legal Nurse Consultant to assist with... ...in connection with medical malpractice claims. Responsibilities Review, analyze... ...investigating the roles and responsibilities of healthcare providers and facilities. Assist with...ClaimsFull timeWork at officeFlexible hours
- ...Anaplan IT Asset ManagerAt Anaplan, we are a team... .... This role ensures compliance with internal policies... ...and alignment with the Configuration Management Database (... ...IT Customer Experience Analysts to streamline asset... ...emails and correspondence, claiming they are...Claims2 days per week
- ...ability to understand risk, source efficient capital and rapidly pay claims. Our global team shares a passion for solving our customers’... ..., approval requests, and authorization documentation, ensuring compliance with established underwriting guidelines, policies, and...ClaimsLocal areaHome office
$120.2k - $140k
...owns the health, stability, and compliance posture of a suite of... ...engagement lifecycle: implementation, configuration, validation, and steady-state... ...with Quality and IT teams. Support validation activities... ...teams comprising consultants and analysts and drive delivery within the...Permanent employmentLocal areaRemote workVisa sponsorship- ...to the Director - Freight Trading, the Sr Analyst Commercial Logistics Freight is responsible... ...s hire and freight payments, disputes and claims resolution as well as monitor all related... ...Veson IMOS Platform chartering and operations IT system, to track profits and loss and the...ClaimsContract workWork at office
- ...grow in this position. As a Management Analyst, you will: Conduct detailed analyses of... ...and identify options to enhance workforce configurations to improve organizational performance.... ...unofficial) must be submitted to support your claim, otherwise you will be found ineligible)...ClaimsFull timeTemporary workPart timeWork experience placementWork at office
$124k - $280k
...efficiency - translating ambiguous healthcare challenges into production-... ...processing clinical notes, claims data, ADT feeds, and other... ...healthcare data science, health IT, or AI solution development... ...patterns and HIPAA-aligned cloud configurations; Experience with data...ClaimsH1b- ...The Senior Director Compliance will serve as MoonLake... ...responsibility include US healthcare fraud and abuse laws,... ...Statute and the False Claims Act; the Federal Food,... ...on the selection and configuration of material review technology... ..., and mitigates risk; it is not an approving...ClaimsPermanent employmentContract workFor contractorsFixed term contractPrivate practiceWork at officeRemote work
- Independent Living Systems (ILS) is seeking a Claims Auditor in Miami, FL to ensure the accuracy, compliance, and integrity of health care claims by auditing submissions... ...claims operations, while staying current on healthcare regulations. #J-18808-Ljbffr Independent Living...Claims
- Independent Living Systems is seeking a Claims Correspondence Coordinator to join our Miami... ...team. You will manage and streamline healthcare claim communications across providers,... ...departments, ensuring accuracy, regulatory compliance, and timely resolution of disputes and...ClaimsWork at office
- ...Government Services (CGS) seeks a Senior Discovery Business and System Analyst to join a fast-paced legal team. The role focuses on... ...against business needs. A strong emphasis on test scripting and configuration review supports informed purchasing decisions and program...
$20 per hour
The Operations Order Management Analyst (bilingual) manages the entire order process,... ...products are packaged according to the configuration and specifications requested by the customer... ...of inventory and shipments. Safety Compliance: Following safety protocols to ensure...Hourly payFull timeWork at office- ...opportunities.SummaryThe Epic Analyst 2 serves as an intermediate... ...responsible for the build, configuration, testing, and day-to-day... ...workflow efficiency, regulatory compliance, and patient care. The... ...to 6 years of experience in healthcare IT, clinical, or related field...Full time
- ...years of hands-on experience supporting, configuring, and optimizing UKG/Kronos workforce... ...Attendance, Scheduling, Workforce Analytics, and healthcare workforce productivity solutions, along... ..., Workforce Management, Operations, IT, and other business stakeholders to...Contract work
- ...impact. We collaborate with healthcare executives, leaders, and... ...clinical optimization, regulatory compliance, and technological... ...improve PBM operations, including claims processing systems, data analytics... ...direct a team of consultants and analysts, fostering collaboration and...ClaimsLive inWork at officeLocal areaWorldwide
- ...investigations on identified providers as warranted. Examines claims for compliance with relevant billing and processing guidelines and to... ...and medical records prior to payment. Researches new healthcare related questions as necessary to aid in investigations....ClaimsTemporary workWork at officeLocal area2 days per week1 day per week
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