Senior Analyst, US Healthcare Payer: Claims & Enrollment
$100k - $140kTata Consultancy Services
Tata Consultancy Services is seeking a highly experienced Senior Analyst specialized in the US Healthcare Payer domain. The role involves analyzing key business processes such as claims and enrollment while collaborating with various teams to implement scalable solutions. Candidates should have at least 8 years of relevant experience and a Bachelor degree in Computer Science. Compensation ranges from $100,000 to $140,000 per year, complemented by comprehensive employee benefits including medical coverage, commuter benefits, and performance bonuses. #J-18808-Ljbffr Tata Consultancy Services
$100k - $140k
...Description We are seeking a highly experienced Senior Analyst with strong expertise in the US Healthcare Payer domain. The candidate will play a critical... ...analyzing payer-side business processes including claims, enrollment, membership, and benefits, while collaborating...SeniorClaims$100k - $140k
...Description We are seeking an experienced Senior Analyst with strong expertise in the Pharmacy... ...(PBM) processes, including pharmacy claims adjudication, formulary and drug benefits... ...prior authorization workflows, membership, enrollment, and billing. Strong background in...SeniorClaims- ...Grievance/Appeals Analyst I Shift: Tuesday-Saturday Location: Virtual: This... ...requirements, internal policies and claims events requiring adaptation of written response... ...lives and communities - and making healthcare simpler. We are a Fortune 25 company with...ClaimsFull timeTemporary workWork at officeLocal areaShift work1 day per week
$100k - $140k
Tata Consultancy Services is seeking an experienced Senior Analyst located in Mason, Ohio, specialized in the Pharmacy Benefit Management (... ...should have over 8 years of experience, particularly in pharmacy claims adjudication, and proficiency in Agile methodologies. The...SeniorClaims$64.76k - $97.15k
...Position Title: Business Analyst II - Payment Integrity Datamining... ...family of companies, is a healthcare services organization that... ...better, together. Among us are care providers, engineers... ...Familiarity with healthcare payer systems, claim lifecycle, and reimbursement...ClaimsFull timeTemporary workWork experience placementWork at officeLocal areaDay shift2 days per week1 day per week$96.9k - $161.5k
...that touches virtually every aspect of healthcare. We are known for delivering insights, products... ...today, we want to hear from you.The Senior Analyst, Controlled Substance Data Systems... ...application for employment, please contact us by sending an email to (United States) Disability...SeniorFull time2 days per week- A healthcare solutions company is looking for a Configuration Analyst/Administrator in Mason, Ohio. The ideal candidate will have over 5 years of experience with the... .... A solid understanding of the healthcare claims environment is essential, making this position vital...Claims
- A healthcare solutions firm is seeking a Healthcare Systems Configuration Analyst to enable member benefit configuration strategies by designing and implementing configuration solutions. This role involves 60% hands-on configuration and 40% collaboration across teams, requiring...Senior
- ...Business Information Analyst Sr Locations: This role requires associates to be in-office... ...business performance reports (e.g. for claims data, provider data, utilization... ...improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with...SeniorClaimsFull timeTemporary workWork at officeLocal area2 days per week1 day per week
- A leading healthcare solutions provider seeks a Data Analyst to support operations in healthcare. The candidate should have over 3 years of experience, focusing on claim adjudication and vision care product configuration. Responsibilities include writing SQL queries, maintaining...Claims
- Data Analyst needs 3+ years experience in Operations in the Healthcare industry Data Analyst requires: Experience understanding claim adjudication for member and provider reimbursements. Experience with Facets platform using Claims, Provider, Network, Product Benefit Configuration...Claims
$89.17k - $142.68k
...role combines advanced data analysis, dashboard development, healthcare claims expertise, and stakeholder engagement to identify fraud, waste... ...opportunities, and operational improvement initiatives. The analyst develops reporting and analytical solutions that support provider...Claims$76.8k - $126.72k
...required by law. The Group Underwriter Senior will be responsible for determining acceptability... ...with sales, administration and claims to assess the rating and administrative... ...improving lives and communities - and making healthcare simpler. We are a Fortune 25 company...SeniorClaimsTemporary workWork experience placementWork at officeLocal area2 days per week1 day per week- ...Description Job Summary We are seeking an experienced Healthcare System Analyst with strong expertise in Payer Systems, Facets, Java-based applications, and... ...should possess strong knowledge of healthcare claims, enrollment, provider, and member workflows along with hands...Claims
$76.8k - $126.72k
...09-04 Position Title: Group Underwriter Senior Job Description: Group Underwriter Senior... ...with sales, administration and claims to assess the rating and administrative... ...improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with...SeniorClaimsContract workTemporary workWork experience placementWork at officeLocal area2 days per week1 day per week$122.24k - $183.36k
...for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (... ...systems provider billing guidelines, payer reimbursement policies, billing validation... ...improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with...ClaimsDaily paidFull timeTemporary workWork experience placementWork at officeLocal area1 day per week- Job Description Position: Senior Business Analyst with Prior Healthcare / Lab exp Location: Mason, OH Duration: 12+ Months Exp level: 9 Years Responsibilities Provide LOE for the Business Solutions Analyst effort. Publish and manage deliverables including but not limited...SeniorWork at office
- ...: Feb 16, 2024 Reference: JR104374 Description WFM Analyst Senior Location: Mason, OH; Tucson, AZ; St. Louis, MO; Grand Prairie... ...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding...SeniorFull timeTemporary workWork at officeLocal areaRemote work1 day per week
- ...First Financial Bank, is seeking a full-time Senior Corporate Paralegal to support a broad... ...corporate records, coordinating litigation and claims, assisting with entity registrations and... ...-oriented approach to work. Why Join Us? At Summit Funding Group, you’ll be part of...SeniorClaimsFull timeContract workWork at office
- Senior Analyst - Business Data (Reporting and Analytics) job at Luxottica. Mason, OH. Requisition... .... At least 1 year experience in the Healthcare industry supporting reporting and analytics... ...by law. Native Americans in the US receive preference in accordance with Tribal...SeniorMinimum wageFull timeWork experience placementLocal area
- ...assistance GENERAL FUNCTION Serve as a Data Analyst on the Business Configuration team,... ...years of experience working within a core claims administration system. • Good analytical... ...years’ experience in Operations in the Healthcare industry • Experience understanding claim...ClaimsTemporary workFor contractorsSeasonal workImmediate startRemote work
- ...Senior Radiochemist - PET US-OH-Kettering Job ID: 2026-59251 # of Openings: 1 Category: Imaging KH Main Campus Overview... ...is our top priority. We provide an integrated system of healthcare experts committed to providing exceptional care. Responsibilities...Senior
- ...respect to the membership processing & reconciliation, billing, and claims processing. Maintain the integrity of membership data in the... ...Additional Information All your information will be kept confidential according to EEO guidelines. #J-18808-Ljbffr US IT Solutions IncClaims
- Elevance Health is seeking a Business Analyst II for Payment Integrity Datamining in Maryland. The role combines in-office collaboration... ...business needs into software requirements. You will analyze claims data to identify overpayments, work with development teams, and...ClaimsWork at officeFlexible hours2 days per week1 day per week
- Encore Technologies is looking for an experienced professional to join our team in Mason, Ohio. The ideal candidate will have a background in SAP SD pricing and at least five years of experience in Vistex, including requirement gathering and configuration. Successful candidates...Senior
- Cintas is seeking a SAP Functional Analyst-Level 3-Field Service Management to implement, configure, and support SAP FSM for efficient planning, execution, and monitoring of field service operations. The role requires hands-on experience with FSM components, S/4HANA Service...Senior
- Position Title: Sr. Configuration Analyst Location: Hybrid : 2-3x in office 4000 LUXOTTICA PL Mason, OH 45040 Work hours : 8AM to... ...EyeMed leadership. Top 3-5 mandatory SQL/Database experience. • Healthcare claim understanding/benefit configuration. Facets Analytical &...ClaimsWork experience placementWork at office
- AtriCure, Inc. is seeking a Senior Business Intelligence Analyst to deliver scalable analytics and reporting across sales and commercial analytics. You will design data models, automate reporting, and leverage SQL Server, Oracle, Power BI, and Excel to provide actionable...Senior
- ...Job Description Job Description Role: SAP FICO Business Analyst Type: Full Time Salaried Location: Mason, Ohio – Hybrid Onsite Eligibility: US Permanent Residency is required for this role Summary Manage both strategic and daily developmental activities...SeniorPermanent employmentFull timeWork at officeImmediate start
- Luxottica is seeking a Senior Analyst - Business Data in Mason, OH to design and maintain SAP BO solutions, including reports and dashboards... ...an analytical field, experience with SQL and a background in healthcare analytics. The position offers a comprehensive benefits...Senior
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