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$77.97k - $155.51k
...implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases.... ...RFC submission mailbox, submit RFCs in iServe, and notify the Analyst of completion. Researches and reviews MRDT issues identified...DatabasePermanent employmentContract workWork experience placementRemote work$77.97k - $155.51k
...Job Description Job Summary Sr. Analyst, Network Strategy, Pricing & Analytics guides the investment of our network partners through... ...or related discipline. ~5+ years increasingly complex database and data management responsibilities ~ Advanced level proficiency...DatabaseContract workWork experience placementRemote work$77.97k - $155.51k
...DESCRIPTION** **Job Summary** Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of...DatabaseWork experience placement$21.16 - $42.2 per hour
...JOB DESCRIPTION Job Summary Provides entry level analyst support for provider configuration activities including accurate and timely... ...of critical provider information on all claims and provider databases. Synchronizes data within multiple claims systems and validates...DatabaseHourly payContract workWork experience placementWork at office- ...Audit Manager Responsible for accurate and timely auditing of critical information on claims databases. Maintains critical auditing and outcome information. Synchronizes data among operational and claims systems and application of business rules as they apply to each...DatabaseWork at office
$65k - $82k
...relationship management (CRM) systems is required, with a strong preference for those familiar with Salesforce. Proficiency in databases and spreadsheet applications is essential. We prioritize exceptional attention to detail. We are looking for individuals...DatabaseRemote jobWork from homeHome officeFlexible hours- ...Contract Change Analyst The Contract Change Analyst is responsible for the overall accuracy of contracts in ERP system. This position... .... Data entry of all customer contract changes into Access database R404 Form. Data entry of all customer contract changes and new...DatabaseLong term contractContract workWork at officeLocal areaRemote workDay shift
$77.97k - $117.81k
**JOB DESCRIPTION** **Job Summary** The role is responsible for assisting in establishing premium rates and conducting financial analysis and reporting. A key responsibility of this role is supporting the Molina Marketplace ACA individual market pricing, forecasting, and...SuggestedWork experience placementRemote work$21.16 - $42.2 per hour
JOB DESCRIPTION Job Summary Provides entry level analyst support for clinical information systems activities. Responsible for provision of application technical support and design for clinical information systems - ensuring creation of workflows and enhancements that support...SuggestedHourly payWork experience placementWork at officeRemote workMonday to Friday$77.97k - $106.21k
**JOB DESCRIPTION** **Job Summary** The role is responsible for assisting in establishing premium rates and conducting financial analysis and reporting. A key responsibility of this role is supporting the Molina Marketplace ACA individual market pricing, forecasting, and...SuggestedWork experience placementInternshipWork at officeRemote work- ...For next steps. A Data Entry Clerk, is responsible for inputting data and making changes to existing data figures in digital databases. Their duties include inputting data from paper documents into digital spreadsheets, updating order statuses for customers and double...DatabaseRemote work
$77.97k - $141.37k
...audiences. Effectively uses current and emerging technologies. KNOWLEDGE/SKILLS/ABILITIES With limited supervision, the Sr. Analyst, Data is responsible for data compilation, data management, data analysis, and reporting - using SQL and PowerBI Extracts and compiles...SuggestedWork experience placement$77.97k - $141.37k
**JOB DESCRIPTION** **Job Summary** Serves as a subject matter expert on system capabilities, conducting research and root cause analysis to resolve complex business and technical issues. Ensures system configuration aligns with business rules, regulatory requirements, ...SuggestedContract workWork experience placement$77.97k - $155.51k
**Job Description** **Job Summary** The Analyst, Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and develops reporting solutions to assist HEDIS audit, rate tracking, and Identifying targeted Interventions and tracking...SuggestedWork experience placementWork at officeRemote work$55k - $65k
...professional, we are eager to have you on our team. RESPONSIBILITIES: Manage customer accounts and update information in the database. Assist customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status....DatabaseFor contractorsWork at officeMonday to FridayFlexible hours- ...and contributes to agenda items. Works collaboratively with cancer program leadership and the Quality Department and other quality databases to identify areas of opportunity and improve data reporting. # Participates in cancer program outreach events and quality...DatabaseWork at office
$77.97k - $155.51k
**Job Description** **Job Summary** The Lead Analyst, Reimbursement is responsible for administering complex provider reimbursement methodologies timely and accurately. Supports existing lines of business and expansion into new states. The Lead Analyst, Reimbursement will...Work experience placement$77.97k - $155.51k
...Job Title Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial performance. This role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider...Remote jobTemporary workWork experience placement- ESG - Senior Business Analyst Kearney Operations System (KOS) Location: Gurgaon (preferred) ABOUT KEARNEY: Kearney is a leading global management consulting firm with more than 5,300 people working in more than 40 countries. We work with more than three-quarters of the...Temporary workWork at officeImmediate startRemote work
$77.97k - $128.52k
**JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions ...Work experience placementWork at officeRemote work$21.16 - $38.37 per hour
...Job Summary Provides entry level analyst support for claims research activities. This role plays a pivotal role in ensuring the timely and accurate resolution of provider-submitted claims issues. This role requires a keen understanding of medical claims processing,...Hourly payWork experience placementWork at office$77.97k - $171.06k
**Job Description** **Job Summary** Interfaces with internal and external customers in reviewing scope and developing requirements and plans for testing / quality assurance for enterprise projects of considerable complexity. Works with cross functional teams to prepare ...Work experience placementWork at office$77.97k - $128.52k
Job Summary Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and interprets trends and patterns in datasets to locate influences. Constructs forecasts, recommendations and strategic...Remote jobWork experience placement$77.97k - $128.52k
**JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions ...Work experience placementWork at officeRemote work$77.97k - $141.37k
...audiences. Effectively uses current and emerging technologies. **KNOWLEDGE/SKILLS/ABILITIES** + With limited supervision, the Sr. Analyst, Data is responsible for data compilation, data management, data analysis, and reporting + Extracts and compiles various sources of...Work experience placement- GENERAL SUMMARY Provides implementation, operational and technical support for all Bryan Health devices used by physicians, employees and contractors. Provides technical leadership, guidance, and support to users and/or other technical staff on a wide variety of comprehensive...For contractorsRemote work
$77.97k - $171.06k
**Job Description** **Job Summary** The Lead Analyst, Advanced Provider Data Management is responsible for analyzing and understanding business processes, identifying areas for improvement, and developing solutions to optimize performance. This position requires leadership...Work experience placement- ...candidate Partner with clients to assist in filling urgent positions with top-qualified candidates Proficient use of the company's database, and recruiting tools Screen and prep candidates and clients for interviews and assist in the negotiation of job offers...DatabaseFull timeRemote workWork from homeHome office
- ...and job fairs. Network with potential clients and assess their care needs to ensure appropriate caregiver matches. Maintain a database of caregivers and client profiles to facilitate timely and accurate placements. Collaborate with the care coordination team to...DatabaseWork at office
- ...validate state, vendor, and internal COB leads. Updates the other insurance table on the claims transactional system and COB tracking database. Review of claims identified for overpayment recovery. Required Qualifications At least 1 year of administrative support...DatabaseWork at office
