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Job description We are urgently looking for people interested in taking online surveys for Fortune 500 brands. If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up to $25 per survey. Share your opinion and help influence...SuggestedExtra incomeFull timePart timeFreelanceSecond jobImmediate startWork from homeFlexible hours$77.97k - $128.52k
...functions to support systems solutions development and maintenance for Medical Claim Audit. This role includes coordination with stakeholders... ...Services (CMS) and the Affordable Care Act (ACA). Medical Coding certification. Strong Medical Claims Audit knowledge. To...SuggestedWork experience placementWork at officeRemote work$77.97k - $128.52k
...in a managed care or payer environment. In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier... ...Services (CMS) and the Affordable Care Act (ACA). Medical Coding certification. To all current Molina employees: If you are...SuggestedWork 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 - using SQL and PowerBI Extracts and compiles...SuggestedWork experience placement$77.97k - $155.51k
...HPs for approval, follow up and completion notifications. Monitors RFC submission mailbox, submit RFCs in iServe, and notify the Analyst of completion. Researches and reviews MRDT issues identified by the HPs and CIM to determine root cause of the issue and what...SuggestedPermanent employmentContract workWork experience placementRemote work$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... ...data impact reporting. + Develop Medical Record Review project reporting to track... ...impact analyses for any logic and source code changes for data analytics and reporting...SuggestedWork experience placementWork at officeRemote work$77.97k - $155.51k
...Job Description Job Summary Sr. Analyst, Network Strategy, Pricing & Analytics guides... ...of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical... ...negotiate new or amended contracts (e.g. coding and chargemaster impact analysis) Strong...SuggestedContract workWork experience placementRemote work$77.97k - $141.37k
...benefits, contracts as well as additional business requirements and converting these terms to configuration parameters. + Handles coding, updating and maintaining benefit plans, provider contracts, fee schedules and various system tables through the user interface. +...SuggestedWork experience placement$77.97k - $155.51k
...Lead Analyst, Reimbursement 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 be...SuggestedWork experience placement$60.42k - $117.81k
...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...SuggestedWork experience placementRemote work$77.97k - $106.21k
...rate adequacy studies, and documents assumptions. - Analyzes results to identify early signs of trends or other issues related to medical care costs. - Performs actuarial studies related to medical care costs and trends. - Generates and distributes routine reports to support...SuggestedWork experience placementInternshipWork at officeRemote work$21.16 - $42.2 per hour
...JOB DESCRIPTION Job Summary Provides entry level analyst support for provider configuration activities including accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data within multiple claims systems and...SuggestedHourly payContract workWork experience placementWork at office$21.16 - $42.2 per hour
...Job Summary Provides entry level analyst support for provider configuration activities including accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data within multiple claims systems and validates data...SuggestedHourly payContract workWork experience placementWork at office$30 per hour
...JOB TITLE: Logistics Management Analyst - DEFENSE LOCATION: White Sands Missile Range, NM PAY RATE: $30/hour We are... ...Industry: Aerospace / Defense / Aviation Benefits: Medical, dental, and vision (Cigna) Perks: Bonus potential + Priority...SuggestedPermanent employmentFull timeContract workFor contractorsRelocation$77.97k - $155.51k
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...Work experience placementWork at office$77.97k - $106.21k
...estimates and rate adequacy studies. Document assumptions. + Analyze results to identify early signs of trends or other issues related to medical care costs. + Perform actuarial studies related to medical care costs and trends. + Generate and distribute routine reports to...Work experience placementInternshipRemote work
