- CVS Health (Providence, RI)
- …ensure compliance to all federal/state requirements and CVS Health obligations. The TP Medical Analyst will be responsible for performing trend analysis on payer ... **Position Summary** The primary responsibility of the Third Party Medical Account Analyst is to support the...1 to 3 years (retail pharmacy, PBM, banking/health insurance claims processing, analyst preferred) + Strong analytical,… more
- AdventHealth (Maitland, FL)
- …and healthcare administrative claims data + Works alongside Senior Medical Economics Analyst in identify risk/exposure associated with various reimbursement ... Onsite** **T,F Remote - Altamonte Springs, FL** **The role you'll contribute:** A Medical Economics Analyst is responsible for supporting the Senior Medical… more
- AdventHealth (Maitland, FL)
- …at the office (Altamonte Springs,FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial ... analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst must have attention to...of app provider types + Applies detailed understanding of medical coding systems affecting the adjudication of claims… more
- Gentiva (Mooresville, NC)
- …experienceproven ability working as an analyst in the healthcare industry with medical claims , membership, and provider data + Strong knowledge of and ... lives every day. **Overview** We are looking for a ** Medical Economics Analyst Senior** to join our...and address business challenges by applying a knowledge of medical claims analysis, critical-thinking skills, and healthcare… more
- Atrius Health (Chelmsford, MA)
- …to payer claim audits including Medicare program, writing complex clinical medical necessity appeals, analysis of claims data and billing related issues ... medical necessity and billing policy related to denied claims for all payers. In accordance with department policies...EXPERIENCE * Minimum of 3-5 years of experience in medical billing/denial management or claim data analysis… more
- BlueCross BlueShield of North Carolina (NC)
- … management related claims , using varied and broad clinical expertise. The Medical Review Analyst acts as a member advocate to promote and coordinate ... necessity, benefit eligibility and/or appropriate reimbursement allowances for complex claims and/or products by using clinical experience, medical literature,… more
- Fallon Health (Worcester, MA)
- …follow us on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The Medical Economics Data/Financial Analyst will partner with Medical Economics ... analytical support for multiple regulatory filings. + Assist other Medical Economics team members on special projects or ad...SQL + Knowledge of managed care and health care claims + Excellent oral and written communication skills **Fallon… more
- MyFlorida (Tallahassee, FL)
- 68064844 - MEDICAL /HEALTH CARE PROGRAM ANALYST Date: Sep 19, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... No: 837912 Agency: Agency for Health Care Administration Working Title: 68064844 - MEDICAL /HEALTH CARE PROGRAM ANALYST Pay Plan: Career Service Position Number:… more
- Keystone Lab (Asheville, NC)
- …excellent interpersonal and customer relationship skills for interacting with patients regarding medical claims and payments. + Must possess a positive, open, ... Inc. - Asheville, NC An exciting and challenging opportunity awaits a highly qualified Medical Insurance Billing & Reimbursement Analyst I in one of the most… more
- Commonwealth Care Alliance (Boston, MA)
- …the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing ... experience, specific to Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims ,… more