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This role transforms complex healthcare data into actionable business insights, supports payment integrity and provider reimbursement initiatives, develops scalable reporting solutions, and partners with operational leaders to improve quality, efficiency, and financial performance. Familiarity with CMS payment rules, Medicare Physician Fee Schedule (MPFS), Hospital Outpatient Prospective Payment System (OPPS), Inpatient Prospective Payment System (IPPS), and Ambulatory Surgery Center (ASC) payment methodologies.

YEAR

Medica Health Plans Inc

Senior Healthcare Analyst

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Envista will consider unsolicited referrals and/or resumes submitted by vendors such as search firms, staffing agencies, professional recruiters, fee-based referral services and recruiting agencies (Agency) to have been referred by the Agency free of charge and Envista will not pay a fee for any placement resulting from the receipt such unsolicited resumes. An Agency must obtain advance written approval from Envista's internal Talent Acquisition or Human Resources team to submit resumes, and then only in conjunction with a valid fully-executed contract approved by the Global Talent Acquisition leader and in response to a specific job opening.

Envista

Orascoptic Trade Compliance And Logistics Analyst (Madison, WI)

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Along with this responsibility you will: Provide project coordination and support including, but not limited to tracking and coordination of various projects and initiatives ensuring the on-time and in-scope delivery of assigned projects. Along with this responsibility you will: Act as one of the primary contacts for our team of sales producers and management to ask questions regarding products and sales/marketing programs.

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Sentry Insurance Group

Retirement Plan Analyst

Collaborate with cross-functional teams, including Sales, Marketing, Supply Chain and Finance, as part of the process steps to integrate insights and assumptions into the demand forecast Gain understanding of consumption, market trends, new product launches, customer activity and adjust forecasts appropriately. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.

Nature's Way

Demand Planning Analyst

Identify broad revenue opportunities that span a particular customer segment; including utilizing Content Management Systems (CMS) for noncontracted Managed Medicare non-payments and the Employer Coalition initiative. Collaborate with finance and analytics to identify, analyze, and determine next steps to address negative revenue pull-through scenarios specific to payers and across payer segments; including Medicare Advantage, Blues, Medicaid, etc.

At Abbott, we are enthusiastic, energetic and committed to doing great work every day. Our employees are passionate about helping to translate science into lasting contributions to health care and the health of people worldwide. At the heart of our organization is our "Promise for Life"&mdash;a statement that embodies our company's commitment to employees, shareholders, local communities and the people who depend on our company and products to live healthier lives.
 
Vital to our promise is the speed in which we act, respond and deliver. As Abbott employees, we are ready to meet change and challenges head-on. As a result, we are a company that adapts quickly, and through our passion for innovation we are able to continually create a pipeline of products that help improve the length and quality of life around the world.
 
We are proud of our rich, more than 120-year history. We continue to be driven to advance leading-edge science and technologies, support diversity, focus on exceptional performance and earn the trust of those we serve.

Abbott

Contract Compliance Analyst III

Education:- High School graduate or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED) or Certificate of General Educational Development (GED) requiredExperience:- 2+ years of experience in professional billing and follow up required - Pediatric experience preferred - Prior experience in a large health system working with professional billing claims and functions preferred - Medical billing experience preferred - Prior credit resolution/payment posting experience preferred - Experience in Epic Resolute preferredKnowledge, Skills and Abilities- Working knowledge of medical terminology, ICD-10 and CPT.- Excellent verbal and written communication skills.- Maintains knowledge of primary care and complex specialty billing guidelines pertaining to each provider group for Professional Billing.- Collaborates with Payer Contracting team and maintains current knowledge of managed care payer contracts and third-party payer billing/reimbursement policies for Professional Billing along with all lines of business (Government, HMO and Commercial).- Identifies coding issues relating to CPT-4 and ICD-10 and use of appropriate modifiers that resulted in overpayments/underpayments balances.

Children's Hospital and Health System

Payment Resolution Analyst

Proficiency in operating systems (Windows, Mac, Linux/Unix, mobile), network theory/design, penetration testing, endpoint security monitoring, coding and scripting, reverse engineering of malware, enterprise risk methodologies. Not far from Duluth, MN, our campus resides in the beautiful north woods of Wisconsin where you can balance work and home life on our beautiful lakes and trails by partaking in personal interests such as biking, cross-country skiing, hiking, fishing, water sports, ATVing, snowmobiling, and much more.

Tamarack Health

Security Analyst | Information Systems | Full-Time

However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractors legal duty to furnish information. This Demand Planning position will be responsible for demand planning of a large portfolio of products and delivering the operational forecast while continually striving to increase forecast accuracy.

Nature's Way Products LLC

Envista Dentistry

Orascoptic Trade Compliance and Logistics Analyst (Madison, WI)

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Starting as a hardware supply store during the California Gold Rush and eventually assisted in the birth of the aerospace industry in Southern California by providing aircraft aluminum to early aerospace pioneers like Lindbergh, Douglas and Lockheed. Supports the Program Manager and oversees assigned programs and customers to ensure that activities and customer orders are carried out in accordance with contract requirements, schedules and budgets.

Ducommun Inc

Program Manager Analyst

Baker Tilly Advisory Group, LP and Baker Tilly US, LLP, trading as Baker Tilly, are independent members of Baker Tilly International, a worldwide network of independent accounting and business advisory firms in 141 territories, with 43,000 professionals and a combined worldwide revenue of $5.2 billion. Ability to lead and supervise others, provide exceptional client service, demonstrate commitment to continuous learning in order to stay current regarding applicable strategies, see the "big picture" as well as the details, display appropriate ethical knowledge and commitment, and exhibit a sense of urgency and commitment to quality and the timely completion of projects.

HOUR

Baker Tilly Virchow KrauseLLP

Temporary Application Analyst

As a Change Management Analyst, your key responsibilities will be: Collect and organize project data: schedules, cost reports, daily reports, RFIs, submittals, meeting minutes, time sheets, logs, etc. Support senior staff in schedule, cost data extraction (e.g., pulling updates from Primavera P6, cost systems), and other change order/claim preparation efforts.

Michels Corporation

Change Management Analyst - MICON Group, Inc.

Change Management Analyst - Micon Group, Inc.

This role is perfect for someone who enjoys digging into data, connecting dots between business needs and system solutions, and building workflows that directly support our members, providers, and organizational goals. This position will also develop various test plans that ensure that business requirements have been met while understanding business unit activities, goals and critical success factors that influence systems applications.

Unity Health Insurance

Business Analyst Utilization Management

As an RCM Training and Quality Analyst you will deliver Back End Revenue Cycle Management (RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.

Deloitte

RCM Training And Quality Analyst

When you join JX, you become a part of a culture defined by our values of Honoring Commitments, Creating Positive Experiences, Fostering Lifelong Learning, Exhibiting Pioneering Spirit, and Demonstrating Good Stewardship permeates every aspect of our company. What You'll Do Day-to-Day (Essential Duties & Responsibilities): Process warranty claims for multiple locations, ensuring each claim is handled promptly and accurately to meet our obligations to customers and suppliers.

JX Enterprises is a family-owned, locally-operated group of more than 20 full-service truck dealerships and support services.&nbsp; JX Truck Center, JX Financial, JX Leasing,&nbsp; JX Hino &ndash; Chicago, and Alltrux Capital are all subsidiaries. At JX, we pride ourselves in our ability to help customers by providing transportation solutions to fit their long- and short-term goals. Our family of dealerships is equipped with knowledgeable staff and the necessary tools to service and maintain a single truck or a thousand.

JX Enterprises Inc

Warranty Analyst

You may specialize in supporting complex pricing activities related to rate reviews, profit and loss ratio-based reviews, experience rating programs, post-implementation monitoring, or product and underwriting actions. You will develop reports and analyses, evaluate alternative scenarios, and recommend strategies related to product development or enhancement, product language, underwriting guidelines, processes, and channel-specific business practices.

American Family Insurance Group

Senior Product Analyst (Hybrid)

This experience is held in person at our Madison, WI Headquarters or one of our AmFam core locations to help you connect with our mission, meet key team members and build relationships that support your growth. You will help to ensure investments align with enterprise priorities, have measurable financial benefits, and provide appropriate returns before resources are committed.

Senior Financial Cost-Benefit Analyst

Experience with the following is preferred but not required: Chargeback Adjudication, Membership and Eligibility determinations, Prescription Rebate Processing, Pharmacy Benefit Management, Managed Health Care and Medicaid Drug Rebate Program. You'll collaborate with talented, innovative professionals who combine deep industry expertise and advanced technology to solve complex client challenges and drive better outcomes.

Claims Analyst Jobs in Wisconsin

Senior Healthcare Analyst Medica Health Plans Inc

Orascoptic Trade Compliance And Logistics Analyst (Madison, WI) Envista

Retirement Plan Analyst Sentry Insurance Group

Demand Planning Analyst Nature's Way

Contract Compliance Analyst III Abbott

Payment Resolution Analyst Children's Hospital and Health System

Security Analyst | Information Systems | Full-Time Tamarack Health

Demand Planning Analyst Nature's Way Products LLC

Orascoptic Trade Compliance and Logistics Analyst (Madison, WI) Envista Dentistry

Program Manager Analyst Ducommun Inc

Temporary Application Analyst Baker Tilly Virchow KrauseLLP

Change Management Analyst - MICON Group, Inc. Michels Corporation

Change Management Analyst - Micon Group, Inc. Michels Corporation

Business Analyst Utilization Management Unity Health Insurance

RCM Training And Quality Analyst Deloitte

Warranty Analyst JX Enterprises Inc

Senior Product Analyst (Hybrid) American Family Insurance Group

Senior Financial Cost-Benefit Analyst American Family Insurance Group

Business Process Analyst IQVIA Holdings Inc

RCM Training and Quality Analyst Deloitte Touche Tohmatsu Ltd

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