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By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels. Position Summary: The Lead Analyst, Analysis and Efficiencies within Government Program Operations, plays a pivotal role in advancing operational excellence across government programs including Medicare, Medicaid, and Exchange.

YEAR

Capital Rx LLC

Lead Analyst, Analysis & Efficiencies

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May serve as a back-up to other roles within the bureau to support claim escalations research, once the person has demonstrated full proficiency in the job functions required for their new role •* Other project-related duties, as assigned or required REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE): •* 3+ years’ experience in healthcare •* Strong knowledge of ICD/CPT/HCPCS translation and coding methodologies •* 3+ years extensive knowledge of anatomy, physiology, pharmacology, and medical terminology •* 3+ years of strong knowledge of formal business process documentation PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE): •* 3+ years’ experience healthcare hospital, office and clinic setting •* Knowledge of Microsoft Office (Word, Excel, PowerPoint, Optum Encoder and other medical coding software programs) REQUIRED EDUCATION: Bachelor’s degree in healthcare related field. • May serve as a back-up to other roles within the bureau to support claim escalations research, once the person has demonstrated full proficiency in the job functions required for their new role • Other project-related duties, as assigned or required REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE): • 3+ years’ experience in healthcare • Strong knowledge of ICD/CPT/HCPCS translation and coding methodologies • 3+ years extensive knowledge of anatomy, physiology, pharmacology, and medical terminology PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE): • 3+ years’ experience healthcare hospital, office and clinic setting • Knowledge of Microsoft Office (Word, Excel, PowerPoint, Optum Encoder and other medical coding • 3+ years of strong knowledge of formal business process documentation software programs) • Other: preference for resources that are local to SC, NC, or GA.

<p>Novalink, founded in 2003 , is a leading consulting and staffing company serving clients in public and private sectors in Information Technology, Telecommunications (IT/Telecom), Technical Networks, Finance, and Administration. With government agencies as our primary clientele, our team has a proven track record of success in providing temporary personnel solutions and managing government deliverables-based projects over the past 20 years.</p>

Novalink Solutions

Business Analyst

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Position Responsibilities: Collect, clean, process, and analyze potential and current clients' pharmaceutical data - using SQL, Python, R, and MS Excel as appropriate - to support the Underwriting and Sales teams in the acquisition of new business and retention of current clients. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.

Manager, Data Analyst

Provide integrated logistics, analytics, freight, and trade-compliance support that enables reliable production and delivery schedules while reducing customs errors, transportation issues, delays, claims exposure, and unnecessary logistics costs. Qualifications for Logistics and Compliance Analyst: Bachelor's degree in Business Administration, Supply Chain Management, Finance, or equivalent combination of education and/or experience in transportation, supply chain, and/or import/export operations.

Kawasaki Motors Corp USA

Logistics & Compliance Analyst (Rail)

This role develops comprehensive project and resource plans, coordinates cross-functional teams, manages timelines and budgets, mitigates risks, and maintains strong client relationships to achieve desired outcomes. ReSource Pro is seeking a Project Manager, Technology Services to lead multiple client-facing engagements, ensuring the successful planning, execution, and delivery of software implementation and related projects.

ReSource Pro LLC

Project Manager, Technology Services

OTHER

Follow up activities are primarily performed via telephonic and web based methods of communication with all third party payers / self pay patients as well as internal communication with other hospital departments to facilitate payment of claims. Handles a high volume of third party claims and ensures that accurate information is submitted to payers via the clearing house and/or payer intermediary in a timely manner to ensure prompt payment.

Yale New Haven Health

Account Resolution Analyst

[AW]-iCims

Deep, applied knowledge of drilling and completion cost structures and production costs, including major and minor spend categories, engineering versus procurement trade-offs, completion strategies, well type and vintage economics, and failure modes and costs, sufficient to interrogate cost data and spot when a number does not align with industry practice or engineering logic. Delivering quarterly Executive Briefings that diagnose cost drivers, benchmark performance against market peers, and turn findings into actionable insights on specific operational questions (for example, engineering versus procurement cost drivers, well type and vintage stratification, vendor performance mapping, and failure modes and associated costs).

Enverus Holdings, Inc.

Senior Analyst, Cost Optimization Services - Oil & Gas - 26389

You'll own the analytical relationship with our pharmacy and managed care teams, turn their questions into answers they can act on, and help shape the data products we bring to pharma clients who care about access, formulary, and pharmacy audiences. 4-6 years in data analysis or business intelligence, with at least 2 years touching pharmacy, managed care, payer, PBM, market access, or life sciences commercial data.

MJH Healthcare Holdings LLC

Senior Product Analyst, Pharmacy & Managed Care

If you: Can operate, tune, and continuously improve enterprise application-security testing capabilities (SAST, DAST, SCA, API and secrets scanning), distinguishing exploitable weaknesses from false positives and integrating testing into the development and CI/CD lifecycle. Want to apply current threat intelligence and attacker techniques to application-security testing and priorities, partnering with Cyber Trust & Architecture, Cyber Risk & Assurance, and development teams to strengthen security outcomes.

Wisconsin Physicians Service Insurance Corp

Principal Application Security Analyst

We offer a range of affordable, cloud-based revenue cycle management solutions –from eligibility verification and claims management to revenue recovery and payment processing –that help healthcare organizations of all sizes streamline operations and reduce administrative burdens so they can focus on what matters most: patient care. Together, we are expanding our capabilities across the full healthcare transaction lifecycle, connecting claims, payments, and data exchange to deliver a more seamless and efficient experience for providers, payers, and partners.

Office Ally

Business Analyst, Client Implementations (Jopari)

GreenHouseAPI

MCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.

MCI Careers

Quality Analyst Lead

You will translate business questions into analytical solutions, strengthen data quality and reporting consistency, identify emerging trends and risks, and support actions that improve warranty outcomes, service performance, and customer experience. As a Warranty & Service Intelligence Analyst, you will provide decision-ready insights across warranty claims, repair activity, diagnostics, service operations, dealer performance, vehicle quality, and customer uptime.

AB Volvo

Warranty & Service Intelligence Analyst

The role also helps build team capacity and continuity by documenting processes, cross-training critical activities, and applying current analytical automation, and approved AI-enabled tools to improve speed, accuracy, and insight. This role combines core FP&A responsibilities with month-end and accounting support to help business leaders understand performance, manage expenses, improve forecasts, and make informed decisions that contribute to profitable growth.

Cinch Home Services, Inc

Financial Analyst

Responsibilities include taking a proactive leadership role working with the Engineering team and Customers to triage and resolve highly complex, technical, and application-related issues which impact product performance in customer-specific environments, or issues that directly hamper a broader customer adoption of Veradigm's Encounter Management Platform. In addition to working with customers, the Systems Analyst will routinely partner with our Development, Sustaining Engineering and Sales Engineering organizations to resolve support issues, document bugs, provide UAT on product builds, and ensure that new and newly upgraded server installations are successful.

Veradigm (formerly Allscripts)

Systems Analyst - Payer Encounter Management Platform

Depending on your location, the General Data Protection Regulation (GDPR) and California Consumer Privacy Act (CCPA) may regulate the way we manage the data of job applicants. We're looking for an Accounts Receivable Collections Analyst to manage a portfolio of customer accounts and help collect payments on time.

Flexport, Inc.

Accounts Receivable Collections Analyst

Senior AI Business Analyst

Senior AI Operations Analyst

The Coding Analyst collects appropriate, timely, and accurate health information about services provided including demographic data, appropriate length of stay, third-party payer and continued stay reviews, and other related data concerning patients. If less than 2 years on the job experience, should have one of the following credentials: RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator), CCA (Certified Coding Associate) or CPC-A (Certified Professional Coder).

RIVER VALLEY COUNSELING CENTER INC

Coding Analyst

Typically requires professional experience of at least one year of project management; OR one year performing work as a professional where the product required completing multiple steps with individual deadlines for a larger deliverable lasting six months or more; OR four semesters worth of college credits with project management or planning, or assignments lasting a month or more that required significant preparation for completion (e.g., assignments with deadlines for multiple pieces culminating in a final deliverable). Typically gained by completion of college courses covering health care delivery systems (such as nursing, medicine, medical social work, psychology, developmental disabilities, public health administration, health education) AND three years of experience working as a professional e.g.

State of Idaho

Medicaid Program Policy Analyst - MED

Leads the UAT effort for each release - defining scope, building test cases, reviewing with business stakeholders, demoing functionality as needed, holding check-in meetings to monitor progress, and assisting with defect resolution. Develops and fosters strategic relationships and establishes key organizational partnerships, communicating effectively across leadership, business stakeholders, vendors, and sourcing suppliers.

Claims Analyst Jobs in the United States

Lead Analyst, Analysis & Efficiencies Capital Rx LLC

Business Analyst Novalink Solutions

Manager, Data Analyst Capital Rx LLC

Logistics & Compliance Analyst (Rail) Kawasaki Motors Corp USA

Project Manager, Technology Services ReSource Pro LLC

Account Resolution Analyst Yale New Haven Health

Senior Analyst, Cost Optimization Services - Oil & Gas - 26389 Enverus Holdings, Inc.

Senior Product Analyst, Pharmacy & Managed Care MJH Healthcare Holdings LLC

Principal Application Security Analyst Wisconsin Physicians Service Insurance Corp

Business Analyst, Client Implementations (Jopari) Office Ally

Quality Analyst Lead MCI Careers

Warranty & Service Intelligence Analyst AB Volvo

Financial Analyst Cinch Home Services, Inc

Systems Analyst - Payer Encounter Management Platform Veradigm (formerly Allscripts)

Accounts Receivable Collections Analyst Flexport, Inc.

Senior AI Business Analyst MCI Careers

Senior AI Operations Analyst MCI Careers

Coding Analyst RIVER VALLEY COUNSELING CENTER INC

Medicaid Program Policy Analyst - MED State of Idaho

Analyst II - Business Systems Analyst II Employers Holdings Inc

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