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Position Responsibilities: Technical Issue Identification & Root Cause Analysis: Identify, investigate, and triage technical issues within the JUDI tech stack (specifically focusing on [Specify Key Technologies - e.g., Python/Django, PostgreSQL, AWS services]). Working closely with Product Managers, engineers, and stakeholders, this role ensures the seamless execution of the product roadmap by proactively identifying and resolving technical issues, validating functionality, and enhancing user experiences.

YEAR

Capital Rx, Inc.

Technical QA Analyst II

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ESSENTIAL FUNCTIONS: Audits vendor invoices against contractual rates, terms, and supporting documentation; identifies discrepancies; obtains corrected invoices, credits, or refunds; validates adjustments; and maintains an invoice-recovery log. Partners with vendors and internal Revenue Cycle teams to investigate operational, technical, payer, and workflow issues; identify root causes; implement corrective actions; and monitor improvement plans.

Tucson Medical Center

Revenue Cycle Vendor Management Analyst

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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.

Guided by our HEART values of Humility, Excellence, Accountability, Respect, and Trust, we strive to create a workplace where teammates feel valued, supported, and empowered to do their best work every day. You'll analyze data, identify payment trends, collaborate with internal teams and vendors, and develop solutions that prevent and recover overpayments.

Texas Children's Hospital

Payment Integrity Analyst II

In this role, you will work through sophisticated business opportunities across multiple functions to improve overall processes, optimize our tool infrastructure, and increase the ease of doing business with NVIDIA. This position is focused on the business-side implementation, management, and scaling of our global rebate management systems and related tools, alongside the operational execution and validation of our rebate incentive programs!

Visualize your future . . . We Do 
NVIDIA is the world leader in graphics processing technologies, creating innovative, industry-changing products for computing, consumer electronics, and mobile devices. NVIDIA products are transforming visually-rich applications such as video games, film production, broadcasting, industrial design, space exploration, and medical imaging. We invest in our people and our technologies, support and fund industry research around the world, and consistently deliver high-quality products. NVIDIA's culture promotes and inspires a team of world-class employees to be at the top of their game. We've created an environment where talents are recognized and collaboration is valued. Our employees are shaping the world of tomorrow. . . today. We invite you to explore the opportunities available at NVIDIA to see what your future may hold.

Nvidia

Senior NPN Program Operations Analyst

Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Ensure that all implants, carve outs are identified prior to claim submission to allow for appropriate documents and claim information to be completed to facilitate accurate and prompt claim payment.

St. Luke's University Health Network is a regional network of hospitals, physicians and other related organizations providing care primarily in Lehigh, Northampton, Monroe, Carbon, Schuylkill, Bucks, Montgomery and Berks counties in Pennsylvania and Warren County in New Jersey. The Network provides services at more than 150 sites. St. Luke's University Health Network is comprised of six hospital sites. The Network includes:<ul> <li> More than 80 owned physician-practice sites </li><li>300 employed primary care/specialist physicians </li><li>Various outpatient testing and service facilities</li><li>Home health </li><li>Hospice services (inpatient and outpatient)</li><li>Largest ambulance provider in Bucks County and second largest in Lehigh County</li><li>Other related organizations</li><li>57,500+ annual admissions</li><li>195,000 annual emergency room visits</li><li>1,325 physicians on the Medical Staff (96 percent board-certified)</li><li>8,600+ employees</li><li>More than 1,350 volunteers </li></ul> Areas of exceptional medical expertise include:<ul> <li>Level 1 Adult Trauma Center: fully accredited by Pennsylvania Trauma Systems Foundation; 2,400+ annual trauma cases; St. Luke's 1.75 percent mortality rate represents top decile performance, significantly better than peer group as measured by National Trauma Data Bank of the American College of Surgeons; aeromedical transport services</li><li>Oncology: first and only cancer program in Pennsylvania to receive American College of Surgeons' highest quality recognition for three consecutive years; only Pennsylvania program to receive award in 2010; region's only fellowship-trained surgical oncologists; advanced programs for melanoma (internationally recognized melanoma investigator), lung, breast, prostate, gynecologic and gastrointestinal cancers and tumors of the brain and spine</li><li>Cardiology and Cardiovascular Surgery: multiple-year recipient of highest rating for cardiac bypass surgery, represents top decile performance achieved by only 10 percent of U.S. hospitals (Society for Thoracic Surgery); region's first Joint Commission certified Heart Failure Program; comprehensive surgical services excluding heart transplants </li><li>Neuroscience: accredited Stroke Center; additional Centers of Excellence include: Balance Center, Headache Center, Memory Disorders Center, Multiple Sclerosis Center, Sleep Disorders Center</li><li>Orthopaedics: advanced expertise in total joint replacement and reconstruction, computer-assisted minimally invasive surgery, primary and reconstructive surgery of the spine, sports injuries, diseases and conditions of the hand and elbow, traumatic injuries </li><li>Women's/Children's Health: high-risk pregnancy; the region’s busiest obstetrical service; two neonatal intensive care units; pediatric specialty care provided by St. Christopher's Hospital for Children.</li><li>Robotic/Minimally Invasive Surgery: one of the nation's most experienced robotic surgical teams</li><li>Radiology: designated international General Electric Healthcare Show Site for imaging technology; designated Breast Imaging Center of Excellence by American College of Radiology</li><li>Bariatric Surgery: designated Center of Excellence by American Society for Metabolic and Bariatric Surgery and Surgical Review Corporation</li> </ul> St. Luke's offers an exceptional benefit plan for employees. Our values are reflected in all we do for patients, each other and the community: Pride - We take pride in our accomplishments and in our organization. Caring - We show consideration for others and their feelings. We treat others as we want to be treated. Respect - We recognize the value, diversity and importance of each other, those we serve and the organization. Accountability - We are responsible to make decisions and solve problems in a timely and effective manner. Flexibility - We adapt to the changing needs and expectations of those we serve. Teamwork - We work together to improve quality. The mission of St. Luke's University Health Network is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.

St. Luke's University Health Network

Contract Payment Analyst (Full Time, Days)

As a Change Management Senior Analyst, your key responsibilities will be: Develop complex change orders and claims, transforming project records, cost data, schedule impacts, and contractual requirements into compelling requests for additional time and compensation. Help develop and oversee project-level processes for change tracking, contract compliance, and timely issue documentation.

Change Management Senior Analyst - MICON Group, Inc.

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FULL_TIME

Responsibilities may include additional research on medical claims data and other sources of information to identify problems, review sophisticated data model output, and utilize a variety of tools to detect situations of potential fraud and to support the ongoing fraud investigations and requests for information. Responsibilities: SafeGuard Services (SGS), a subsidiary of Peraton, performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse.

Peraton drives missions of consequence spanning the globe and extending to the farthest reaches of the galaxy. As the world’s leading mission capability integrator and transformative enterprise IT provider, we deliver trusted and highly differentiated national security solutions and technologies that keep people safe and secure. Peraton serves as a valued partner to essential government agencies across the intelligence, space, cyber, defense, civilian, health, and state and local markets. Every day, our employees do the can’t be done, solving the most daunting challenges facing our customers.

Peraton

Medical Review Analyst - Medicare

[AW]-iCims

Change Management Senior Analyst - Micon Group, Inc.

As an EDI Analyst, you will be responsible for the development, implementation and ongoing maintenance of the Electronic Data Interchange (EDI) transactions including HIPAA 270/271 eligibility inquiry and response, 276/277 claims status inquiry and response, and 278 referral/prior authorization transactions. The EDI Specialist will work collaboratively with information systems staff, government and third-party payers, clearinghouses, and Nextgen technical support personnel to implement these transactions in an integrated, efficient, and cost-effective manner.

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At EDI Staffing, we strive to provide the best staffing solutions for each of our business disciplines, in honest, resourceful, and creative techniques. Our mission is to connect talented people with great organizations across all industries, while maintaining our company values: accountability, innovation, integrity, teamwork and work ethic. Our commitment to our values becomes tangible in our daily customer interactions and lifetime customer relationships.
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EDI Staffing

Remote EDI ERA/EFT Analyst

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The ideal candidate will have experience collecting user requirements, data analysis, documenting technical specifications, understanding core data characteristics, The ability to understand complex problems, logical problem-solving skills, and strong written and verbal communication skills are required. The Data Analyst will serve as a data developer resource and should have knowledge of data analysis tools, data profiling techniques, and computer systems technology.

RxCloud

Data Analyst with Life Science Experience

Working collaboratively with Care Management, Pharmacy, Clinical Operations, Quality, Population Health, Information Services, and operational leadership, the analyst gathers business requirements, translates operational needs into technical solutions, and implements workflow enhancements that improve care coordination, patient engagement, and clinical performance. The analyst is responsible for designing, configuring, supporting, and optimizing Epic Healthy Planet functionality, including care management workflows, patient registries, quality reporting, decision support tools, outreach programs, wellness initiatives, and pharmacist-driven clinical programs.

Hill Physicians Medical Group Inc

Application Analyst III - Epic Healthy Planet - Hybrid (Remote Considered) - 26-110

Responsibilities include but are not limited to : Manage program grants, contracts, revenue, and expenditures; Analyze program costs and variances to budget and forecast; Review monthly accounting close and submit adjusting journal entries as needed; Produce monthly program forecasts to project revenue and expenses for both line-item reimbursement and performance-based grant contracts; Work with Project Directors to develop budgets and forecasts for revenue & operating expenses; Manage relationships and reporting to government agencies and other funders; Work with the Development department to prepare and review budgets for submission in response to requests for proposals and to ensure accurate programmatic and grant/project income and expense reporting and compliance; Ensure timely and compliant invoicing and collection of the Center’s grants and contracts; Prepare, examine, or analyze accounting records for assigned contracts; Assist with various audit functions; Review and approve vendor invoices, staff allocations, and expense reports; Provide guidance and support to Junior Financial Analysts and Financial Analysts as a team leader; and. Qualifications: Bachelor's degree in accounting, finance, or related field and a minimum of 3 years of work experience with budgets and grants/contracts or equivalent experience required; Experience in nonprofit and/or government accounting, including grant and contract accounting, compliance, accounts receivable, and reporting strongly preferred; Advanced proficiency in Excel required; Candidate must be extremely detail oriented and have familiarity with basic accounting principles and financial/accounting systems; Experience in prioritizing projects, meeting deadlines, and initiating follow through with meticulous attention to detail and high-level accuracy both individually and in a team setting; Solid analytical capabilities and strong writing skills; and.

Center for Justice Innovation

Senior Financial Analyst

partner JazzHR

The Evaluation Data Analyst manages and analyzes data to support evaluations, market research and savings claims at Energy Trust, including managing the catalog of products used to claim energy savings and generation, and the process by which the catalog is regularly updated. The Evaluation Data Analyst also designs, plans, develops, and manages qualitative and quantitative evaluations of Energy Trust’s programs, initiatives, and pilots, as well as market research.

Energy Trust of Oregon

Evaluation Data Analyst

Workable

As a senior analytical professional, this role combines advanced data analysis, data engineering, insurance domain expertise, and business insight to solve complex data challenges, influence decision-making, and identify opportunities that improve operational effectiveness and regulatory compliance. Technical & Analytical Skills - Designs advanced analyses, metrics, and scalable data solutions while improving performance, quality, and reusability of datasets and reporting assets.

BP&C

Senior Data Analyst

Our flexible solutions span routine and genetic testing management, automated adherence, and end-to-end diagnostics support-driving measurable value, reduced waste, and improved clinical outcomes. Clinical Policy Development Analyst, Routine Testing - Essential Functions and Responsibilities: Research emerging laboratory tests, technologies, clinical guidelines, coding changes, payer policies, and utilization trends.

Avalon Health Services LLC

Clinical Policy Development Analyst

General Summary: This is a unique and exciting opportunity for a Board-Certified Behavior Analyst (BCBA) who is interested in providing Applied Behavior Analysis (ABA) services within a clinic and in-home settings to clients of all ages, diagnosed with autism spectrum disorder and/or related disorders. Coaches team members on how to develop proactive, strength-based, family centered, Applied Behavior Analysis (ABA) treatment plans, Functional Behavior Assessments, and Behavior Support Plans for children and families receiving services.

Community Partnership of Southern Arizona (CPSA) Inc

Board Certified Behavior Analyst

Requires occasional exposure to unpleasant or disagreeable physical environment such as high noise level and exposure to heat and cold, occasional working hours significantly beyond regularly scheduled hours, frequent travelling to offsite locations, occasional activities subject to significant volume changes of a seasonal/clinical nature, frequent work produced subject to precise measures of quantity and quality, occasional bending, occasional lifting and carrying up to 50 pounds, occasional crouching/stooping, occasional driving, occasional pushing/pulling, occasional reaching, constant sitting, occasional standing, occasional twisting, and occasional walking. The 340B Program Analyst''s key areas of responsibility will include but not be limited to: oversight of 340B drug purchasing, inventory processes, adherence to policy and procedures, audits, reporting, split billing software maintenance, contract pharmacy programs and all areas of 340B regulatory compliance.

University of Mississippi Medical Center

Data Analyst - 340B Compliance

Workers'' Compensation Administration: Coordinate Workers'' Compensation program, including providing information to injured employees regarding benefits and procedures; counsel/train employees, managers, and supervisors on Workers'' Compensation procedures, disability management and vocational rehabilitation procedures and State and Federal laws regarding the disabled. Knowledge of basic principles, functions and practices of public personnel administration, including organization staffing, classification, compensation and selection; methods and techniques of interviewing; basic job analysis methods and techniques; statistical and research methods; supervision principles and practices; principles, functions and practices of public personnel.

Claims Analyst Jobs in the United States

Technical QA Analyst II Capital Rx, Inc.

Revenue Cycle Vendor Management Analyst Tucson Medical Center

Change Management Analyst - MICON Group, Inc. Michels Corporation

Change Management Analyst - Micon Group, Inc. Michels Corporation

Payment Integrity Analyst II Texas Children's Hospital

Senior NPN Program Operations Analyst Nvidia

Contract Payment Analyst (Full Time, Days) St. Luke's University Health Network

Change Management Senior Analyst - MICON Group, Inc. Michels Corporation

Medical Review Analyst - Medicare Peraton

Change Management Senior Analyst - Micon Group, Inc. Michels Corporation

Remote EDI ERA/EFT Analyst EDI Staffing

Data Analyst with Life Science Experience RxCloud

Application Analyst III - Epic Healthy Planet - Hybrid (Remote Considered) - 26-110 Hill Physicians Medical Group Inc

Senior Financial Analyst Center for Justice Innovation

Evaluation Data Analyst Energy Trust of Oregon

Senior Data Analyst BP&C

Clinical Policy Development Analyst Avalon Health Services LLC

Board Certified Behavior Analyst Community Partnership of Southern Arizona (CPSA) Inc

Data Analyst - 340B Compliance University of Mississippi Medical Center

Human Resources Analyst I/II (Integrated Disability Management Coordinator) Superior Court of California County of Alameda

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