Jobbörse
Finde Jobs in deiner Nähe – ob vor Ort, hybrid oder remote.- Ähnliche Jobs zu: Lead Analyst, Payment Integrity & Claims Analytics
Business Analyst - Claims Payment Integrity (
Diverse LynxUnited States
Business Analyst – Claims Payment IntegrityRemote Contract Domain & Data Expertise (Required) Familiarity with Call Center datasets (member & provider contact/call data) for identifying navigation iss
Senior Payment Integrity Analyst - Remote & Edits Lead
CGI NjoynKnoxvilleCGI Njoyn is looking for a diligent Senior Analyst to enhance the Edits team in Knoxville, Tennessee. In this remote position, you will lead the expansion of CGI’s edits library and contribute signifi
Food Service Associate
Six Flags Great AdventureJacksonOverview:Hungry for a great job with filling experience? If you love good food (who doesn’t?), you’ll crave being surrounded by the flavors of Six Flags as part of our foods team. Whether you’re prepa
Hurricane Harbor Lost Parents Team Member
Six Flags Great AdventureJacksonOverview:Six Flags Great Adventure is looking for a Seasonal Public Safety Lost Parents Team Member. The Lost Parents Team Member will be responsible for assisting with coordinating the reuniting proc
Entertainment Supervisor
Six Flags Great AdventureJacksonOverview:The Operations Division is seeking a detail oriented, conscientious leader to work with the Events & Entertainment Manager in all facets of planning and coordination of events. The ideal cand
Sales Support Assistant, Group Sales
Six Flags Great AdventureJacksonOverview:Sales Support Assistant, Group Sales (Seasonal) Starting at $19.00Position Overview: Support group sales operations through efficient administrative, contracting, order processing, and billin
Security Guard
Six Flags Great AdventureJacksonOverview:Rule breakers beware with you on our Public Safety Team. You will spend the summer patrolling Six Flags Great Adventure and conducting security screenings of guest, employees, and vendors whi
Human Resources Supervisor
Six Flags Great AdventureJacksonOverview:Six Flags Great Adventure is seeking an outgoing and creative person to join our Human Resources team. This position is responsible for the supervision of the Human Resources Department, incl
Entertainment Character
Six Flags Great AdventureJacksonOverview:Role is responsible for costume character appearances and maintaining character integrity. Entertainment Characters are required to interact with guests, Team Members, and supervisors on a da
Food Safety and Sanitation Supervisor
Six Flags Great AdventureJacksonOverview:Rate: $18.00 To ensure compliance with health standards by overseeing cleanliness, inspecting facilities, and training/retraining staff on health standards and practices. Key duties involve i
Lifeguard
Six Flags Great AdventureJacksonOverview:Splash into success as part of our amazing Aquatics team this summer. Whether you’re watching over the wave pool or loading slide tubes, you’ll be on the front line keeping our guests safe. S
Physical Therapy Orthopedic Resident
Wellstar Health Systems, Inc.JacksonHow would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is
Physical Therapist WMCG
ConfidentialJacksonHow would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is
Certified Nursing Assistant (CNA)
Regency at JacksonJacksonFull Time Nights, 7:00pm-7:00am, Available Want to make a difference in someone’s life? If you have patience, empathy and a true desire to care for those in need, you will love working as a Certified
Human Resources (HR) Coordinator
Regency at JacksonJackson$5,000 Sign On Bonus Are you an experienced Human Resources professional? Do you enjoy engaging with employees throughout their career with the facility? We have an excellent opportunity for an HR coo
Registered Nurse (RN) - 5W Acute Care Medicine - Augusta, GA - Full Time
Wellstar Health Systems, Inc.JacksonHow would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is
Registered Nurse (RN) - Acute Care BMT - Augusta, GA - Full Time
Wellstar Health Systems, Inc.JacksonHow would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is
Registered Nurse (RN) - 8S Acute Care Cystic Fibrosis - Augusta, GA - Part Time
Wellstar Health Systems, Inc.JacksonHow would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is
Registered Nurse (RN) - Acute Care Oncology - Augusta, GA - Full Time
Wellstar Health Systems, Inc.JacksonHow would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is
Registered Nurse (RN) - Sign On Bonus
Regency at JacksonJackson$10,000 Sign On Bonus for Full Time Part Time Days, 7:00am-7:00pm, and Full Time Nights, 7:00pm-7:00am, Available Are you a critical thinker, a skilled communicator and passionate about caring for sen
TEMP Registered Nurse (RN) - Acute Care - Augusta, GA - Full Time
Wellstar Health Systems, Inc.JacksonHow would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is
Registered Nurse (RN)- Acute Care- 4W Trauma- Augusta- FT
Wellstar Health Systems, Inc.JacksonHow would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is
Registered Nurse- 4S Acute Care- Surgery- FT- Nights
Wellstar Health Systems, Inc.JacksonHow would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is
MDS Coordinator - Sign On Bonus
Regency at JacksonJackson$10,000 Sign On Bonus Are you an experienced MDS nurse interested in the next step? At Regency at Jackson, the MDS Coordinator provides oversight of the RAI process and conducts assessments and care p
Licensed Practical Nurse (LPN)
Regency at JacksonJacksonPart Time Days, 7:00am-7:00pm, and Full Time Nights, 7:00pm-7:00am, Available Want to make a difference in someone’s life every day? As a licensed practical nurse (LPN) with Regency at Jackson you wil
Über
Remote Contract Domain & Data Expertise (Required) Familiarity with Call Center datasets (member & provider contact/call data) for identifying navigation issues, provider abrasion signals, or member experience indicators tied to PI. Experience working with Provider RCM data (billing patterns, coding, prior auth, clinical documentation alignment). Exposure to EHR / Clinical datasets for validating medical necessity, care patterns, and crosswalks to claims. Experience with PI-specific reporting, including: o Duplicate claim identification o Pricing anomalies o Eligibility issues & benefit mismatches Understanding of actuarial reporting, forecasting dashboards, or cost-of-care analytics used for PI impact sizing. Required Qualifications Bachelor's degree in Business, Health Administration, Finance, or related field 8+ years of Business Analysis experience in US Healthcare Strong leadership, decision-making, and stakeholder management skills Excellent analytical and problem-solving skills Proven experience interpreting claims adjudication rules, payment policies, or benefit structures Experience facilitating cross-functional workshops, JAD sessions, and requirements reviews Exceptional written and verbal communication Strong time management; ability to handle multiple priorities Proven ability to work independently and collaboratively Preferred Qualifications Experience in Claims PI, FWA, Provider Contracting, Billing, or RCM Medicare / Medicaid domain depth SQL for data exploration, validation, and reporting Familiarity with PBM, eligibility logic, or provider credentialing systems Diverse Lynx LLC is an Equal Employment Opportunity employer. All qualified applicants will receive due consideration for employment without any discrimination. All applicants will be evaluated solely on the basis of their ability, competence and their proven capability to perform the functions outlined in the corresponding role. We promote and support a diverse workforce across all levels in the company.
Sprachkenntnisse
- English
Dieses Stellenangebot stammt von einer Partnerplattform von TieTalent. Klick auf „Jetzt Bewerben”, um deine Bewerbung direkt auf deren Website einzureichen.