a skilled and motivated Sr. Principal Data Analyst to join our team. We need an Sr. Principal Data Analyst... and private health care encounter and enrollment data from NYS healthcare plans. Data will be synthesized, using Informatica...
Risk Adjustment Data Analyst III is a seasoned analyst responsible for playing an active role in submission, monitoring..., including timeline development & maintenance as it pertains to encounter and risk adjustment data. -Collaborate with internal...
encounter. As a Data Analyst within the Optum Alabama Enterprise Data Services (EDS) team, you will be responsible... following: Medicaid data, Medicare data, Healthcare Exchange data or Commercial payer data 2+ years gathering reporting...
encounter. As a Data Analyst within the Optum Alabama Enterprise Data Services (EDS) team, you will be responsible... following: Medicaid data, Medicare data, Healthcare Exchange data or Commercial payer data 2+ years gathering reporting...
. As a Case Analyst II, you will be part of a team empowered to collect and reconcile data from several proprietary data sources... confidentiality of the information they encounter. A Case Analyst II must be flexible and engaged to meet daily expectations and adapt...
specifications; 6 years of experience performing root cause analysis of claims or encounter data and developing recommendations... years of experience performing root cause analysis of claims or encounter data and developing recommendations based on data...
on, and continuously improving APAC data. The APAC Analyst manages data quality improvement and validation efforts, processes and fulfills... claims (such as ICD-9, ICD-10, CPT and HCPCS codes), encounter, and enrollment data; health care quality, cost...
internal career site to complete your application! Reimbursement Analyst Job Description Reimbursement Analysts performs... electronic and paper billing functions to submit claims. Performs computer edits and verifies data to ensure timely payment...
to all populations across the ACA Marketplace, Medicare, and Medicaid. JOB SUMMARY The Performance and Quality Analyst is responsible..., such as HEDIS gap lists, HCC gap lists, plan-specific data and company encounter data Reconcile gap lists to identify false gaps...
, and monitoring of clinicians. Monitors training success through encounter audits and ensures corrective action plans are implemented... regulatory requirements (e.g. Centers for Medicare & Medicaid Services (CMS), National Committee for Quality Assurance (NCQA...