At Zelis, the Clinical Dispute Analyst role is responsible for the resolution of facility and provider disputes as they relate to DRG validation, itemized bill review, and/or clinical claim review Expert Claim Review. Review provider disputes for DRG Coding and Clinical Validation (MS and APR), Item...
Consistent emphasis on clinical quality through support and clinical decision models. Oversee and manage Clinical Supervisors to ensure highest clinical quality of services. High clinical quality with manageable case load. Allows for BCBAs to focus on clinical quality and client success as well as R...
Baptist Health, founded in 1955, is North Florida’s most comprehensive health care system and the area’s only non-profit, mission-driven, locally governed health care provider.Baptist Health has over 200 points of care throughout the Northeast Florida region, including our six award-winning hospital...
Identifies clinical and other system application requirements through process and workflow analysis. ...
Senior IT Business Systems Analysts lead efforts, oversee work results, provide training and serve as a mentor for other IT Business Systems Analysts. The Senior IT Business Systems Analyst helps client areas achieve their objectives by serving as a resource across functional boundaries and business...
Data mine various data systems, clean and structure data to optimize model performance and identify areas for data quality improvements in enterprise data environment. Partner with Data Engineering and BI teams to put models and insights into production. Master's at least required in statistics, dat...
The MX VOM Research Analyst is responsible for learning about specific VyStar member-facing processes and collaborating with business partners in multiple departments to achieve and enable insights to be identified and communicated, and to improve research, analytics and reporting capabilities. Sr R...
Senior Business Systems Analyst. Seeking a seasoned Senior Business Systems Analyst to join our dynamic team. A minimum of five years as a business systems analyst in a technology setting. This role is ideal for a strategic thinker with extensive experience in analyzing and optimizing business syste...
HS Diploma with at least 5 years of clinical research coordination/related experience OR Associate's degree/college Diploma/Certificate Program with at least 3 years of experience, Associate's in Clinical Research from an accredited academic institution without experience OR Bachelor's with at least...
As a senior analyst, the incumbent will need to be a proactive self-starter able to take responsibility for key deliverables and have the technical background and confidence to work with business domain experts in risk, treasury, operations, business development and sales teams. The role also suppor...
Experience with the manipulation of data and datasets and the creation of visualizations in Tableau or other data visualization tools desired. Naval Aviation Data Analyst/System Administrator. Naval Aviation Data Analyst/System Administrator. Naval Aviation Data Analyst/System Administrator Responsi...
Seven (7) or more years of business analyst or business systems analyst experience in the property and casualty insurance industry. Collaborates with stakeholders and project team members on mid- to large-scale projects to identify business needs and solutions, weight opportunities based on estimate...
Job Title: Business Continuity and Disaster Recovery Analyst & Project Manager (two roles). SherlockTalent is looking for an Analyst & a Project Manager to join the Business Continuity & Disaster Recovery team in a F500, fast-paced company in the maritime industry. Analyst for Business Continuity/Di...
As a member of the Research Finance team, the. Financial Analyst also assists with Labor Distribution Schedule (LDS) maintenance, approves the final financial reports. Financial Analyst plays a key role in the overall financial management of extramural funding and serves as a subject matter expert f...
Experience with business requirements and business process analysis to ensure IT solutions meet the business needs. Drives business architecture design (including Business Process), capability roadmap development and strategy development for the domain. Develops an extensive understanding of the bus...
Currently, We are looking for entry-level software programmers, Java Full stack developers, Python/Java developers, Data analysts/ Data Scientists. For data Science/Machine learning. Knowledge of Statistics, SAS, Python, Computer Vision, and data visualization tools. ...
Work with Big Data and transform complex datasets into more usable formats. Knowledge in machine learning, artificial intelligence, statistical modeling, data visualization, and data analysis. You will be responsible for researching, designing, developing, and implementing data science solutions to ...
The Business Analyst Coordinator is responsible for assisting Business Analysts with translating business requirements documents for reporting and special projects, and other systems project related tasks. Assist the Business Analysts in their research/analysis to express business needs in forms (e....
As a Senior Data Analyst, you will be at the frontier of building our Pricing function to drive growth through data and AI-enabled capabilities. Ensure data quality and integrity by following and enforcing data governance policies, including alignment on data language. We are looking for a dynamic a...
Do you have an eye for detail and a passion for developing innovation solutions? Join our team! The Sr Supply Chain Compliance Systems Analyst is responsible for overseeing the compliance of SNC's Source-to-Pay (S2P) system areas such as application development, application compliance, systems compl...
Brooksource is seeking a Business Analyst to join a leading transportation partner here in Jacksonville. Business Analyst Jacksonville, FL. This position entails understanding and documenting complex business needs, identifying process improvements, and performing technology configurations. You will...
The Junior Automated Information Systems Analyst shall have three years of experience in Navy management information systems software analysis and/or AISs functional analysis and/or programming. Junior NTCSS Automated Information Systems Analyst. CACI has an opening for a Computer Operator III analy...
Worldwide Clinical Trials (Worldwide), a leading global contract research organization (CRO), works in partnership with biotechnology and pharmaceutical companies to create customized solutions that advance new medications – from discovery to reality. ...
We are seeking a talented individual who serves as the SME in performing research analytics to support our recovery audit line of business. Provides guidance to lower-level analysts. Research client, State and Federal billing and reimbursement policies, client reimbursement practices (through review...
We are seeking a talented individual who serves as the SME in performing research analytics to support our recovery audit line of business. Provides guidance to lower-level analysts. Research client, State and Federal billing and reimbursement policies, client reimbursement practices (through review...