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...
Assists in the application of data analysis and data modeling techniques to establish, modify, and maintain basic data structures and their entity descriptions, relationship descriptions, and attribute definitions according to client specifications. Participates in the development and maintenance of...
Analyze and summarize business operations, customer and/or economic data in order to improve business intelligence, optimize operating effectiveness and predict business outcomes. The ideal candidate will develop and manage dashboards for comprehensive credit risk reporting, prepare and automate ris...
Analyze, define, and document technical design for data, workflow, logical processes, hardware and operating systems environment, interface with other systems, internal and external controls and output. Monitor performance of systems to ensure continued systems efficiency. Collection Technology Solu...
Provide independent data science, machine learning, and analytical insights using member, financial, and organizational data to support mission critical decision making for various areas of the organization. Identifies meaningful insights from large data and metadata sources. Understand business nee...
StageWood Consortium, a South Florida-based startup dedicated to revolutionizing the entertainment industry through a new social media platform, is seeking a dynamic and enthusiastic AI/Machine Learning Data Engineer. In this role, you will engage in hands-on data platforms and applications, fosteri...
Collaborating with data scientists, analysts, analytics engineers, CRM managers, and product teams to enhance the CRM function. Using your expertise in analytics and data storytelling to understand user interactions and inform our communication strategy. Ensuring we collect relevant data for valuabl...
The Business Intelligence Data Analyst will be responsible for analyzing large datasets to derive actionable insights, supporting business decision-making processes, and improving operational efficiency. Collaborate with IT and data engineering teams to improve data infrastructure. Proven experience...
Develop and maintain an understanding of relevant industry standards, best practices, business processes and technology used within related business areas to ensure compliance with policy, vendor contractual requirements, procedures, processes and standards. To optimize the performance of business o...
Advanced skill data mining, data wrangling, and data transformation with both structured and unstructured data; deep understanding of data models. Manage, architect, and analyze big data in order to build data driven insights and high impact data models. Knowledge of cloud computing technologies suc...
VaxCare is currently seeking an experienced Data Scientist to work within our Data Analytics team. The Data Scientist will be responsible for working with key members within VaxCare to prepare proprietary data for real-world evidence research and publications both in conjunction with various interna...
Identifies, coordinates, documents, and implements business requirements by determining solutions that enhance business systems, as well as provides support to business processes. Develop and maintain an understanding of relevant industry standards, best practices, business processes and technology ...
The position demands an inquisitive individual who can direct a team of other data scientists and machine learning professionals to deliver. They are expected to work independently and in collaboration with other Data Scientists to explore new capabilities that will continue to keep Royal Caribbean ...
The Business Operations Analyst is part of the WorldCompliance Data Operations team. We have analysts responsible for the Americas (LATAM and NOAM), APAC, and EMEA. The key responsibilities for the analyst role are:. ...
Consumer Lending Systems Analyst Role:. Additionally, manages all user aspects and coordinates all third-party interactions of all loan systems including, but not limited to building new loan products, updating documents, updating loan rates, and testing within the systems. This position is responsi...
Ensures data integrity and compliance by performing data cleansing, data audit and/or data validation. Ensure data integrity and compliance by performing data cleansing, data audit and/or data validation. Provides business process, system support and data quality governance through data coordination...
As a Clinical Research Associate at Parexel, you will be joining a team with a wide variety of experiences and knowledge. Your hard work may be rewarded through a bonus incentive program, the opportunity to work within multiple therapeutic areas and an opportunity to advance your career in clinical ...
Uses regular judgement and discretion to collaborate with customers in order to: Understand capability needs; Gather project specifications; Create business cases and cost sheet analysis; Translate high-level business needs into detailed requirements for new capabilities (and change request/enhancem...
FIS is looking for an IT Asset Management End of Life (EOL) Governance Analyst to join our team of qualified, diverse individuals in the Risk Security Business Office. A bachelor’s in information systems or equivalent experience, preferred. ...
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. ...
As a Business Analyst, you will play a pivotal role in understanding our business systems, assisting with support requests, and contributing to future enhancements. Your responsibilities will include reviewing, analyzing, and evaluating business systems, documenting requirements, defining scope and ...
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...
The Business Analyst II serves as a primary liaison between Technology Services and business end users. The Business Analyst II collaborates with the quality assurance and development team to ensure that they clearly understand the specifications to deliver quality products. Serves as Business Analy...
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...
Assists in the application of data analysis and data modeling techniques to establish, modify, and maintain basic data structures and their entity descriptions, relationship descriptions, and attribute definitions according to client specifications. Participates in the development and maintenance of...