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. High clinical quality with manageable case load. Allows for BCBAs to focus on clinical quality and client success as well as RBT growth . Free internal CEU opportunities – over 100 CEUs available in addition to our...
This is a very exciting opportunity to join the ServiceNow Support Team as a Business Analyst. ServiceNow is an industry leading cloud-based platform that provides a suite of applications used across Lincoln to automate IT and business processes. In this role, you will collaborate with Process Owner...
The Senior Data Scientist is accountable for understanding business problems to solve, performing data analysis, and providing quantitative solutions. Mentor Data Scientists about the research procedure and data analysis. Minimum of 5 years hands-on experience in performing data analysis including m...
Experience with User Stories, Epics and Business requirements/documentation experience. ...
Clerx is looking for a business analyst from the banking industry. Work as a part of a team of analysts and SMEs to identify and remediate functional gaps, driving continuous process improvements. Documentation of product artifacts including TOMs, control frameworks, business requirements, user stor...
They have a deep understanding of the clinical and operating data for the areas they support and consult with Healthcare Data Advisors to ensure the integrity and accuracy of customer data. Using the Scaled Agile Framework, Data Analysts will partner with business and clinical leaders, and data prof...
Handle complex data projects and acts as a lead for other Data Analysts. Provide advanced analytical support for business operations in all or some of the following areas: claims, provider data, member data, clinical data, HEDIS, pharmacy, external reporting. Model data using MS Excel, Access, SQL, ...
This position must be able to acquire detailed knowledge on how data is stored and organized in a variety of business systems; some specific systems include Outage Management systems (OMS), Geographic Information Systems (GIS), Customer Information Systems (CIS) and Meter Data Management Systems (MD...
Java Full stack developers, Python/Java developers, Data analysts/ Data Scientists, Machine Learning engineers. We want Data Science/Machine learning/Data Analyst and Java Full stack candidates. We regularly interact with the Top Tech companies to give our candidates a competitive advantage-Please v...
The Data Quality Analyst is responsible for monitoring client data submissions and communicating with them in the resolution of data quality issues. The Data Quality Analyst is responsible for acquiring, managing and analyzing data that will be presented to internal teams, clients and partners. The ...
This position on the F-35 ALIS Sustainment Integration & Support team directly supporting the site users and customers of the platform based Information systems that gives F-35 Lightning II operators the ability to plan ahead, to maintain, to plan and sustain its systems over the life of the air veh...
GRU - Systems Control/Technical Support. Monitors all EMS workstations and servers and interpret the logs, on 5 different systems namely, primary EMS (PCC,) backup EMS (BCC,) Quality Assurance System (QAS,) and PI reporting system, on a 24X7 basis, to ensure the system's compliance with NERC CIP req...
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...
The Voice Channel Analyst, Consultant will report to the Sr Manager, Voice Channel. Participate in requirement sessions to support the analysts in managing scope and delivery when needed. ...
The Investment Risk Data and Analytics team plays a pivotal role in developing data and analytical solutions. Collects data from disparate systems, analyzes it, and delivers the data as intelligence that is actionable. The team is part of Investment Risk Management Group and supports multiple invest...
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. ...
The Naval Supply Systems Command's (NAVSUP) primary mission is to support the Navy, Marine Corps, Joint and Allied Forces with high-quality supplies and services, whenever and wherever those supplies and services are needed.NAVSUP delivers combat capability through logistics.NAVSUP is headquartered ...
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 team is composed of Data Scientists, Machine Learning Engineers, Data Engineers working together to deliver models and services into production. By combining Crunchbase, private and behavioral data with machine learning systems, we learn to understand the underlying data needs to best assist the...
If you're a Clinical Research professional ready to take the next step in their career and work in. Coordinates the implementation of multiple complex clinical research protocols. Develops SOPs and templates with guidance from the PI and/or Clinical Research Manager. We are looking for someone to ta...
This role involves understanding healthcare business processes, working with cross-functional teams, and ensuring seamless system integration. Translate business requirements into technical specifications, focusing on claims, benefits, member, provider, and billing modules. Work closely with busines...
This job consults with cross-functional groups and levels to identify data and analytical needs, conduct analyses, review analyses and findings with leadership, facilitate related process/data improvement efforts, and develop executive level presentations. Develop and implement data collection syste...
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...
Work with leaders, product engineers and user experience researchers to understand customer data and explore opportunities to turn qualitative data into quantitative data for use in recommendation models. Use analytical rigor and statistical methods to analyze large amounts of data, extracting actio...