Claims Analyst or (Senior) Claims & Patient Safety Specialist
Oakland or California or Hawaii
$73k-$157k/yrRemoteFull Time
MIEC: Physician-owned medical professional liability insurer serving physicians, acupuncturists, healthcare professionals, groups, and facilities in four western states.
5+ YOEBachelor's degree, valid driver's license, 5–10+ years medical professional liability claims or risk management experience depending on level; knowledge of PSRM, clinical systems, and strong communication and analytical skills.
Word, Excel, Power Point, Windows, Teams, Sharepoint, CoPilot, Candello - Solutions by CRICO, MPL Association Data Sharing Project, Preverity
Epic Revenue Cycle Professional Billing & Claims Analyst - 6317562
Nashville or Milwaukee or Dallas or Columbus or Kirkland or Cincinnati or New York City or Cleveland or Oklahoma City or Austin or Albany or Chicago or St. Petersburg or Hartford or Pittsburgh or St. Louis or Miami or Sacramento or Raleigh or Minneapolis or Mountain View or Scottsdale or San Francisco or Morristown or Denver or Boston or Philadelphia or Des Moines or Overland Park or Los Angeles or Charlotte or Walnut Creek or Carmel or Seattle or Houston or Arlington or Atlanta or Redmond or Bentonville or Beaverton or Detroit or San Diego
RemoteFull Time, Contract
AccentureNYSE: ACN: Global professional services delivering 360° value.
5+ YOERequires 5+ years of work experience, advanced Epic Systems proficiency, active Epic Professional Billing and Claims certification, and a high school diploma or GED.
Collective Health: Independent third-party administrator helping self-funded employers administer health plans, manage costs, and care for employees.
8+ YOE8+ years healthcare analytics with claims experience, strong SQL, Looker/Tableau, Jira/Confluence, ability to lead client analyses and communicate findings; bachelor’s or equivalent experience.
University of California, San Francisco: Public research university dedicated to health sciences and patient care.
3+ YOEBachelor's in biological/computational field or equivalent, 3+ years data manipulation and statistical analysis experience, proficiency in SAS, Python, R, or SQL, experience with large EMR/claims datasets and research environment.
University of California, San Francisco: Public research university dedicated to health sciences and patient care.
3+ YOEBachelor's in biological/computational field or equivalent; 3+ years data manipulation, quality control, and statistical modeling; proficiency in SAS, Python, R, or SQL; experience with large (>50GB) EMR/claims datasets and research environments.
United States or Phoenix or San Antonio or Columbus or Charlotte or Chicago or Denver or San Diego or Houston or Los Angeles or Seattle or Washington, D.C. or Boston or San Francisco or New York City or San Jose
$103k-$135k/yrRemoteFull Time
Included Health: Integrated virtual care and navigation platform.
5+ YOE5+ years in healthcare economics/actuarial or quantitative analysis; bachelor’s degree required; 1+ actuarial exam preferred; expert SQL and Excel/Google Sheets; Python preferred; experience with medical/Rx claims and reporting tools.
SQL, Microsoft Excel, Google Sheets, Python, Looker, Tableau, GitHub, Jira, Confluence
California or Fresno or Glendale or Pasadena or Redding or Sacramento or Vacaville
$4k-$8k/moRemoteFull Time, Temporary
State of California: The constitutional government of the U.S. State of California.
Analyze and report on Claims Processing Center operations, coordinate projects, support management, evaluate reporting systems, provide recommendations, and maintain effective relationships and customer service.
Oakland or Long Beach or El Dorado Hills or Lodi or Redding or Sacramento or San Diego or Woodland Hills
$123k-$185k/yrHybridFull Time
Blue Shield of California: Nonprofit California health plan providing insurance coverage to individuals, families, employers, and public-program members.
7+ YOERequires 7 years healthcare analytics experience, 5+ years with complex medical claims, membership, and provider data, advanced SQL, Python, SAS, cloud data stack, CRM, and analytics expertise.
Partnership HealthPlan of California: Public California health plan administering Medi-Cal benefits for members in 24 Northern California counties.
3+ YOEMinimum 3 years healthcare experience (managed care preferred); auditing/training experience; knowledge of claims systems (AMISYS Advance preferred); strong written/oral communication; Windows and database application experience.