Analyst will primarily focus on analyzing existing business requirements to understand current functionalities, data flows...Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services...
Business Data Analyst will primarily focus on analyzing existing business requirements to understand current functionalities.... Years Required/Preferred Experience 8 Required Hands-on experience as a business data analyst in the Information Technology...
a Senior Interface Analyst to join our collaborative Medicaid Management Information System (MMIS) team. The Senior Interface... Analyst should possess experience working on large-scale integration projects and a strong understanding of Medicaid...
our technology innovations Job Summary: Med Economics / Actuarial / Data Analyst will play a key role within the Essen Actuarial... arrangements and reconciliations · Perform cost, utilization, and revenue analyses across lines of business · Calculate...
Job Title: IT Healthcare Consultant – Quality Assurance Analyst – Advanced Work Type: Hybrid (3 days onsite / 2 remote... on business requirements and policy documentation Translate functional and policy requirements into detailed QA and UAT scenarios...
and Stars Analyst is responsible for driving performance improvement through data analysis, visualization, and strategic... business objectives Insight Generation Translate data findings into clear, actionable insights for clinical, quality...
GENERAL FUNCTION Serve as a Sr. Configuration Analyst on the Business Configuration team, responsible for the..., troubleshoot, and prototype Medicaid products. Capture business requirements with clients, testing execution, and troubleshooting...
Job Category: Revenue_Cycle Job Description: The Oncology Claims Analyst 1 will coordinate coding audits... records based on knowledge of coding systems. Additionally serves as business/reimbursement specialist for oncology drug...
in Medicare and Medicaid policies. Assists in related advocacy efforts regarding such regulatory changes. Monitors policies... Annual Medicare, Medicaid, Blue Cross and Tricare cost reporting for the Trinity Health Corporate Office and Trinity...
, and abuse in the State Medicaid system. To include: reviewing utilization for the Wyoming Medicaid Program, imposing appropriate...: Plan and conduct independent audits and investigations of Wyoming Medicaid State Plan and Waiver providers utilizing...
and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. AA/EOE/VET/DISABLED. PHS is a drug-free... into account a wide range of factors, including but not limited to experience and training, internal equity, and other business...
, and analyzing all types of reports consistent with established specifications and business requirements to deliver business value... a minimum of four days per week. Primary Responsibilities: Gather, interpret, and analyze business needs and requirements...
& Consilidated Appropriations Act 2023 5121. Required Skills Lead the Justice Initiatives' business analyses for Medicaid...) and the MHIMS Medicaid claims management system. Studies and evaluates business problems and operations in order to produce...
services for the successful Electronic Data Interchange (EDI) Operations of the Exchange. Perform 8001 Medicaid transaction... development team, business team, and testing team to analyze, fix, test, and transmit EDI files daily and as required. Analyze...
successful Electronic Data Interchange (EDI) Operations of the Exchange. Perform 8001 Medicaid transaction file analysis and validations... errors and root causes for EDI file rejections. Coordinate with the development team, business team, and testing team...
& Consilidated Appropriations Act 2023 5121. Required Skills Lead the Justice Initiatives' business analyses for Medicaid...) and the MHIMS Medicaid claims management system. Studies and evaluates business problems and operations in order to produce...
Organizations (QIOs), the Centers for Medicare & Medicaid Services (CMS), Medicare National Correct Coding Initiative edits... from one task to another. Makes sound decisions within limited time frames and always conducts business in a professional manner...
) Operations of the Exchange. Perform 8001 Medicaid transaction file analysis and validations. Review and resolve all data issues... rejections. Coordinate with the development team, business team, and testing team to analyze, fix, test, and transmit EDI files...
but not limited to external regulatory agencies such as Quality Improvement Organizations (QIOs), the Centers for Medicare & Medicaid... within limited time frames and always conducts business in a professional manner and has demonstrates ability to work cooperatively...
for the successful Electronic Data Interchange (EDI) Operations of the Exchange. Perform 8001 Medicaid transaction file...), and other entities, and identify errors and root causes for EDI file rejections. Coordinate with the development team, business team...