It Healthcare System Analyst Jobs in Pittsburgh

... monitors trends in incidents and system issues and helps drive technical ... technology platforms / applications, performs system analysis and translates into system requirements. The work assignments are .....

... for a Senior Business Systems Analyst to join working remote anywhere ... US! The Senior Business Systems Analyst performs analysis of business, process ... analysis and translation into proper..

... Medicaid Quality Data and Reporting Analyst generates ad hoc reports and ... report information for end-users using system tools and database or data ... Medicaid Quality Data and Reporting..

... such as software development, engineering, IT, and a wide variety of ... challenges and make educated trade-offs IT product manager, initially for a ... level leadership Leads cross-functional team,..

Description The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Follows state and federal regulations as well as internal policies and guidelines ..

... and documentation within a tracking system. May assist with identifying and ... and network administration in a healthcare company or healthcare system Medicaid behavioral health contracting experience ... in..

Job ID 21000JP6Available Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..

... for leading interaction with our IT partners to ensure a clear, ... consultant to an agency, vendor, IT, digital and communications teams to ... update our documentation library with..

Remote Outpatient Coder Nationwide Are you searching for exciting Remote Outpatient Coder career opportunities?  We are looking for experienced Remote Outpatient Coders to join our dynamic team. Interested in learning more? ..

Description The Market Development Professional 2 provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Market Development ..

... and encounter coding information as it pertains to risk adjustment Ensure ... Computer literacy of medical information system, records management software, encoders. Advanced ... Minimum Education: Associate degree in..

Description The Senior Provider Engagement, Clinical Professional develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the ..

... Humana Lead Product Manager - Healthcare API in Pittsburgh Pennsylvania Description ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..

Description The Senior Claims Research & Resolution Professional manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claims issues/complaints within contractual ..

Description The Data and Reporting Professional II generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The ..

Description As a Data and Reporting Analyst, you will be responsible for generating reports and regular datasets for the Primary Care Organization (PCO) related to new patient growth. The Data and ..

... streams and understand how critical it is to work in an ... such as software development, engineering, IT, and a wide variety of ... enhancements of existing value chains/streams..

Job Information Humana Automated Dispensing System (ADS) Compliance Technician in Pittsburgh Pennsylvania Description Enclara, is a wholly owned hospice and palliative care pharmacy business acquired by Humana in 2021. Enclara is ..

Description The Healthcare Financial Analyst collects, analyzes, and reports on ... Central Region is seeking a Healthcare Financial Analyst to partner closely with our ... complex analytics and reporting. The..

Description Risk Adjustment Coders are responsible for reviewing medical records, completing multiple audits, and special projects. Associates in this role work collaboratively with other departments. Responsibilities The Risk Adjustment Coder ensures ..

Description The Medical Coding Auditor extracts clinical information from a variety of medical records, and reviews medical documentation for clinical indicators to ensure specific procedures meet clinical criteria and correct coding ..

Job Information Humana Data Manager / ETL Developer - Primary Care Organization in Pittsburgh Pennsylvania Description The Data Manager 2 supports all aspects of configuration control, data management, and deficiency reporting. ..

PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure provision of quality ..