Lead Provider Payment Integrity Analyst - Providence

The Lead Provider Payment Integrity Analyst will conduct complex analysis of claim payments to identify trends and patterns that result in recovery opportunities. · Conduct thorough analysis of all medical claims for adherence to state and federal guidelines. · ...

+ Pay Range: $92-$139,100 · At BCBSRI our greatest resource is our people. · We recognize that to do your best work you have to be your best self. · Job summary: · Conduct complex analysis of claim payments to identify trends and patterns, · apply root cause analysis to design so ...

We are seeking a Lead Provider Payment Integrity Analyst to conduct complex analysis of claim payments and identify trends and patterns to ascertain cost avoidance/overpayment recovery opportunities. · ...

Supports complete accurate and compliant charge capture across Care New England by analyzing clinical financial and operational data to identify trends risks and opportunities for improvement. · ...

This role supports complete, accurate and compliant charge capture across Care New England by analyzing clinical, financial and operational data to identify trends, risks and opportunities for improvement. · ...

This role goes beyond daily reconciliation to focus on proactive analysis, root cause identification, and development of sustainable process improvements to optimize revenue capture and reduce leakage. · ...

VLink is seeking an experienced Guidewire Integration Lead Analyst to join their team. The ideal candidate will have extensive domain expertise in Property & Casualty Insurance and comprehensive knowledge of multiple Guidewire Centers and their integration mechanisms. · Extensive ...

This is an onsite role for Guidewire Integration Lead Analyst at VLink in Webster MA. · ...

This is a Guidewire Integration Lead Analyst role at VLink. The job involves extensive domain expertise in Property & Casualty Insurance and comprehensive knowledge of multiple Guidewire Centers and their integration mechanisms. The candidate will be responsible for collaborating ...

Maintain CDM (Charge Description Master) ensuring all data elements are accurate and comply with all payor and regulatory requirements. · ...

Maintain CDM (Charge Description Master) ensuring all data elements are accurate and comply with all payor and regulatory requirements. Review and interpret CMS billing and coding rules to remain compliant. Work collaboratively with other teams inside Patient Accounting for charg ...

Maintain CDM (Charge Description Master) ensuring all data elements are accurate and comply with all payor and regulatory requirements · Review and interpret CMS billing and coding rules to remain compliant and accurate to minimize incorrect billing · Work collaboratively with ot ...

We are looking for Technical Data Analyst for our client in Providence. · Analyze existing DataStage jobs. · Utilize Snowflake and Matillion for efficient data processing and integration tasks. · ...

We are looking for an experienced Business Analyst, Data to support our client's Data Analytics and Software Engineering teams. · Elicit, analyze, and document business and technical requirements; · Develop user stories and acceptance criteria; · Evaluate business requests and te ...

The Data Recon Lead / Lead Data Analyst is responsible for overseeing and managing the data mart team, which includes reconciliation analysts, data analysts, and data integration analysts. The role involves stabilizing data quality issues and associated tasks. · ...

We are seeking an experienced Oracle Fusion Technical Consultant and Integration Expert to join our team on a contract basis.The successful candidate will possess deep expertise in Oracle Integration Cloud (OIC) and the Oracle tech stack. · This role requires proficiency in devel ...

+Job Summary · Workday Integration Consultant building complex integrations for one of the UK's leading healthcare staffing providers. · +Strong Workday consultant with understanding of complex benefits and payroll along with time keeping. · ...

The Supply Chain Systems Analyst provides day-to-support and maintenance across multiple administration business functions (e.g., HR, Finance, Supply Chain), and supports cross-functional optimization projects and business-as-usual (BAU) process improvement initiatives.Brown Univ ...

We are looking for Workday Financials Business Analyst - Remote / Telecommute. · Act as the primary liaison between business users, finance teams, and IT to understand issues, analyze root causes. · Support the Workday Finance application by understanding its key modules such as ...

We are seeking a motivated Tax Analyst to support the preparation and review of U.S. federal and state tax returns under the guidance of senior team members.This role is ideal for recent graduates or professionals with up to 1–2 years of experience who are looking to build a stro ...