242 analyst jobs found

Point32Health, Inc. Who We Are Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work. We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about...

American Red Cross Please use Google Chrome or Mozilla Firefox when accessing Candidate Home. By joining the American Red Cross you will touch millions of lives every year and experience the greatness of the human spirit at its best. Are you ready to be part of the world's largest humanitarian network? Join us-Where your Career is a Force for Good! Job Description: Joining The American Red Cross is like nothing else - it's as much something you feel as something you do. You become a vital part of the world's largest humanitarian network. Joining a team of welcoming individuals who are exceptional, yet unassuming. Diverse, yet uncompromising in unity. You grow your career within a movement that matters, where success is measured in people helped, communities made whole, and individuals equipped to never stop changing lives and situations for the better. When you choose to be a force for good, you'll have mentors who empower your growth along a purposeful career...

Point32Health, Inc. Who We Are Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work. We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about...

CSL Job Summary: The Chargeback Analyst is responsible for the timely validation of debit and credit memos within Model N, managing all trading partner accounts exceeding $400M+ in annual total in validation and processing. This position will manage day-to-day engagement with chargeback vendor(s) by resolving errors and maintaining regular communication with Wholesaler and Distributors. Principal Accountabilities: Adjudication & Validation: Analyze daily chargeback transactions to ensure credits are accurately issued within a 3-5-day window in Model N. Serve as the primary analyst responsible for researching and investigating errors to mitigate systemic issues. Multi Channel Revenue Protection: Oversee adjudication and reconciliation of high volume EDI 844 / 844 resubmissions transactions and manual claims across distributor and direct purchase channels. Data Integrity Collaboration: Partner closely with the Membership Analyst to resolve customer...

American Hospital Association The American Hospital Association (AHA) is a national organization that represents and serves all types of hospitals, health care networks, and their patients and communities. The AHA has two main offices, located in Washington, D.C., and Chicago. The AHA offers a flexible hybrid work schedule of three days in the office and two days working remotely. Essential Functions Provide technical configuration and maintenance support for Workday modules, security settings, and workflows, including requirements gathering, testing, deployment and documentation, to meet association and business unit needs and objectives. Provide first and second-line technical support for user issues and system-related problems, resolving glitches and maintaining smooth operations. Interface with vendors/consultants when necessary to resolve issues. Collaborate with internal stakeholders to manage testing activities for Workday releases, enhancements, integrations and...

Aledade The Research Analyst will support Aledade business goals with analyses that leverage rich data sources including national Medicare claims, other payer claims, electronic health records, and event notification data. Develop and maintain documentation and reporting frameworks to ensure transparency, reproducibility, and compliance with internal and external standards. Provide subject matter expertise in risk analytics, offering insights and recommendations to partners within the broader Impact Analytics team. Work cross-functionally with partners across actuary, product and engineering organizations to drive insights. Primary Duties Understand the problem space: Work with teams across Aledade and external partners to understand and clarify questions and issues for data analysis and experiments. Assist in analysis execution: Design descriptive statistical analyses to answer key business questions. Design and program code to integrate, evaluate, and...

CSL The Membership Operations Analyst is responsible for the day-to-day maintenance of customer data to ensure accurate chargeback processing. This role focuses on the timely resolution of membership exceptions in the third-party adjudication queue and the synchronization of GPO/PBG rosters with internal systems. You will utilize advanced data analysis techniques to identify data mismatches and ensure that customer accounts are correctly aligned with their contractual tiers. The Membership Operations Analyst will serve as a key operational partner supporting Commercial Operations and Sales by aligning membership strategy with contract performance and execution. This role manages customer onboarding, issue resolution, reporting needs, and overall account performance. You will also act as the primary liaison between thirdparty vendors and internal I&T teams to support system integrations, data exchanges, and process improvements. A core focus of the role is driving customer...

Lantheus Lantheus (NASDAQ: LNTH) is the leading radiopharmaceutical-focused company, delivering life-changing science to enable clinicians to Find, Fight and Follow disease to deliver better patient outcomes. Headquartered in Massachusetts with offices in New Jersey, Canada, Germany, Sweden, Switzerland and United Kingdom, Lantheus has been providing radiopharmaceutical solutions for nearly 70 years. Today, we’re expanding our portfolio and pipeline across oncology, neurology and cardiology. Through recent acquisitions, along with strategic partnerships across the life sciences ecosystem, we are accelerating our efforts to advance precision medicine and improve patient outcomes around the world. At Lantheus we are purpose-driven, and every employee plays a vital role in our success. We’re dedicated to cultivating a high-growth, forward-thinking culture where innovation thrives and diverse perspectives drive meaningful progress. Join us and be part of a company where your...

CSL The Opportunity Join a company that finds solutions to complex challenges. With expertise in influenza science and beyond, our team works on the latest research and pioneering technologies to improve the manufacturing process and the effectiveness of influenza vaccines. We operate as one integrated global organization drawing together expert staff from different countries to collaborate. Together, we are working to protect communities from seasonal influenza and global pandemic threats. When you join CSL Seqirus, you join a team dedicated to making a difference in people's lives. It's a feeling of possibility, creativity, and purpose to deliver our promise. Job Summary Reporting to the Manager, Customer Account Management, you will maintain a group of accounts within multiple customer segments, e.g. Retail, Wholesale/Distribution, IDN, and Independent/Corporate owned HealthCare Professionals. You will complete the order to cash management of vaccine orders and...

Point32Health, Inc. Who We Are Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work. We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about...

Aledade In this role, you will provide technical assistance to the Aledade App users (internal and external users). You will serve as the frontline assistance via chat, by triaging new tickets, and troubleshooting known issues with predefined steps. This role requires working west coast hours between 9am-5pm PT. Primary Duties Assist users via chat to solve technical problems with predefined steps. Triage incomplete tickets. Perform troubleshooting technical issues received via tickets with predefined steps as set forth for the analyst support group, such as App Access, Practice Location, Providers, Users, Patient Merges, Telehealth, etc. Execute sub-tasks of projects that are a part of the Practice Success workstream while receiving supervision from a senior member of the team. Minimum Qualifications Minimum of two year's experience in troubleshooting Application issues in healthcare settings. Demonstrate basic competency in HL7 SIU and/or ADT, HIPAA X12 837, and...

Riverside Community Care Riverside Community Care Love what you do! Board Certified Behavior Analyst (BCBA)- DDS Charles River West Office Great opportunity to join Riverside Community Care as an Adjunct Board Certified Behavior Analyst! The adjunct behavior analyst provides consultative services to individuals, families, caregivers, and/or providers served by The Department of Developmental Services in the DDS Charles River West Area Office located in Waltham, MA. The behavior analyst completes formal and informal assessments, collaborates with support teams in the DDS area office and/or other providers, and establishes interventions in accordance with the state Positive Behavior Support regulations. This job is a hybrid position. This position requires 2 days (the days can vary each week) in the DDS Charles River West Area Office. It also requires in-person observations in the communities served by the area office. Our ideal candidate will have patience, compassion,...

CSL The Opportunity Join a company that finds solutions to complex challenges. With expertise in influenza science and beyond, our team works on the latest research and pioneering technologies to improve the manufacturing process and the effectiveness of influenza vaccines. We operate as one integrated global organization drawing together expert staff from different countries to collaborate. Together, we are working to protect communities from seasonal influenza and global pandemic threats. When you join CSL Seqirus, you join a team dedicated to making a difference in people's lives. It's a feeling of possibility, creativity, and purpose to deliver our promise. Job Summary The Senior Order Management Analyst plays a critical role within the US Commercial Organization, supporting Customer Operations by overseeing customer orders and analyzing demand to ensure optimal fulfillment strategies. This role requires strong collaboration, analytical thinking, and a deep...

Aledade The Sr Manager, Healthcare Payment Operations (internally: Sr. Manager, Performance Economics) will support Aledade's Practice Payments Excellence Initiative as we transition to an automated payment processing system across all health plan contracts. Acting as the subject matter expert for contract payment terms, this role provides critical inputs such as mapping required fields for data ingestion and writing payment distribution logic for calculations. In addition, the position will own all payment reconciliation activities to support compliance and audit requirements. Candidates should be comfortable working remotely/work from home anywhere within the US. Primary Duties: Serve as the subject matter expert in interpreting payer agreements and practice participation terms to ensure accurate calculation and distribution of care coordination fees, quality bonuses, and other payments. Collaborate with the Provider Network Operations team to support the build of...

Sharp HealthCare Hours : Shift Start Time: Variable Shift End Time: Variable AWS Hours Requirement: 8/40 - 8 Hour Shift Additional Shift Information: Weekend Requirements: As Needed On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $43.650 - $56.340 - $63.100 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. What You Will Do To perform a wide variety of technical procedures with quality patient care, assisting Physicians as needed. Required Qualifications Satisfactory completion of formal training program in an AMA approved school and meets...

Kaiser Permanente Job Summary: In addition to the responsibilities below, this position is also responsible for establishing best practice models; performing strategic planning and designing patient care delivery systems and practice standards in several locations; leading the investigation of patient/family/member concerns regarding patient care and services; partnering with physicians, outside healthcare providers, and other health care team members to achieve optimal and safe patient care across the continuum; managing resource needs in clinical areas to ensure appropriate assignment and utilization; evaluating the use and maintenance of equipment, supplies and medications; assuming accountability for patient and employee safety; maintaining clinical expertise, providing clinical supervision, competency and licensing necessary to fulfill job responsibilities and to direct the provision of care in the unit; delegating tasks and duties that are aligned to scope of practice;...

Kaiser Permanente Job Summary: In addition to the responsibilities listed below, this position is also responsible for applying advanced clinical and regulatory knowledge of evidence-based guidelines, insurance policies, and clinical criteria to consult on the level of care and duration of treatment required for complex and/or escalated reviews, and providing guidance to team members and collaborating with the health care team, members, and caregivers to assist in discharge planning, cost of care options, and/or coordinating and/or adjudicating referrals to appropriate services based on medical necessityReports directly to the Hospital Administrator and coordinates with physicians, staff, the interdisciplinary team, regional partners, and non-Kaiser providers and facilities regarding patient care Responsible for evaluating all incoming admission referrals to Kula Hospital to ensure clinical appropriateness, bed availability, and alignment with hospital capabilities. This role...

UNC Health Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: Provides patient care within the scope of practice for the licensed Registered Nurse. Facilitates patient flow and assists with prioritization of work assignments. Responsibilities: 1. Maintains compliance with organizational policies and procedures. 2. Demonstrates competence in patient care skills within the scope of practice for the Registered Nurse, to include patient assessment, assisting with exams and procedures, administering medications, and patient education. 3. Processes orders, returns patient calls, and notifies of diagnostic results as directed by the physician. 4. Appropriately documents care provided in the patient's medical record. 5. Facilitates effective patient flow and assists with prioritization of work assignments. 6. Assists with the maintenance...

UNC Health Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: Provides patient care within the scope of practice for the licensed Registered Nurse. Facilitates patient flow and assists with prioritization of work assignments. Responsibilities: 1. Maintains compliance with organizational policies and procedures. 2. Demonstrates competence in patient care skills within the scope of practice for the Registered Nurse, to include patient assessment, assisting with exams and procedures, administering medications, and patient education. 3. Processes orders, returns patient calls, and notifies of diagnostic results as directed by the physician. 4. Appropriately documents care provided in the patient's medical record. 5. Facilitates effective patient flow and assists with prioritization of work assignments. 6. Assists with the maintenance...

Sharp HealthCare Hours : Shift Start Time: 6:30 AM Shift End Time: 3 PM AWS Hours Requirement: 8/40 - 8 Hour Shift Additional Shift Information: Weekend Requirements: As Needed On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $67.070 - $86.540 - $96.930 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. What You Will Do Bachelors prepared nurse who applies clinical expertise in evidence-based nursing practice within a specialty area and functions as clinical expert and educator. Leadership skills (system thinker and change agent) are role...