Healthcare System Analyst with Payer Systems

Position: Healthcare System Analyst Payer Systems Location: Woodland Hills, CA / Mason, OH Job Description: A technical system analyst with good understanding of the healthcare process flow Eligibility & Enrollment Provider contract pricing Claims adjudication Billing Appeals and Grievances. Technical understanding of Sql and Dot net full stack preferable. knowledge of Facets platform from a developer point of view i.e. data models, architecture, and process flow. Good experienc

Role:Healthcare System Analyst Payer Systems Location: Mason, OH / Woodland Hills, CA, USA(Onsite Only) Digital 10X Systems Analyst JD: Must Have Deep expertise in healthcare payer processes: Enrollment, Eligibility, Benefits, Claims Adjudication, Billing, Provider ManagementStrong SQL proficiencyComplex queries, joins, stored proceduresAbility to analyze data across multiple systems/sourcesSolid understanding of database design, schemas, and data relationshipsProven ability to analyze, reconc

Salary Range: $47.94-$69.18 per hour SUMMARY The Los Angeles County Department of Homeless Services and Housing (HSH) consolidates our countywide response to homelessness. The driving force behind HSH is increasing accountability and transparency, improving care for people experiencing or at risk of homelessness, and streamlining collaboration with partners including services providers, the County's 88 cities, and unincorporated areas to deliver high-quality, life-saving care. Staff schedules

Job Description JOB DESCRIPTION This role will be a member of the Payment Integrity Analytics team who is responsible for creating and maintaining a post pay review of claims, members, and providers to ensure accurate billing. Our team creates Post Pay Concepts (Analytics) that identify inaccurately billed claims with potential overpayments for correction and perhaps reduction of payment. At times we will also build reports and identify insights for tracking operations of running and monitorin