We have other current jobs related to this field that you can find below
-
Pricing Analyst II
1 month ago
California, United States Ontic Engineering and Manufacturing, Inc. Full timeWe are a fast-paced business with ambitious growth plans; so if you are dedicated, enthusiastic and always seeking ways to improve, you'll enjoy a career with us! Ontic is a leading global aerospace OEM trusted by the world’s aviation leaders. Ontic’s Chatsworth, CA, site specializes in precision engineering, MRO, and new solutions for parts at risk of...
-
Project Analyst II
3 weeks ago
California, United States BAE Systems Full timeJob DescriptionThe selected applicant will provide project support and analysis to multiple projects and efforts under the Aviation Solutions Division, supporting an external customer located in St, Inigoes, MD. The individual will also act as a liaison on behalf of Senior Project Support, Task Leaders and Project Managers.Primary duties and responsibilities...
-
Quality Assurance Analyst II
19 hours ago
California, Missouri, United States Procurement Foundry Full timePosition OverviewWe are looking for a dedicated Quality Assurance Analyst II to join our dynamic team at Procurement Foundry. This role is pivotal in enhancing our operational efficiency and ensuring the highest standards of quality in our processes.Key ResponsibilitiesIdentify and implement strategies for reducing defects, minimizing waste, and enhancing...
-
Readiness Data Analyst Systems Analyst II
20 hours ago
California, United States VTG Full timeOverview: VTG is seeking Readiness Data Analyst Systems Analyst II (PMA-275) to provide product support and in-service logistics support to the NAVAIR PMA-275 Joint Program Office. Specifically, provide sustainment data analytics support to the V-22 Osprey Sustainment Readiness Lead at PMA-275 Program Office, Patuxent River, MD. Responsibilities: In support...
-
Senior ELINT Analyst
3 weeks ago
California, United States DT Professional Services Full timeDT Professional Services Senior ELINT Analyst Point Mugu, California DT Professional Services is seeking a Senior ELINT Analyst to join our team on-site at the Naval Base in Ventura County, Naval Air Warfare Center Weapons Division, and within the Electronic Warfare Integrated Laboratories Division. The successful candidate will analyze electronic...
-
Business Systems Analyst II
14 hours ago
Los Angeles, California, United States The Regents of the University of California on behalf of their Los Angeles Campus Full timeDepartment Overview:The Student Affairs Information Technology (SAIT) department is dedicated to delivering cutting-edge technical services and solutions that align with the objectives of Student Affairs and the broader University mission.Our team collaborates closely with various campus stakeholders, providing leadership in the development of effective and...
-
Logistics Analyst II
3 weeks ago
California, United States Vectrus Full timeOverviewWorking across the globe, V2X builds smart solutions designed to integrate physical and digital infrastructure from base to battlefield. We bring 120 years of successful mission support to improve security, streamline logistics, and enhance readiness. Aligned around a shared purpose, our $3.9B company and 16,000 people work alongside our clients,...
-
Information Security Analyst, Journeyman
4 weeks ago
California, United States Davis Defense Group Full timePosition Title:Information Security Analyst, Journeyman (PMA-271)Requisition #:130Location:Pax River, MDClearance Level Required:A minimum of SECRET, with the ability to obtain Top-Secret Security ClearanceDavis Defense Group, Inc.has secured a stellar reputation as one of the premier Women-Owned Small Business (WOSB) in the aerospace and defense industry,...
-
Logistics Analyst II
2 weeks ago
California, United States Vectrus Full timeOverview Working across the globe, V2X builds smart solutions designed to integrate physical and digital infrastructure from base to battlefield. We bring 120 years of successful mission support to improve security, streamline logistics, and enhance readiness. Aligned around a shared purpose, our $3.9B company and 16,000 people work alongside our clients,...
-
Logistics Analyst II
3 weeks ago
California, United States Vectrus Full timeOverview Working across the globe, V2X builds smart solutions designed to integrate physical and digital infrastructure from base to battlefield. We bring 120 years of successful mission support to improve security, streamline logistics, and enhance readiness. Aligned around a shared purpose, our $3.9B company and 16,000 people work alongside our clients,...
-
Public Utilities Regulatory Analyst III
2 weeks ago
California, United States California Public Utilities Comission Full timeNOTE: This message is intended for those interested applicants that have not participated in the exam for this position. The exam for this classification is currently offline. It is anticipated that it will be back online on 9/11/2024. If interested in this position, you may apply. You will need to participate and pass the exam prior to appointment to...
-
Logistics Analyst II
2 months ago
California, United States V2X Full timeOverviewWorking across the globe, V2X builds smart solutions designed to integrate physical and digital infrastructure from base to battlefield. We bring 120 years of successful mission support to improve security, streamline logistics, and enhance readiness. Aligned around a shared purpose, our $3.9B company and 16,000 people work alongside our clients,...
-
Logistics Analyst II
3 months ago
California, United States V2X Full timeOverviewWorking across the globe, V2X builds smart solutions designed to integrate physical and digital infrastructure from base to battlefield. We bring 120 years of successful mission support to improve security, streamline logistics, and enhance readiness. Aligned around a shared purpose, our $3.9B company and 16,000 people work alongside our clients,...
-
California, United States SEOsatu Full timeAs a Process Engineer Analyst, you’ll be the catalyst to implement process improvement strategies, deliver tangible results through data analysis, and drive data-driven integration between automation and operations. This position is not eligible for sponsorship. Utilize your technical expertise and leadership skills to lead process improvement...
-
Financial Services Analyst II
12 hours ago
Los Angeles, California, United States The Regents of the University of California on behalf of their Los Angeles Campus Full timePosition Overview:The Financial Services Analyst will be accountable for the fiscal and operational management of a varied portfolio of departmental funds, encompassing state, discretionary, gift/endowment, sales & service, and grant funds, totaling approximately $21 million. Deliver a comprehensive array of financial services, which include transaction...
-
Supply Chain Analyst II
2 months ago
California, United States VMG Partners Full timeWe are the largest & fastest growing ethnic e-grocer in the US People love our product and we love building it for them, and our teams passion shows through every stage of the process. Grow rapidly and win with the company every step of the way Join at a unique time of rapid and expansive growth as we expand across the country and beat all of our previous...
-
Logistics Operations Analyst II
10 hours ago
California, Missouri, United States Procurement Foundry Full timeJob Overview:This role is essential in maintaining operational excellence within the transportation sector. The individual will oversee vehicle upkeep by scheduling inspections, maintenance, and repairs with minimal supervision. Responsibilities include investigating incidents involving vehicles, interviewing drivers and third parties, and managing the...
-
Policy Analyst II
12 hours ago
Los Angeles, California, United States The Regents of the University of California on behalf of their Los Angeles Campus Full timeDepartment Overview:The Health Economics and Evaluation Research (HEER) Program operates under the UCLA Center for Health Policy Research. The HEER team investigates the effects of federal initiatives, statewide demonstrations, local programs, environmental crises, and legislative policies. This program has assessed the influence of policies and initiatives...
-
Bill Review Analyst I
2 months ago
California, United States CorVel Corporation Full timeResponsible for review, auditing and data-entry of medical bills for multiple states and lines of business. This is a hybrid position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Responsible for auditing medical bills to ensure that they are appropriate and adhere to the State Fee Schedules, customer guidelines and PPO discounts Position requires knowledge of...
-
Bill Review Analyst I
5 days ago
California, United States CorVel Corporation Full timeResponsible for review, auditing and data-entry of medical bills for multiple states and lines of business. This is a hybrid position during training. Must reside in Folsom/Sacramento area. After training, potential to transition to remote. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Responsible for auditing medical bills to ensure that they are appropriate...
![Inland Empire Health Plan](https://media.trabajo.org/img/noimg.jpg)
Analyst II
2 months ago
2. Analyze and translate business specifications into detailed technical specifications based on system functionality and develop non-systematic workaround processes when necessary.
3. Perform product system error root cause analysis.
4. Track incoming requests and issue resolution through Microsoft Access, MediTrac, and Workfront tools.
5. Identify and communicate impact of system enhancements or configuration changes on integrated systems and processes.
6. Monitor and work daily System Configuration inventory and ensure compliance with established service level agreements and regulatory timelines.
7. Configure and maintain complex product related system builds with multi-tiered functionality and interrelated system dependencies, including but not limited to Contracts, Benefits, Fee Schedules, and Service Categories.
8. Assist Contracting team with drafting appropriate contract fee schedule language to be in line with system adjudication capabilities and coding standards.
9. Develop and maintain business requirements for the automation of coding updates.
10. Track, test, and approve new system functionality, enhancements, and bug fixes, including the development and execution of test plans and scripts.
11. Perform weekly/bi-weekly audit of check run products to proactively identify potential system configuration issues before products are released.
12. Other duties as assigned, including but not limited to Department Projects and LEAN/A3 Events. Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Perks IEHP is not only committed to healing and inspiring the human spirit of our Members; we also aim to match our Team Members with the same energy by providing prime benefits and more. CalPERS retirement
457(b) option with a contribution match
Generous paid time off- vacation, holidays, sick
State of the art fitness center on-site
Medical Insurance with Dental and Vision
Paid life insurance for employees with additional options
Short-term, and long-term disability options
Pet care insurance
Flexible Spending Account – Health Care/Childcare
Wellness programs that promote a healthy work-life balance
Career advancement opportunities and professional development
Competitive salary with annual merit increase
Team bonus opportunities Education & Experience Four (4) years of experience with the development and remediation of moderately complex system configurations, including capitated provider agreement configurations
Bachelor’s degree from an accredited institution required
In lieu of the required degree, a minimum of four (4) years of additional relevant work experience is required for this position
two (2) years of general healthcare experience plus two (2) years of configuration experience is required Key Qualifications Knowledge of Medicare and Medi-Cal fee schedules and benefit structure, and regulatory billing guidelines required
Knowledge of CMS, DHCS, DMHC, NCQA rules and regulations preferred
Extensive knowledge of CPT, HCPCS, Revenue, ICD10 coding rules and guidelines preferred
Extensive knowledge of general managed care operations required; delegated plan model preferred
Basic knowledge of relational database structure
Advanced knowledge of Product System algorithms and processes preferred
Familiar with basic medical product processing preferred %{{advertiserId}}% %%{{category}}%%