Healthcare EDI Analyst jobs in Kentucky

Healthcare EDI Analyst provides technical support during and after implementation for electronic data interchange applications used in healthcare settings. Responds to inquiries from vendors, payors, and providers regarding EDI issues with enrollment, claims, payments, and clearinghouse activities. Being a Healthcare EDI Analyst troubleshoots problems and deploys solutions to resolve issues. Conducts root cause analysis to prevent future problems and to suggest improvements. Additionally, Healthcare EDI Analyst may require a bachelor's degree. Typically reports to a manager. The Healthcare EDI Analyst work is closely managed. Works on projects/matters of limited complexity in a support role. To be a Healthcare EDI Analyst typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)

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Healthcare Quality Analyst
  • Deloitte
  • Louisville, KY FULL_TIME
  • Are you looking to make an immediate impact where you can help our clients solve their business challenges? Deloitte's Core Business Operations (CBO) portfolio operates at the center of our client's business. By joining our team, you could help C-suite and program leaders transform their organization and accelerate mission execution through emerging and disruptive technologies, innovative business models, retooled program operations and industry-driven solutions.

    Work you'll do

    • Conduct reviews of medical exam documentation in accordance with established medical and legal requirements
    • Interact with healthcare professionals to provide report-specific feedback and assist in resolving discrepancies
    • Follow all processes and procedures related to program operations and safeguarding of personally identifiable information / personal health information
    • Consistently meet individual productivity and quality goals

    The team

    Deloitte's Government and Public Services (GPS) practice - our people, ideas, technology and outcomes-is designed for impact. Serving federal, state, & local government clients as well as public higher education institutions, our team of over 15,000 professionals brings fresh perspective to help clients anticipate disruption, reimagine the possible, and fulfill their mission promise.

    Our Operations Transformation offering transforms our clients' core business operations. We advise, design, implement, and deploy solutions that are focused on "heart of the business" issues across client organizations. Using deep sector knowledge and program management skills, we work alongside our clients to implement industry leading practices and manage their most important projects.

    Qualifications

    Required:

    • Bachelor's degree required
    • Must have at least 1 year work experience, 6 months of MDE program (medical disability examination) and/or DBQ experience (disability benefits questionnaire)
    • Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future
    • Must be able to obtain a US Security clearance
    • Ability to travel 25%, on average, based on the work you do and the clients and industries/sectors you serve
    • Candidates must be at least 18 years of age at the time of employment

    Preferred: 6 months of

    • Healthcare Quality Assurance experience
    • MDEO (medical disability examination office) vendor experience
    • Experience conducting reviews of medical exam documentation in accordance with established medical and legal requirements
    • Understanding of Medical Terminology
    • Medical Benefit experience
    • Medical Licence (LVN, RN, etc.)

    The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $61,120 to $102,000.

    "You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance."

    Information for applicants with a need for accommodation: https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-assistance-for-disabled-applicants.html

  • 4 Days Ago

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Consulting Analyst - Healthcare & Lifestyle
  • Frost & Sullivan
  • Mumbai, KY FULL_TIME
  • About the TeamHLS Advisory Team India Overview About the team/Practice Area Frost & Sullivan’s Healthcare & Life Sciences Growth Advisory practice has a powerhouse team of analysts and strategists wor...
  • 5 Days Ago

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Healthcare Data Analyst (EST Business Hours)
  • Molina Healthcare Group
  • Louisville, KY FULL_TIME
  • Job DescriptionJOB DESCRIPTION****Employee for this role will work standard EST business hours******Job Summary Designs and implements processes and solutions associated with a wide variety of healthc...
  • 3 Days Ago

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Sr Analyst, Healthcare Analytics (EST hours)
  • Molina Healthcare Group
  • Louisville, KY FULL_TIME
  • Job DescriptionJOB DESCRIPTION****This position will work standard EST business hours****Job SummaryPerforms research and analysis of complex healthcare claims data, pharmacy data, and lab data regard...
  • 3 Days Ago

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EDI Specialist
  • BlueStar US
  • Hebron, KY FULL_TIME
  • Summary DescriptionThe EDI Specialist is instrumental in enhancing electronic data communication both within the organization and with external business partners. The analyst will focus on designing, ...
  • 14 Days Ago

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Credit Analyst (multiple levels) - Business Banking - Healthcare
  • U.S. Bank
  • Owensboro, KY FULL_TIME
  • At U.S. Bank, we’re on a journey to do our best. Helping the customers and businesses we serve to make better and smarter financial decisions and enabling the communities we support to grow and succee...
  • 1 Day Ago

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Site Health Analyst
  • Comcast Corporation
  • Philadelphia, PA
  • Comcast Business offers a suite of Connectivity, Communications, Networking, Cybersecurity, Wireless, and Managed Soluti...
  • 6/10/2024 12:00:00 AM

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HEALTH CARE ANALYST
  • Arkansas Government Job
  • Little Rock, AR
  • HEALTH CARE ANALYST Date: Jun 8, 2024 Req ID: 39480 Location: Little Rock, AR, US, 72201 Category: AR DEPT OF HUMAN SERV...
  • 6/9/2024 12:00:00 AM

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Safety and Health Analyst Sr., LDA
  • Multnomah County (OR)
  • Portland, OR
  • Current employees: Please apply through the employee portal to be considered for this opportunity. Pay Range: $81,088.00...
  • 6/9/2024 12:00:00 AM

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ARPA PMO Analyst, Health
  • County of Harris Texas
  • Houston, TX
  • Under general supervision, the ARPA PMO Health Analyst will support the selection, implementation, evaluation, and close...
  • 6/9/2024 12:00:00 AM

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Senior Strategy and Health Analyst
  • EMI Advisors LLC
  • Bethesda, MD
  • EMI Advisors LLC (EMI Advisors) is a boutique technology and innovation consulting firm that harnesses disruptive soluti...
  • 6/8/2024 12:00:00 AM

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Public Notice for Direct Hire Data Modernization Public Health Analyst
  • Centers for Disease Control and Prevention
  • Hyattsville, MD
  • Duties The CDC utilizes Direct/Expedited Hire Authorities to fill vacancies in a variety of occupations. This vacancy is...
  • 6/7/2024 12:00:00 AM

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Public Notice for Direct Hire Data Modernization Public Health Analyst
  • Centers for Disease Control and Prevention
  • Newark, NJ
  • Duties The CDC utilizes Direct/Expedited Hire Authorities to fill vacancies in a variety of occupations. This vacancy is...
  • 6/7/2024 12:00:00 AM

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Occupational Safety Health Analyst
  • Leidos
  • Auburn, WA
  • Description Leidos is a Fortune 500™ company aimed at embracing and solving some of the world’s most pressing challenges...
  • 5/1/2024 12:00:00 AM

Kentucky (/kənˈtʌki/ (listen) kən-TUK-ee), officially the Commonwealth of Kentucky, is a state located in the east south-central region of the United States. Although styled as the "State of Kentucky" in the law creating it, (because in Kentucky's first constitution, the name state was used) Kentucky is one of four U.S. states constituted as a commonwealth (the others being Virginia, Pennsylvania, and Massachusetts). Originally a part of Virginia, in 1792 Kentucky became the 15th state to join the Union. Kentucky is the 37th most extensive and the 26th most populous of the 50 United States. Ke...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Healthcare EDI Analyst jobs
$50,207 to $67,704