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  • KYC Review Analyst Senior- Ops

    City National Bank 4.9company rating

    Remote job

    WHAT IS THE OPPORTUNITY? Conduct Enhanced Due Diligence background investigations for commercial loan borrowers in adherence with credit policy and compliance with BSA and USA Patriot Act. Responsible for the quality assurance and integrity of the "Know Your Client" (KYC) program on new and existing client relationships. Perform review and provide clearance on potential negative news alerts for new clients or during periodic client reviews. Perform prospect client reviews and provide recommendations prior to onboarding prospects as well as other referrals from line units. WHAT WILL YOU DO? Conduct Periodic Reviews of clients to determine compliance risk, identify deviations from expected behaviors based on client profile and update profile to determine accuracy of client risk level. The KYC Review (Analyst - Senior) will perform Enhance Due Diligence (EDD) reviews for commercial loan borrowers and prospect reviews utilizing a variety of internal bank systems and external research tools, subscription based websites, public records to investigate, research, and prepare documentation/summaries consistent with resolution of investigation. KYC - the analyst is able to review and verify that a Know Your Client (KYC) is completed for new accounts, and Anticipated Activity questions for Business and Individual clients with new transactional accounts. KYC - the analyst is able to perform review and clearance of potential negative news alerts on new clients and during periodic client reviews and escalate true matches accordingly. Escalate restricted or prohibited activity consistent with CNB policy requiring BSA Escalation discovered through research to HRC (High Risk Client) and/or unusual activity to Compliance Investigations. May assist with training of new hires and conduct quality control review/adit of junior level analyst reviews. May Participate in and complete ad-hoc projects. Perform timely investigations with well-reasoned and supported decision-making. Conducts follow-up with line colleagues for any missing or necessary information. Completes required training. Performs other duties as assigned or requested. WHAT DO YOU NEED TO SUCCEED? Required Qualifications* Bachelor's Degree or equivalent 5+ years experience in Banking Services, branch operations, risk management or related function 3 years of BSA/AML experience 2+ years experience using Microsoft Office Additional Qualifications Analytical skills, solid understanding of deposit and loan transactions, use of good judgment, attention to detail, internet savvy, good knowledge of Bank Secrecy Act and USA PATRIOT acts. Great communication and writing skills. WHAT'S IN IT FOR YOU? Compensation Starting base salary: $71,869 - $114,797 per year. Exact compensation may vary based on skills, experience, and location. This job is eligible for bonus and/or commissions. Benefits and Perks At City National, we strive to be the best at whatever we do, including the benefits and perks we offer our colleagues including: Comprehensive healthcare coverage, including Medical, Dental and Vision plans, available the first of the month following start date Generous 401(k) company matching contribution Career Development through Tuition Reimbursement and other internal upskilling and training resources Valued Time Away benefits including vacation, sick and volunteer time Specialized health and family planning benefits including fertility benefits, and cancer, diabetes and musculoskeletal support programs Career Mobility support from a dedicated recruitment team Colleague Resource Groups to support networking and community engagement Get a more detailed look at our Benefits and Perks. ABOUT US Since day one we've always gone further than the competition to help our clients, colleagues and communities flourish. City National Bank was founded in 1954 by entrepreneurs for entrepreneurs and that legacy of integrity, community and unparalleled client relationships continues today. City National is a subsidiary of Royal Bank of Canada, one of North America's leading diversified financial services companies. To learn more about City National and our dynamic company culture, visit us at About Us. INCLUSION AND EQUAL OPPORTUNITY EMPLOYMENT City National Bank fosters an inclusive environment where all forms of diversity are valued and leveraged to make us a better company and employer. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identity, national origin, disability, veteran status or other basis protected by law. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. *Represents basic qualifications for the position. To be considered for this position, you must at least meet the required qualifications. careers.cnb.com accepts applications on an ongoing basis, until filled. Unless otherwise indicated as fully remote, reporting into a designated City National location is an essential function of the job.
    $71.9k-114.8k yearly 1d ago
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  • Remote DeFi Analyst: Risk, Growth & Insights Lead

    Gauntlet

    Remote job

    A leading DeFi firm is seeking a candidate for a key role in quantitative research and protocol partnerships. This position involves evaluating yield strategies, conducting risk assessments, and developing competitive analytics. Ideal candidates will have experience in crypto-native environments, fluency with on-chain data tools, and a strong interest in DeFi innovation. This role offers remote work within the US and competitive compensation packages. #J-18808-Ljbffr
    $96k-126k yearly est. 3d ago
  • Business Analyst, Healthcare EDI

    Essenmed

    Remote job

    At Essen Health Care, we care for that! As the largest privately held multispecialty medical group in the Bronx, we provide high-quality, compassionate, and accessible medical care to some of the most vulnerable and under-served residents of New York State. Guided by a Population Health model of care, Essen has five integrated clinical divisions offering urgent care, primary care, and specialty services, as well as nursing home staffing and care management. Founded in 1999, our over 20-year commitment has fueled an unwavering dedication toward innovating a better healthcare delivery system. Essen has expanded from a single primary care office to an umbrella organization offering specialties from women's health to endocrinology, from psychiatry to a vast array of other specialties. All clinical services are offered via telehealth or in-person at over 35 medical offices and at home through the Essen House Calls program. Essen House Calls provides in-home primary and specialty care in the New York Metro area. We are looking for the most talented and effective individuals to join our rapidly growing company. From medical providers to administration & operational staff, there is a career here for you. Join our team today! Job Summary Position: Healthcare EDI Business Analyst - 270/271 Eligibility & Benefits Summary: The Healthcare EDI Business Analyst is responsible for analyzing ANSI X12 270/271 eligibility and benefits transactions, defining business and technical requirements, and designing strategies to parse and present coverage, copay, coinsurance, deductible, and out-of-pocket data to end users. This role bridges product, RCM/eligibility operations, and engineering to ensure accurate, compliant, and user-friendly eligibility verification workflows. Responsibilities Owns the end-to-end strategy for eligibility data presentation, including which EB segments to surface, how to rank conflicting benefits, and how to simplify complex benefit structures for front-line users." Defines the canonical internal data model for eligibility and benefit information used across products and workflows. Lead discovery with revenue cycle, registration, and clinical stakeholders to define how eligibility, copay, deductible, coinsurance, and plan limitations should appear in eCares portal and/or PMS/EHR screens, and reports. Analyze 270/271 X12 files (loops, segments, codes) to document detailed parsing logic for EB, DTP, AMT, HSD and related segments covering benefit levels, service types, and financial accumulators. Translate business needs into functional and mapping specifications for engineering or integration teams, including data dictionaries, field-level requirements, and error-handling rules. Define and maintain business rules to normalize and prioritize multiple EB segments (e.g., selecting primary copay/coinsurance for office visits vs. surgery vs. preventive services). Design and document UI/UX guidelines for displaying eligibility data (e.g., base/remaining deductible, OOP, copay by service type) consistent with CAQH CORE 270/271 data content rules. Partner with EDI and infrastructure teams to support connectivity, trading partner onboarding, and monitoring of 270/271 transactions, including handling rejections and AAA error segments. Create and execute test cases for 270/271 flows, including positive/negative scenarios, regression testing, and validation against companion guides and CORE rules. Work with data/BI teams to define and validate downstream use of eligibility data for dashboards and analytics (e.g., eligibility hit rate, verification timeliness, estimated patient responsibility). Document current and future state eligibility workflows, process maps, and standard operating procedures for front-end staff and revenue cycle teams Ensure compliance with HIPAA, payer companion guides, and CAQH CORE operating rules for eligibility and benefits transactions. Provide subject matter expertise and training to product, operations, and support teams on interpreting 270/271 responses and resolving eligibility-related issues. Qualifications Required Qualifications 3-5+ years of experience as an EDI Analyst, Business Analyst, or similar role in healthcare, with hands-on work on ANSI X12 transactions. Strong, demonstrable experience with 270/271 eligibility and benefits transactions, including reading raw X12 files and understanding loops (2000, 2100, 2110) and EB/EQ segments. Solid understanding of health insurance concepts: plan types, covered services, service types, payer types, primary & secondary plans, HMOs, copay, coinsurance, deductibles, OOP maximums, accumulators, and benefit limitations. Experience creating functional specs, mapping documents, and business rules for parsing and integrating EDI data into PMS/EHR, clearinghouse, or custom applications. Proficiency with advanced Excel and familiarity with SQL or similar tools for validating and profiling eligibility data. Knowledge of HIPAA transaction standards and CAQH CORE eligibility & benefits rules. Strong communication skills and ability to translate technical EDI content into clear requirements and user-facing documentation. Preferred Qualifications Experience in provider revenue cycle, registration, scheduling, or prior authorization operations. Prior work with payer or clearinghouse 270/271 companion guides and real-time eligibility APIs. Background working in Agile product teams, writing user stories and acceptance criteria for eligibility features. Exposure to other HIPAA X12 transactions (835, 837, 276/277, 834) to understand end-to-end data flow. Per Hour Rate: $45 - $55 per hour Equal Opportunity Employer ESSEN HEALTH CARE IS PROUD TO BE AN EQUAL OPPORTUNITY EMPLOYER Essen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.
    $45-55 hourly Auto-Apply 23d ago
  • EDI Growth Specialist

    Alvys

    Remote job

    Alvys is on a mission to revolutionize transportation logistics. Combining hands-on industry experience with a world-class technical team from Wonder, Jet, and ServiceTitan, we're building the preferred supply chain operating system, starting with the $800B US freight industry. Alvys' all-in-one solution is designed to help Carriers, Brokers, and Hybrid Operators book and move more freight with more automation and lower costs. About the Role As an EDI Specialist at Alvys, you will focus on the hands-on data mapping work that powers our EDI integrations. You will work closely with senior EDI team members to translate partner requirements and specification guides into accurate, reliable mappings in our platform. This role is critical to scaling our EDI capabilities by building high‑quality integrations that our EDI managers can activate and support with customers! What you'll do Build and maintain EDI data mappings in our internal tools based on partner spec guides and sample files Translate source files (e.g., CSV, flat files, XML) into JSON structures that work with Alvys' backend systems Work with APIs and data payloads to ensure mappings are technically correct and aligned with integration requirements Collaborate closely with senior EDI team members to clarify requirements, review mappings, and iterate on solutions Perform initial validation of mappings (data checks, structure checks) before handoff for testing and activation Document mapping logic, assumptions, and edge cases in a clear, reusable way Contribute to continuous improvements in our mapping standards, templates, and internal best practices What you need 1-2 years of EDI experience preferred Strong technical acumen; comfortable working with data and backend systems Experience with APIs (reading documentation, understanding requests/responses) Ability to read/interpret data files (i.e. CSV, flat files, XML) Hands-on experience with data mapping between different systems/formats Proficiency manipulating JSON structures Strong communication and collaboration skills Equal Employment Opportunity Alvys is an equal opportunity employer and as such, we do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or any other characteristic protected by applicable laws. We are dedicated to growing a diverse team of highly talented people. We're dedicated to building a workplace where we give each other the strategies, support, and space we each need to thrive-believing in and bringing out the best of everyone. If you require any accommodations during the recruitment process, whether it be alternate forms of material, accessible meeting rooms, etc., please let us know and we will work with you to meet your needs. For information about Alvys's privacy practices, see our Privacy Policy .
    $68k-94k yearly est. Auto-Apply 2d ago
  • Business Analyst/Tester (Remote)

    Koniag Government Services 3.9company rating

    Remote job

    Koniag Technology and Infrastructure Solutions, LLC, a Koniag Government Services company, is seeking a Business Analyst/Tester to support KTIS and our government customer. This position requires the candidate to be able to obtain a Public Trust. This is a remote position. We offer competitive compensation and an extraordinary benefits package including health, dental and vision insurance, 401K with company matching, flexible spending accounts, paid holidays, three weeks paid time off, and more. Koniag Technology and Infrastructure Solutions is seeking an experienced Business Analyst/Tester with specialized knowledge of ServiceNow to join our team. The ideal candidate will have a strong background in business process analysis, requirements gathering, and solution design, with specific expertise in ServiceNow implementations and optimizations. This role is critical in bridging the gap between business needs and technical solutions, ensuring that our ServiceNow implementations deliver maximum value to stakeholders. **Essential Functions, Responsibilities & Duties may include, but are not limited to:** The Business Analyst/Tester will be responsible for analyzing business processes, documenting requirements, and helping design ServiceNow solutions that meet organizational needs. Principal responsibilities will include but are not limited to: + Conduct business process analysis to identify opportunities for improvement and automation through ServiceNow + Gather, document, and validate business requirements from stakeholders at all levels of the organization + Translate business requirements into functional specifications for ServiceNow implementations + Create detailed documentation including use cases, process flows, user stories, and acceptance criteria + Collaborate with technical teams to ensure requirements are properly implemented in ServiceNow solutions + Serve as a liaison between business stakeholders and technical teams throughout the project lifecycle + Facilitate workshops and meetings to elicit requirements and build consensus among stakeholders + Develop and maintain process maps, workflow diagrams, and other visual representations of business processes + Validate solution designs against business requirements and user needs + Coordinate user acceptance testing and gather feedback for solution refinement + Support change management activities related to ServiceNow implementations + Analyze current state processes and recommend improvements leveraging ServiceNow capabilities + Develop metrics and KPIs to measure the success of ServiceNow implementations + Stay current with ServiceNow capabilities and releases to inform solution recommendations + Provide subject matter expertise on ServiceNow modules and functionalities + Support the development of training materials and documentation for end users **Education and Experience:** + Bachelor's degree in Business Administration, Information Systems, Computer Science, or related field + 5+ years of experience as a Business Analyst or similar role + 3+ years of experience with ServiceNow platform and implementations + Proven track record of successful IT project delivery, particularly with ServiceNow **Required Skills and Competencies:** + Strong understanding of business analysis methodologies and best practices + Experience with requirements gathering techniques and documentation standards + Knowledge of ServiceNow platform capabilities, modules, and configurations + Proficiency in process mapping and workflow design + Experience creating detailed functional specifications and user stories + Strong facilitation and stakeholder management skills + Excellent verbal and written communication abilities + Experience with user acceptance testing and quality assurance processes + Understanding of ITIL practices and IT service management principles + Ability to understand complex business processes and translate them into technical requirements + Strong analytical and problem-solving skills + Experience with Agile and/or traditional project methodologies + Proficiency with requirements management and documentation tools + Ability to build consensus among diverse stakeholder groups + Experience with change management principles and practices **Desired Skills and Competencies:** + Experience with multiple ServiceNow modules (ITSM, CSM, ITBM, etc.) + Background in government contracting environments + Knowledge of data analysis and reporting tools + Experience with ServiceNow platform governance + Background in organizational change management + Experience with business process reengineering + Knowledge of user experience design principles + Experience with enterprise architecture concepts + Background in IT governance frameworks + Experience with ServiceNow development capabilities + Knowledge of integration concepts and approaches + Project management experience or certification + Experience with requirements traceability + Background in customer experience design **Security Requirement:** + Ability to obtain a Public Trust **Our Equal Employment Opportunity Policy** The company is an equal opportunity employer. The company shall not discriminate against any employee or applicant because of race, color, religion, creed, ethnicity, sex, sexual orientation, gender or gender identity (except where gender is a bona fide occupational qualification), national origin or ancestry, age, disability, citizenship, military/veteran status, marital status, genetic information or any other characteristic protected by applicable federal, state, or local law. We are committed to equal employment opportunity in all decisions related to employment, promotion, wages, benefits, and all other privileges, terms, and conditions of employment. The company is dedicated to seeking all qualified applicants. If you require an accommodation to navigate or apply for a position on our website, please get in touch with Heaven Wood via e-mail at accommodations@koniag-gs.com or by calling ************ to request accommodations. _Koniag Government Services (KGS) is an Alaska Native Owned corporation supporting the values and traditions of our native communities through an agile employee and corporate culture that delivers Enterprise Solutions, Professional Services and Operational Management to Federal Government Agencies. As a wholly owned subsidiary of Koniag, we apply our proven commercial solutions to a deep knowledge of Defense and Civilian missions to provide forward leaning technical, professional, and operational solutions. KGS enables successful mission outcomes for our customers through solution-oriented business partnerships and a commitment to exceptional service delivery. We ensure long-term success with a continuous improvement approach while balancing the collective interests of our customers, employees, and native communities. For more information, please visit_ _****************** _._ **_Equal Opportunity Employer/Veterans/Disabled. Shareholder Preference in accordance with Public Law 88-352_** **Job Details** **Job Family** **Software and Systems Development** **Job Function** **Business Systems Analyst** **Pay Type** **Salary**
    $80k-111k yearly est. 11d ago
  • Sr Salesforce Solutions Analyst

    College Board 4.6company rating

    Remote job

    Sr. Salesforce Solutions Analyst College Board - Technology Role Type: This is a full-time position About the Team We are a team of technologists working together to solve complex technical problems and develop innovative solutions. Embracing a culture of continuous improvement, we look for ways to incorporate new technologies in the delivery of systems that are responsible for analysis and scoring of tests of SAT/PSAT and AP programs. We regularly collaborate while pitching and sharing our ideas to help define the future of our applications. Our team is characterized by our positive team culture, strong technical skills, focus on delivering value and our ability to have fun while being productive. About the Opportunity We are seeking a Senior Salesforce Solution Analyst with advanced expertise in Salesforce platform, scalable solution design, and enterprise systems and process analysis. This role requires deep Salesforce platform knowledge, hands-on configuration skills, and the ability to collaborate closely with business stakeholders and engineering teams to deliver high-quality, technically sound Salesforce solutions. The ideal candidate brings significant experience working across Sales Cloud, Service Cloud, and Experience Cloud, with strong capabilities in data modeling, declarative automation, integration concepts, and platform governance. You will play a critical role in aligning business processes and needs with Salesforce technical capabilities, ensuring solution design adheres to architectural standards, security frameworks, and engineering best practices. Reporting to the Staff Engineering Director, this role works in an Agile environment and contributes to the evolution of Salesforce as a strategic enterprise platform-driving technical enhancements, process automation, and solution scalability across the organization. In this role, you will: Technical Solution Design & Architecture Alignment Translate business requirements into technical specifications, solution designs, and scalable Salesforce configurations. Partner with engineering teams to ensure solutions align with platform architecture, data models, security models, and integration patterns. Configure and optimize Salesforce features using Flows, validation rules, Lightning App Builder, and other declarative tools in accordance with best practices. Support enhancements across Sales Cloud, Service Cloud, and Experience Cloud, ensuring solutions are scalable, maintainable, and compliant with governance standards. Solution Analysis & Solution Design Lead requirements discovery with stakeholders and convert business needs into well-defined user stories and acceptance criteria for technical implementation. Produce future-state process designs, system workflows, configuration documentation, and platform functional specifications. Collaborate with developers, admins, architects, QA, and product owners to validate requirements and ensure technical solutions meet functional and non-functional expectations. Support UAT planning and execution, defect triage, release readiness, and production validation. Platform Optimization & Continuous Improvement Identify and implement opportunities to reduce technical debt and manual processes through automation and improved platform design. Evaluate Salesforce releases and emerging capabilities to proactively recommend platform improvements and modernization opportunities. Contribute to platform governance, change management, and Salesforce DevOps pipelines (e.g., Gearset, Copado, Salesforce DX) by ensuring clear requirements and documentation for technical teams. About You Bachelor's degree in Information Systems, Business Administration, or a related field preferred Minimum 6-7 years of professional experience as a Solutions Analyst, with at least 4-5 years working specifically with Salesforce in a technology or consulting-focused environments. Strong knowledge of Salesforce declarative tools, including Flows, Process Builder, validation rules, and reports/dashboards Familiarity with Sales Cloud, Service Cloud, and Experience Cloud functionality and use cases Experience creating detailed documentation, process maps, and requirements specifications Excellent stakeholder management and communication skills, with the ability to bridge business and technical teams Experience working in Agile environments, writing user stories, and supporting sprint planning and backlog refinement Strong organizational skills and ability to manage multiple priorities in a fast-paced environment Nice to have: Familiarity with integration concepts (REST/SOAP APIs, middleware) to support collaboration with technical teams Exposure to Salesforce DevOps tools (e.g., Gearset, Copado, Salesforce DX) from a business requirements perspective Salesforce Solutions Analyst or Administrator certification Exceptional candidates can effectively speak to: Experience and Expertise Expertise working with Salesforce CRM, of performing business analysis, requirements gathering, and system support for enterprise applications including Salesforce. Demonstrated ability to partner with business units to understand needs, translate them into user stories, and deliver enhancements that drive adoption and measurable value. Stakeholder Engagement & Collaboration Experience facilitating workshops, prioritization sessions, and requirements reviews with diverse business units and technical teams. Ability to balance competing priorities across multiple stakeholders and guide discussions toward outcomes aligned with enterprise strategy. Solution Quality & Governance Experience validating data, supporting compliance reviews, and ensuring solutions adhere to governance, security, and architectural standards. Strong understanding of Agile delivery, testing processes, and iterative solution development. Content-Specific and Technical Skills Familiarity with Salesforce capabilities (e.g., Sales Cloud, Service Cloud, integrations, reporting). Proficiency in business process documentation, data analysis, and writing clear user stories with acceptance criteria. Experience supporting testing (UAT), validating data, and ensuring solutions meet compliance and governance standards. Comfort working in an agile environment, including backlog refinement, sprint planning, and iterative delivery. All roles at College Board require: A passion for expanding educational and career opportunities and mission-driven work Curiosity and enthusiasm for emerging technologies, with a willingness to experiment with and adopt new AI-driven solutions and comfort with learning and applying new digital tools independently and proactively. Clear and concise communication skills, written and verbal A learner's mindset and a commitment to growth: welcoming diverse perspectives, giving and receiving timely, respectful feedback, and continuously improving through iterative learning and user input. A drive for impact and excellence: solving complex problems, making data-informed decisions, prioritizing what matters most, and continuously improving through learning, user input, and external benchmarking. A collaborative and empathetic approach: working across differences, fostering trust, and contributing to a culture of shared success About Our Process Application review will begin immediately and will continue until the position is filled. This role is expected to accept applications for a minimum of 5 business days. While the hiring process may vary, it generally includes: resume and application submission, recruiter phone/video screen, hiring manager interview, performance exercise such as live coding, a panel interview, a conversation with leadership and reference checks. What We Offer At College Board, we offer more than a paycheck- we provide a meaningful career, a supportive team, and a comprehensive package designed to help you thrive. We're a self-sustaining nonprofit that believes in fair and competitive compensation grounded in your qualifications, experience, impact, and the market. A Thoughtful Approach to Compensation The hiring range for this role is $150,000-$163,000. Your exact salary will depend on your location, experience, and how your background compares to others in similar roles at the College Board. We aim to make our best offer upfront, rooted in fairness, transparency, and market data. We adjust salaries by location to ensure fairness, no matter where you live. You'll have open, transparent conversations about compensation, benefits, and what it's like to work at College Board throughout your hiring process. Check out our careers page for more. #LI-DC1 #LI-REMOTE
    $150k-163k yearly Auto-Apply 19d ago
  • Health Plan Configuration Analyst II

    Healthcare Management Administrators 4.0company rating

    Remote job

    HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service. We are proud to say that for four years, HMA has been chosen as a ‘Washington's Best Workplaces' by our Staff and PSBJ™. Our vision, ‘Proving What's Possible in Healthcare™,' and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results. What we are looking for: We are always searching for unique people to diversify our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven. What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: ************************** How YOU will make a Difference: This role is responsible for the successful implementation and programming clients benefit plans, as setting up buy up products for our clients as well as managing third party vendor files. The importance of this role is to ensure benefits are correctly programmed and product services are readily available for members. What YOU will do: Review prior SPD's and make recommendations for new group implementations, such as system capabilities and regulatory requirements, and present to new clients as needed. Ask clarifying questions about plan details that could be missing. Create and update plan summaries and program the claims system for simple and medium complexity client renewals and implementation of off-cycle benefit changes. With the assistance of the Plan Building Specialist II or III, assist with programming updates for clients with complex renewals. Assist with complex and escalated customer service issues to ensure resolution. maintaining the vendor file maintenance for buy-up products. This includes incoming/outgoing files, setting up SFRP and retroactive programming of the balance of our Book of Business, to facilitate non-standard benefits for select groups. Work with vendor to ensure accurate EOB design and setup as needed. Review and respond to applicable TechOps Support tickets and MDI claims queries as needed. Assist Plan Building Specialist III with programming new group implementations as needed. Assist with complex and escalated customer service issues to ensure resolution. Retroactive programming of the balance of our Book of Business, to facilitate non-standard benefits for select groups. Assist in training of Plan Building Specialist I team members. Review and respond to applicable TechOps Support tickets and MDI claims queries as needed. Conduct peer-to-peer audit for Plan Building team programming. Requirements Knowledge, Experience, and Key Attributes needed for Success: High school diploma or equivalent experience required 3-5 years of recent relevant experience Strong QicLink knowledge is beneficial for the programming of benefits in QicLink. Strong analytical skills are crucial for translating client intent into programming of their benefits in QicLink. Comprehensive understanding of benefits that we administer and different plan types. Solid understanding of regulations that impact benefit design, including but not limited to, the Affordable Care Act, Mental Health Parity and IRS rules related to administration of high deductible health plans. Clear and effective verbal and written communication skills. Strong interpersonal skills and ability to work with team members at all levels. Benefits The base salary for this position in the greater Seattle area is $108,000-$120,000 and varies dependent on geography, skills, experience, education, and other job or market-related factors. Performance-based incentive bonus(es) is available. Disclaimer: The salary, other compensation, and benefits information are accurate as of this posting date. HMA reserves the right to modify this information at any time, subject to applicable law. In addition, HMA provides a generous total rewards package for full-time employees that includes: Seventeen (IC) days paid time off (individual contributors) Eleven paid holidays Two paid personal and one paid volunteer day Company-subsidized medical, dental, vision, and prescription insurance Company-paid disability, life, and AD&D insurances Voluntary insurances HSA and FSA pre-tax programs 401(k)-retirement plan with company match Annual $500 wellness incentive and a $600 wellness reimbursement Remote work and continuing education reimbursements Discount program Parental leave Up to $1,000 annual charitable giving match How we Support your Work, Life, and Wellness Goals At HMA, we believe in recognizing and celebrating the achievements of our dedicated staff. We offer flexibility to work schedules that support people in all time zones across the US, ensuring a healthy work-life balance. Employees have the option to work remotely or enjoy the amenities of our renovated office located just outside Seattle with free parking, gym, and a multitude of refreshments. Our performance management program is designed to elevate career growth opportunities, fostering a collaborative work culture where every team member can thrive. We also prioritize having fun together by hosting in person events throughout the year including an annual all hands, summer picnic, trivia night, and a holiday party. We hire people from across the US (excluding the state of Hawaii and the cities of Los Angeles and San Francisco.) HMA requires a background screen prior to employment. Protected Health Information (PHI) Access Healthcare Management Administrators (HMA); employees may encounter protected health information (PHI) in the regular course of their work. All PHI shall be used and disclosed on a need-to-know-basis and according to HMA's standard policies and procedures. HMA is an Equal Opportunity Employer. For more information about HMA, visit ******************
    $108k-120k yearly Auto-Apply 60d+ ago
  • Data Integration Business Analyst (Full-Time, Remote, North Carolina Based)

    Alliance 4.8company rating

    Remote job

    The Data Integration Business Analyst elicits, analyzes, and documents business and technical requirements for enterprise data exchange and integration initiatives. This role translates requirements into integration specifications and test plans, supports the design and validation of ETL, API, and file-based interfaces, and ensures interoperability, data quality, and compliance (e.g., HIPAA) across internal systems and external partners. This position is fulltime remote. Selected candidate must reside in North Carolina. Some travel for onsite meetings to the Home office at Morrisville may be required. Responsibilities & Duties Elicit & Document Integration Requirements Lead discovery to capture business goals, data requirements, and SLAs for data exchanges Produce source-to-target mappings (STMs), transformation rules, and interface control documents (ICDs) Clarify acceptance criteria and success metrics for each integration Analyze & Profile Data Perform data profiling and gap analysis on source/target systems (e.g., HL7 v2/FHIR, X12/EDI 837/835, NCPDP, CMS-1500/UB-04, flat files, APIs) Identify data-quality issues; define validation rules and reconciliation processes Recommend code-set crosswalks and normalization approaches Translate Requirements into Technical Specifications Develop detailed functional/technical specs for ETL (e.g., SSIS), APIs, and MFT/SFTP exchanges Partner with data engineers and application developers to align on patterns, standards, and reuse Support solution design reviews for scalability, security, and maintainability Plan & Execute Testing Create test plans, test cases, and data sets for unit, system, and user acceptance testing (UAT) Coordinate UAT with business stakeholders; triage defects and manage retests Validate performance and throughput against SLAs Support Implementation & Operations Assist with go-live readiness (runbooks, SOPs, cutover/backout plans) Monitor initial production runs, perform data reconciliations, and resolve issues Participate in incident response and root-cause analysis; document lessons learned Maintain Documentation & Knowledge Base Maintain current interface inventories, data dictionaries, and lineage/flow diagrams Author and update end-user and technical documentation according to department standards Communication & Collaboration Communicate complex topics to technical and non-technical audiences Collaborate with internal teams and external vendors to ensure alignment and timely delivery Contribute to data governance and interoperability standards Continuous Improvement Recommend process improvements, reusable templates, and automation for mapping, testing, and monitoring Track and report integration KPIs (e.g., timeliness, error rates, data completeness) Minimum Requirements Education and Experience Vocational or Technical Training in computer science, information systems, business administration, or a related field; and five (7) years of experience in data integration/interoperability, ETL, or data engineering; Or Associate's degree in computer science, information systems, business administration, or a related field; and six (6) years of experience in data integration/interoperability, ETL, or data engineering; Or Bachelor's degree in computer science, information systems, business administration, or a related field; and four (4) years of experience in data integration/interoperability, ETL, or data engineering. Additional Required Experience: Hands-on experience gathering requirements and producing source-to-target mappings and interface specifications. Experience with data integration concepts and tools (e.g., ETL/ELT, SSIS), APIs (REST/JSON), and secure file transfer (SFTP/MFT). Experience validating healthcare or payer/provider data sets and applying HIPAA privacy/security considerations. Demonstrated ability to write SQL for data profiling, validation, and reconciliation. Preferred: Experience in a healthcare setting (payer, provider, HIE, HISPs) designing/supporting data exchanges (e.g., 837, 835, NCPDP, CMS-1500/UB-04, HL7 v2/FHIR). Experience with API management, Git/TFS/DevOps, and CI/CD practices. Experience coordinating UAT and production cutovers for integrations. Knowledge, Skills, & Abilities Knowledge of and experience with SQL, preferably T-SQL ETL/ELT concepts; SSIS or similar Data mapping, STMs, ICDs APIs (REST/JSON), basic .NET or equivalent familiarity Healthcare data formats (HL7 v2/FHIR, X12/EDI 837/835, NCPDP) DW/star schema awareness; data lineage SDLC, requirements management, and testing practices Communication, facilitation, and documentation Ability to work independently and in a team setting Employment for this position is contingent upon a satisfactory background check and credit check, which will be performed after acceptance of an offer of employment and prior to the employee's start date. Salary Range $91,884-$119,450/Annually Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity. An excellent fringe benefit package accompanies the salary, which includes: Medical, Dental, Vision, Life, Long Term Disability Generous retirement savings plan Flexible work schedules including hybrid/remote options Paid time off including vacation, sick leave, holiday, management leave Dress flexibility
    $91.9k-119.5k yearly 60d+ ago
  • Configuration Analyst

    Curative HR

    Remote job

    Curative is reimagining health insurance - with $0 out of pocket costs and by reducing barriers to people seeking care. Help us create a better healthcare experience for our members by making it easy & intuitive for them to access the care they need. We believe in a clear, simple health plan that allows our members to get zero-cost in-network care anytime they need it. We want to put healthcare back in the hands of the patient and clinicians, with a focus on preventative care. SUMMARY Curative wants to change the view on what a health plan can be. Born out of the pandemic, we created a health plan reinvented for a post-pandemic world that is built around a whole person's affordable preventive care featuring more benefits. Curative is looking for a HealthRules Payer Configuration Analyst who is passionate about helping the company as we work to reinvent healthcare options. Candidates will be able to utilize their previous experience in the medical field by increasing satisfaction and retention by providing Curative health plan members, patients, and providers with accurate, consistent, timely information. They will provide support while building rapport and collaborative relationships with current and prospective members in accordance with compliance guidelines. This is a remote position. ESSENTIAL DUTIES AND RESPONSIBILITIES ● Configure complex professional and facility contracts within the HealthRules Payer system ● Configure and maintain HRP configuration for claims, pricing, and benefits ● Investigate and resolve configuration issues on the HealthRules Payer system to ensure timely and accurate claims payment and account implementation ● Maintain clear and accurate documentation of all configuration activities and decisions ● Prepare and execute test cases to validate that configuration changes function as expected ● Review and resolve claim pends on a daily basis to ensure claims are processed timely ● A team player; perform tasks in a very fast paced environment. ● Work on claims team projects and reporting, as assigned. ● Attend departmental training when required or requested. ● Adhere to the rules and regulations of Curative as described in the Employee Handbook and as defined in the unit/department/clinic procedures. QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions: ● 3+ years of health plan configuration experience within the HealthRules Payer platform; experience with provider contract configuration using HRL (Health Rules Language). ● 5+ years of experience in claims processing of all claim types, including hospital/facility, behavioral health, dental, vision, and professional medical claims. ● Operational experience in a health plan environment in or more of the following domains: enrollment/eligibility, provider data management, or account installation. ● Knowledge of medical terminology, ICD-10, CPT, HCPCS, and revenue codes. ● Preferred qualification: Familiarity with claim coding and editing rules. ● Preferred qualification: experience with SQL, including understanding and creating queries ● Proficient computer skills to include Microsoft Office applications and Google Suite ● Excellent verbal and written communication skills ● Ability to sit for extended periods of time at a computer workstation. ● Ability to Multitask and think creatively. ● Performs other duties and projects assigned. EDUCATION and/or EXPERIENCE ❑ Associate's degree (A. A.) or equivalent from two-year college or technical school; or six months to one year related experience and/or training; or equivalent combination of education and experience.
    $66k-96k yearly est. 50d ago
  • Trizetto Facets Configuration Analyst Remote

    Theemesoft.Inc.

    Remote job

    Themesoft IT Consulting team is unparalleled in experience. We have developed and maintained an extensive network of international search partners to source the best talent locally and globally. We are constantly evaluating performance on every project to ensure we're providing the highest-level of quality to match our standards in all of our fields. Job Description Benefits configuration - To configure products, benefits and plans Healthcare, Facets, SQL, NetworX Benefit Configuration, Good Communication skills Qualifications Trizetto Facets, Configuration experience is MUST Additional Information All your information will be kept confidential according to EEO guidelines.
    $73k-108k yearly est. 3d ago
  • Configuration Analyst III (Must have Facets and Automation experience)

    Caresource 4.9company rating

    Remote job

    The Configuration Systems Analyst III is responsible for managing and defining system configuration requirements. Essential Functions: Manage and define system configuration requirements. Responsibility for requirements, definition, document, design, testing, training and implementation support using appropriate templates or analysis tool Develop and utilize reports to analyze and stratify data in order to address gaps and provide answers to issues identified within the department or by other departments Identify, manage and document the status of open issues, configuration design, and final resolution within change management system Review and interpret regulatory items, timely delivery of required updates Development of standard code set and reimbursement design templates Plan and implement new software releases including testing and training Participate in meetings with business owners, users and IT to achieve solutions that meet the requirements and expectation of CareSource Lead configuration initiatives in payment policy meetings and present to committees Coordinate annual benefit changes with internal resources Provide analysis of efficiencies related to system enhancement and automation. Review, analyze, and document effectiveness and efficiency of existing systems and develop strategies for improving or further leveraging systems Manage the reimbursement review. Identify and design appropriate changes. Lead the development and execution of test plans and scenarios for all reimbursement designs for core business system and related processes Audit configuration to ensure accuracy and internal controls to minimize fraud and abuse and overpayment related issues Anticipate and identify customer needs and match products and services to facilitate the fulfillment of those needs Ensure system processes and documents exist as basis for system logic Manage resources and communications to facilitate work completion Mentor the use of tools to define requirements Perform any other job duties as requested Education and Experience: High School Diploma or GED is required Bachelor's degree or equivalent years of relevant work experience is preferred A minimum of five (5) years of health plan experience, to include three (3) years of configuration or clinical editing software experience is required Exposure to Facets or equivalent system is preferred Competencies, Knowledge and Skills: Exceptional computer skills and abilities in Facets Knowledge of coding languages (e.g. VBA, SQL, Python, C++, etc.) Advanced proficiency Microsoft Suite to include Word, Excel, Access and Visio Proven understanding of database relationships required Understanding of DRG and APC reimbursement methods Understanding of CPT, HCPCs and ICD-CM Codes Knowledge of HIPAA Transaction Codes Effective listening and critical thinking skills Effective problem solving skills with attention to detail Excellent written and verbal communication skills Ability to work independently and within a team environment Strong interpersonal skills and high level of professionalism Ability to develop, prioritize and accomplish goals Understanding of the healthcare field and knowledge of Medicaid and Medicare Proper medical coding knowledge and claims processing skills Customer service oriented Facets knowledge/training Ability to manage vendor relationships Licensure and Certification: Certified Medical Coder (CPC) is preferred Working Conditions: General office environment; may be required to sit or stand for extended periods of time Compensation Range: $81,400.00 - $130,200.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary): Salary Organization Level Competencies Fostering a Collaborative Workplace Culture Cultivate Partnerships Develop Self and Others Drive Execution Influence Others Pursue Personal Excellence Understand the Business This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.#LI-GB1
    $81.4k-130.2k yearly Auto-Apply 36d ago
  • Benefit Configuration Analyst

    Wvumedicine

    Remote job

    Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. Come join our Peak Health team at WVU Medicine as a Benefit Configuration Analyst contributing to the foundation for an innovative, new health plan. This position will report to the Benefits Configuration Leadership, playing a unique and important role in our mission to change healthcare for the better. This role will review, implement and test new plan designs as well as update existing benefit plans via business requirements while working with IT for technical solutions. The Benefits Team will analyze and update CPT, HCPC and ICD-10 coding along with ensuring compliance with CMS and other insurance governance agencies using expert data analysis. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Associate degree in health information, healthcare, or related field AND One (1) year of experience in health insurance, medical coding, claims processing or related field. OR 2. High School Diploma or equivalent AND Three (3) years of experience in health insurance, medical coding, claims processing or related field. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Bachelor's degree in health information, healthcare, or related field. EXPERIENCE: 1. 6 years' experience in health insurance and benefit design. CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. 1. Test and maintain health insurance benefit plans in the company's systems, ensuring accuracy and compliance with regulatory requirements. 2. Conduct regular audits and reviews of benefit configurations to identify discrepancies, inconsistencies, or errors. 3. Resolve configuration errors in a timely manner and document changes. 4. Work closely with IT teams to ensure seamless integration of benefit configurations into the company's technology platforms. 5. Maintain comprehensive documentation for benefit configuration, ensuring that processes and procedures are well-documented. 6. Evaluate and validate all medical billing codes, various coding services and align to accurate benefit coding. 7. Perform audits on all clinical documents and prepare coding to provide support to all services. 8. Perform research on various coding methods and facilitate all plans to resolve all discrepancies and coordinate with all clinical and non-clinical groups to manage documents according to required guidelines. 9. Administer review of professional billing systems and perform research to resolve all coding errors and evaluate all claims work queues. 10. Review procedure code master file and evaluate authenticity of all entries and evaluate all through efficient usage of codes. 11. Analyze and maintain all code master files for all inappropriate codes and inform staff for same and collaborate with staff to resolve all coding issues and ensure accuracy of same. 12. Perform testing of coding and policy changes via reports, claim adjudication and other testing software. 13. Manage and resolve all discrepancies in entry of codes and maintain knowledge on all procedural codes and reimbursement plans and prepare reports for all coding guidelines. 14. Maintain knowledge and compliance of CMS (Center for Medicare Services) guidelines and coding/billing processes. Ensure compliance with other insurance governance agencies. 15. Participate in and support all training in regard to new benefit designs or benefit changes as the result of CMS or other insurance regulations. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Prolonged periods of sitting and standing. 2. Visual strain may be encountered in viewing computer screens and written material. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Standard office environment. 2. Some travel may be required to offsite meetings. SKILLS AND ABILITIES: 1. Strategic and Independent thinking. 2. Demonstrated knowledge of federal and state insurance guidelines with CMS and others. 3. Excellent written and oral communication. 4. Demonstrated ability to build and retain relationships. 5. Proficiency with Microsoft Office. 6. Attention to detail, the ability to be organized and to be able to perform multiple tasks simultaneously. Additional Job Description: Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Exempt) Company: PHH Peak Health Holdings Cost Center: 500 PHH Administration
    $67k-96k yearly est. Auto-Apply 16d ago
  • Sr. Technology Training & Adoption Analyst

    Benesch Law 4.5company rating

    Remote job

    Who We Are At Benesch we pride ourselves on exceeding expectations and building trust not only with our clients but with our employees - Benesch's #1 asset. Committed to providing not only the highest level of legal service to our clients, Benesch also aspires to create a positive work environment for our employees. Our Firm continues to earn placement on Chicago and Cleveland's Top Workplaces list, along with Cleveland's NorthCoast 99 Top Workplaces rankings. We also continue to advance on the AmLaw 150 list, placing us among the top 150 law firms in the country. Benesch is proud to be recognized for being a Firm that attracts and retains top talent - making Benesch a great place to work. We offer a hybrid schedule, career development and growth, transparent and visible leadership teams, and a place where diversity, equity and inclusion is celebrated. In addition, the Firm offers a full array of benefits which can be viewed at ************************** Working with Us - Come and "Be Benesch!" We are one of the fastest growing firms in the nation, and have offices in Chicago, Columbus, San Francisco, New York City, and Wilmington. We continue to expand our geographic footprint and value the talent that comprises each of our locations. If you are someone who champions a First in Service approach and are ready to be part of an exciting and growing Firm, we would invite you to apply to join our team. Want to know more? To hear from some of our team, click here: ********************************************* Benesch is proud to announce the opening for a Sr. Technology Training & Adoption Analyst in our Columbus office! This position is hybrid and has work from home flexibility. Position Summary: Do you have at least 7 years of experience as a technology trainer in a law firm or professional services environment? Do you have experience with Intapp, Litera, and iManage? Are you looking for an opportunity to join an established organization and enhance and expand their training? Then our Sr. Technology Training & Adoption Analyst position may be what you're looking for! Our team is looking for that professional who wants to design, deliver, and oversee our training programs and drive the effective instruction and adoption of legal technology solutions across the Firm. The Senior Technology Training & Adoption Analyst ensures attorneys and staff are equipped to leverage technology for improved efficiency, compliance, and client service. The Senior Technology Training & Adoption Analyst plans, organizes and implements a wide range of technology training activities, including both group and personal training. The roles also provides ongoing software support, identifies and promotes relatable technology use cases, and champions the responsible and secure use of all technology processes and applications. POSITION RESPONSIBILITIES Develops and drives training and adoption efforts across the Benesch technology software stack, working with IT and appropriate firm stakeholders on institutionalization paths and plans. Tracks usage and adoption rates of technology solutions. Identifies barriers to adoption and develops actionable strategies to address them. Conducts onboarding technology training for attorneys and support staff to ensure appropriate integration into firm systems and workflows. Actively participates in firm wide technology initiatives, providing input to enhance user engagement and system effectiveness. Conducts training classes for new technology rollouts as well as existing applications. Provides telephone, virtual, or desk-side assistance for software specific questions. Develops and maintains training materials, class offerings and structured learning paths for all technology solutions. Manages and updates the Firm's Learning Management System and related training materials. Partners with the Help Desk to resolve software-related issues, solutions and documentation. Participates in the testing and evaluation of new or upgraded applications prior to deployment. Stays current with emerging trends in technology training and legal software. Organizes, creates and maintains firm-wide templates. Recommends improvements to products, processes, and training methodologies that impove overall user experience. Maintains timely, professional communication with all Firm personnel and external partners, exemplifying a commitment to delivering superior client service. Performs additional duties and supports special projects as assigned. QUALIFICATIONS The Senior Technology Training & Adoption Analyst will possess a bachelor's degree or comparable experience, with a minimum of seven years of experience in legal technology training, adult education, or a related field. This individual should demonstrate a strong understanding of legal workflows and the unique operational needs of law firms, along with excellent communication, presentation, and interpersonal skills. The role requires analytical ability to interpret data and metrics in order to measure technology adoption and training effectiveness. Experience with legal technology platforms such as Intapp, Litera, and iManage is highly desirable. Familiarity with Microsoft Office 365, artificial intelligence solutions, and other advanced technologies is also a plus. Benesch is an equal opportunity employer. We strongly value and encourage diversity and solicit applications from all qualified applicants without regard to race, color, gender, sex, age, religion, creed, national origin, ancestry, citizenship, marital status, sexual orientation, physical or mental disability (where applicant is qualified to perform the essential functions of the job with or without reasonable accommodations), medical condition, protected veteran status, gender identity, genetic information, or any other characteristic protected by federal, state, or local law. Applicants who are interested in applying for a position and require special assistance or an accommodation during the process due to a disability should contact the Benesch Human Resources Department by phone at ************ or email Christine Watson at **********************. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
    $97k-123k yearly est. 60d+ ago
  • Remote - Epic Revenue Application Analyst II - Professional Billing

    Mosaic Life Care 4.3company rating

    Remote job

    Remote - Epic Revenue Application Analyst II - Professional Billing Rev Cycle Implementation Team Full Time Status Day Shift Pay: $72,945.60 - $109,428.80 / year Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. This position works with minimal supervision, uses defined methodologies in a team environment to perform system life cycle tasks for assigned systems and technologies. This position is responsible for implementation and support of applications. This position works closely with end users to troubleshoot and correct problems relating to applications and assists with conversions and implementations of software products. This position uses operational knowledge to seek out, research and evaluate a variety of solutions to provide end users with high quality, efficient products. This position maintains and supports specified installed application software products. This position is employed by Mosaic Health System. Demonstrates accountability in delivering assigned task. Reports project issues and accomplishments to application/project manager. Delivers a work product that meets project requirements as defined by the scope and stays within departmental guidelines for application configuration/development. Analyzes and documents current and future needs and workflows through interviews and gathering data regarding regulatory requirements, operational procedures, and hospital/departmental policies. Participates in the planning, development, implementation, maintenance, support, and evaluation of clinical or business application systems as assigned. These activities may include system design, documentation of design decisions, workflow redesign and documentation, data collection, database building, testing, and troubleshooting. Participates/Contributes/Takes instructions in team and project meetings. Works closely with team/department members. Works effectively and efficiently as part of a team on assignments. Can work independently on some assignments. Takes direction. Other duties as assigned All required education is a minimum requirement. Higher levels of education are acceptable. Associate's Degree in Information Technology, Business Administration, or related field or three or more years of related experience required. EPIC certification(s) - current upon hire preferred. OR EPIC certification(s) - achieve within 120 days required. AND if certification not achieved upon hire must be willing to travel or actively participate in remote training required. 3 years or more of related experience required. AND experience supporting clinical, ancillary, or business environments required. AND Application system build experience preferred.
    $72.9k-109.4k yearly 42d ago
  • Processing Data Analyst

    Tabs 4.5company rating

    Remote job

    Tabs is the leading AI-native revenue platform for modern finance and accounting teams. Tabs agents automates the entire contract-to-cash lifecycle, including billing, collections, revenue recognition, and reporting, to help teams eliminate manual work and accelerate cash flow. High-growth companies like Cursor and Statsig rely on Tabs to generate invoices directly from contracts, reconcile payments in real time, and automate ASC 606 compliance. Founded in 2023, Tabs has raised over $91 million from Lightspeed Venture Partners, General Catalyst, and Primary. The team is headquartered in New York and brings deep expertise in finance and AI. About the Role We're looking for a detail-oriented and analytical Processing Data Analyst to support and enhance the Human-In-The-Loop (HITL) workflows that are used to evaluate our automated extraction. In this role, you'll ensure the accuracy, efficiency, and reliability of our extraction operations by managing internal ticket queues, maintaining performance metrics, and collaborating closely with our Operations Team. You will also learn about how artificial intelligence is applied at one of the fastest growing companies in financial technology. This is a fully remote role for a contractor based in the United States. Tabs Background Most contracts are extracted fully autonomously and we are consistently increasing the reach of the automated processes. To train this process further, Tabs works with contractors to manually process the contracts and compare the automated results to the human-generated ones. Complex contracts go through an automatic processing layer and then through a human checker to validate the results. The most complex contracts, however, are processed entirely by people. The people involved in contract processing are located around the world and work at different times to align with their timezones and the company's needs. We are seeking a person to conduct quality assurance (QA) testing on a subset of these complex contracts so as to provide feedback to the processors and to provide reporting to the company about the accuracy of this process What You'll Do Assign processing work to individuals when sufficient information has been received from internal stakeholders Respond to inquiries from processors who have gotten stuck by looking at internal records about the document type or by escalating the request Conduct QA on Human-In-The-Loop (HITL) processes to ensure data accuracy and consistency Maintain and improve HITL accuracy metrics and reporting to key stakeholders and to the processors themselves Collaborate closely with the Processing Team to relay updates, clarify requirements, and troubleshoot issues Identify operational inefficiencies and help implement process improvements Support cross-functional initiatives related to data quality and processing optimization Who You Are Highly detail-oriented, organized, and reliable Strong communicator who can work seamlessly with technical and non-technical teams Comfortable executing processes end-to-end and making data-driven recommendations Proactive problem-solver who is energized by improving accuracy and efficiency Experience 3-5 years of experience in data operations, quality assurance, HITL workflows, or related roles Experience working with customer service ticketing systems such as Monday.com, Pylon, Jira, or similar Familiarity with operational metrics, performance tracking, and reporting Previous experience working in a cross-functional operations or data-focused team Experience with Google Sheets, SQL, or a BI tool like Looker or Omni is a plus Experience in a startup or fast-moving environment is a plus This role is for a remote-only 1099 contractor in the United States. You will set your own hours (up to 40 per week) and complete work at your pace so as to accomplish the goals set forth with your manager. For security, we will provide you with a computer to be used for this work only. Perks and Benefits (Full-time Employees) Competitive compensation and equity Unlimited PTO Up to 100% employer covered monthly healthcare premium (medical, dental, vision) Lunch provided via Sharebite, plus dinner for any later office days. Parental leave up to 12 weeks Tax free commuter and parking benefits Voluntary insurances (Life, Hospital, Critical Illness, Accident) Employee Assistance Program (Rightway) 401k Tabs is an equal opportunity employer. We welcome teammates of all identities and do not discriminate on the basis of race, ethnicity, religion, gender identity, sexual orientation, age, disability, veteran status, or any other protected characteristic. We're committed to creating an environment where everyone can grow, contribute, and feel comfortable being themselves.
    $71k-96k yearly est. Auto-Apply 45d ago
  • Client Solutions Analyst

    Liquidity Services 4.5company rating

    Remote job

    The Client Solutions Analyst plays a significant role in advancing the circular economy by supporting several multi-million-dollar client accounts as well as onboard new strategic accounts. This position is a vital part of the team responsible for executing complex reverse logistics programs. The analyst directly supports top Account Managers and can influence the largest clients in the company. Primary responsibilities include reporting on and interpreting high-priority performance data, as well as collaborating with clients to manage the complete lifecycle of product resale via B2B and B2C channels. The company's clients are leading retailers and manufacturers worldwide, and the analyst works with them on sophisticated reverse logistics initiatives. As a member of the Retail Supply Chain Group (RSCG), the analyst is integrated into a rapidly growing environment with direct visibility to senior team members who have held executive and management roles at premier e-commerce, retail, and consulting organizations. Education/ Experience: Preferred: Bachelor's degree in supply chain, logistics, business, or finance Preferred: At least two years of experience in data and reporting analysis to support internal business decisions and client performance metrics. Experience in supply chain, consulting, or the retail industry. Interest in client-facing roles within a fast-paced e-commerce company. Skills: Strong analytical abilities and advanced expertise in Microsoft Excel to create and interpret reports effectively. Proficiency in data visualization, including transforming raw data into graphical representations and infographics for internal and client presentations. Experience with Power BI or similar data visualization tools. Ability: Ability to understand and communicate complex data reports to present key financial information effectively to clients. Exhibits critical thinking skills to identify opportunities for streamlining and automating data reporting processes. Demonstrates the ability to prioritize and focus on operational tasks in a high-growth environment, maintaining attention to detail. Self-motivated and committed to delivering exceptional client experiences. Work Conditions/ Physical Demands: Position is fully remote. Ideal candidate must have home office space and access to high-speed internet. Location: Remote USA Travel: 0-5% Pay & Benefits: Compensation is determined by various factors such as location, education, knowledge, skills, competencies, and experience, as well as internal and external equity and organizational needs. Additionally, this role is eligible for an annual discretionary bonus. The salary range for this position is $58,600 to $73,200 annually. The posted range reflects our national average range for the job. We may ultimately pay more or less than the published range based on the factors mentioned above. This range may be modified in the future. At Liquidity Services, we provide a comprehensive benefits package that supports our employees' well-being and provides growth opportunities and career development. Our offerings include: Competitive wages Healthcare (medical, dental, vision, prescription drugs, FSAs) 401(k) plan Paid time off (PTO) and holidays Paid parental leave Life and disability insurance Employee Assistance Program (EAP) Professional development and tuition assistance Disclaimer: The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. Liquidity Services Inc. reserves the right to modify position duties at any time due to business necessity . Liquidity Services is an Equal Opportunity Employer. Serve as a primary point of contact for a wide range of client requests, including explaining complex liquidation data and addressing operational challenges to meet client needs. Collaborate with multiple internal departments-such as transportation, planning, warehouse operations, finance, and sales-to implement new business programs and coordinate key aspects of client accounts. Partner with Client Solutions Account Managers to develop presentations for recurring meetings and Quarterly Business Reviews using Microsoft PowerPoint, supported by analysis in Microsoft Excel. The team presents account performance to clients and identifies improvement opportunities for both the company and its clients. Analyze historical and current data to define key trends and work with Client Solutions management to apply insights for the benefit of both the client and the organization, utilizing tools such as Power BI for real-time data visualization. Identify and pursue business growth opportunities within existing client accounts. Utilize LS custom-built systems to extract inventory and sales data, generating complex and accurate reports used by company leadership and clients to highlight successes and areas for improvement. Conduct financial reconciliations according to client contractual terms and collaborate with the finance department to facilitate client settlements. Act as an intermediary between sellers and buyers on the platform to ensure a positive user experience for all parties involved. Create and update Standard Operating Procedures (SOPs) for both internal and external teams, providing clear guidance on the dispositioning of various inventory segments.
    $58.6k-73.2k yearly Auto-Apply 8d ago
  • SME - Health Systems Analyst

    Aptive 3.5company rating

    Remote job

    The SME - Health Systems Analyst serves as the clinical and operational authority for quality, patient safety, workflow validation, and clinical oversight across Project SWIFT deployments. This role ensures safe, effective clinical operations during Pre-Deployment, Go-Live, and Stabilization and provides leadership across ATE support and clinical backfill activities. Primary Responsibilities Oversee clinical quality, patient safety alignment, and workflow validation across sites Coordinate with VA clinical leadership, service-line SMEs, and clinical informaticists Provide oversight and guidance to specialty support teams during surge operations Identify and mitigate clinical risk during go-live and stabilization periods Ensure adherence to clinical best practices and VA policy requirements Contribute clinical insight to readiness assessments, incident management, and lessons learned Minimum Qualifications Either: Nurse Practitioner (NP) with: Bachelor of Science in Nursing (BSN) Completion of an NP-focused graduate master's or doctoral program Active NP board certification Or: Internal Medicine Physician with: MD or DO from an accredited U.S. or Canadian institution Current, active, full, unrestricted physician license Client Information Project SWIFT (Scaled Workforce for Implementation and Facility Throughput) provides surge staffing, command-and-control, and operational stabilization support to VA medical facilities during Federal Electronic Health Record (EHR) deployments. The program is designed to maintain access to care, protect patient safety, and stabilize clinical and administrative operations before, during, and after EHR go-live events. Through a centralized Command and Control Center (C4) and coordinated onsite support teams, Project SWIFT delivers readiness planning, at-the-elbow (ATE) assistance, clinical and operational backfill, and post-deployment stabilization across concurrent VA facility activations. The program supports Pre-Deployment, Go-Live, and Stabilization phases, enabling facilities to recover throughput, reduce disruption, and achieve steady-state operations while capturing lessons learned to continuously improve future deployments.
    $54k-81k yearly est. Auto-Apply 3d ago
  • Senior Analyst, Revenue & Ad Technology (Remote)

    Scripps 4.3company rating

    Remote job

    The E.W. Scripps Company is seeking a Senior Analyst of Revenue and Ad Technology to bridge the gap between product development, sales operations, external platform and supply partners to ensure ad delivery and optimize revenue performance across our streaming and digital advertising platforms. WHAT YOU'LL DO: Analyze ad delivery performance, identify yield optimization opportunities, and implement operational improvements. Design, document, and automate operational workflows for campaign setup, troubleshooting, and optimization, delivering efficiency gains across the team. Drive initiatives that reduce campaign and ad delivery issues, shortening time-to-resolution. Optimize inventory performance by increasing yield ad improving fill rates. Translate business needs into technical requirements in partnership with sales, product, and engineering teams, ensuring seamless cross-functional execution. Provide actionable insights on partner performance, inventory utilization, and revenue trends to leadership. Utilize deep operational knowledge of FreeWheel, GAM, and programmatic platforms to maximize efficiency. Strengthen cross-functional team collaboration and communication, ensuring smooth execution of complex, multi-stakeholder initiatives. Other duties as assigned. WHAT YOU'LL NEED: Bachelor's degree in related field preferred. Generally, 5+ years experience with in ad operations or revenue operations, preferably in streaming/CTV WHAT YOU'LL BRING: Advanced knowledge of ad serving platforms (FreeWheel strongly preferred) Experience with complex inventory structures and programmatic advertising Strong data analytical skills with the ability to diagnose technical delivery issues Understanding of the complete ad delivery pipeline from trafficking to reporting Ability to problem solve quickly in a fast-paced environment Process improvement capabilities (automation focus) Executive presentation skills for leadership reporting Ability to present technical communications Possess a process automation mindset and implementation Workflow optimization and efficiency improvement Performance metrics development and tracking Cross-functional collaboration effectiveness Proven revenue optimization results #LI-SM2 #LI-Onsite If you are a current Scripps employee, please do not apply on this site. Please access our internal career site at Worklife > My Info > View Open Positions at Scripps. SCRIPPS' COMMITMENT TO A CULTURE THAT CREATES CONNECTION: At Scripps, we are committed to a culture that reflects the audiences and communities we serve. We are intentional about creating an environment where employees, our audiences and other stakeholders feel valued and inspired to reach their full potential and create connections. To successfully deliver on this commitment, we must understand and reflect the values and perspectives those around us embody. That process begins by looking inward to build and celebrate a respectful workplace where everyone feels a sense of belonging and connection. By continuing to cultivate an environment where all employees have a fair chance to succeed, are included, valued, and seen, we will strengthen the connections that drive positive business impact and align with our core purpose. ABOUT SCRIPPS: The E.W. Scripps Company (NASDAQ: SSP) is a diversified media company focused on creating a better-informed world. As one of the nation's largest local TV broadcasters, Scripps serves communities with quality, objective local journalism and operates a portfolio of more than 60 stations in 40+ markets. Scripps reaches households across the U.S. with national news outlets Scripps News and Court TV and popular entertainment brands ION, Bounce, Defy TV, Grit, ION Mystery and Laff. Scripps is the nation's largest holder of broadcast spectrum. Scripps is the longtime steward of the Scripps National Spelling Bee. Founded in 1878, Scripps' long-time motto is: “Give light and the people will find their own way.” As an equal employment opportunity employer, The E.W. Scripps Company and its affiliates do not discriminate in its employment decisions on the basis of race, sex, sexual orientation, transgender status, gender, color, religion, age, genetic information, medical condition, disability, marital status, citizenship or national origin, and military membership or veteran status, or on any other basis which would be in violation of any applicable federal, state or local law. Furthermore, the company will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in an undue hardship for the company.
    $87k-103k yearly est. Auto-Apply 60d+ ago
  • Technical Systems Analyst (Onsite Hybrid)

    NTT Data 4.7company rating

    Remote job

    NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Technical Systems Analyst (Onsite Hybrid) to join our team in Westlake, Texas (US-TX), United States (US). Job Responsibilities Include: * Contribute as a key member of a cross-functional squad focused on driving platform modernization initiatives across the client's enterprise, ensuring seamless system integration and alignment with business objectives. * Analyze, design, and support the implementation of enterprise web and middle-tier applications leveraging technologies such as Angular, TypeScript, and Java (Spring/Spring Boot) to meet performance and scalability requirements. * Collaborate with developers, architects, and business stakeholders to translate business needs into detailed technical requirements and system specifications. * Support end-to-end solution delivery, including requirements validation, impact analysis, testing coordination, and production readiness activities. * Work both independently and within a team environment, ensuring timely, high-quality deliverables that align with established architecture standards and client expectations Basic Qualifications: * 5+ years of advanced experience as a Systems Analyst supporting the development of complex, enterprise software solutions. * 5+ years solid grasp and experience with Structured Query Language (SQL), querying relational databases, and programming in general. * 5+ years proven experience working with APIs - REST, SOAP, JSON, XML. * 5+ years experience with Agile development methodologies. Preferred Skills: * Brokerage experience and familiarity with Trading capabilities * Experience researching, optimizing, developing, and authoring solution requirements, user stories, and specifications for moderate to complex software systems. * Experience in various systems analysis methodologies, including data analysis, data mapping, flowcharts, use-case development, story writing, set-up & configuration of systems, gap analysis, user acceptance testing, and product documentation. * Experience with generative AI tools to increase efficiency and quality. * Excellent communication and analytical skills, proactive, organized, highly responsive, and committed to quality. * B.S. in Finance, Computer Science, Management Information Systems, or equivalent experience. Suggestions: Experience collaborating with the User design team to gather and communicate user requirements, finalize front end interfaces, ensure consistent user experience across platforms, and work with design tools like Figma. #INDFSINS #L1-NorthAmerica About NTT DATA NTT DATA is a $30 billion business and technology services leader, serving 75% of the Fortune Global 100. We are committed to accelerating client success and positively impacting society through responsible innovation. We are one of the world's leading AI and digital infrastructure providers, with unmatched capabilities in enterprise-scale AI, cloud, security, connectivity, data centers and application services. our consulting and Industry solutions help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have experts in more than 50 countries. We also offer clients access to a robust ecosystem of innovation centers as well as established and start-up partners. NTT DATA is a part of NTT Group, which invests over $3 billion each year in R&D. Whenever possible, we hire locally to NTT DATA offices or client sites. This ensures we can provide timely and effective support tailored to each client's needs. While many positions offer remote or hybrid work options, these arrangements are subject to change based on client requirements. For employees near an NTT DATA office or client site, in-office attendance may be required for meetings or events, depending on business needs. At NTT DATA, we are committed to staying flexible and meeting the evolving needs of both our clients and employees. NTT DATA recruiters will never ask for payment or banking information and will only **************** ******************************* email addresses. If you are requested to provide payment or disclose banking information, please submit a contact us form, ************************************* NTT DATA endeavors to make ********************** accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at ************************************* This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here. If you'd like more information on your EEO rights under the law, please click here. For Pay Transparency information, please click here.
    $73k-89k yearly est. Auto-Apply 60d+ ago
  • SR Data Integrity Analyst, Revenue Cycle

    Ohiohealth 4.3company rating

    Remote job

    We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. Summary: This position supports the System-wide Enterprise Master Patient Index (EMPI), chart corrections, duplicate merges, overlays, and other Data Integrity Analyst functions for all OhioHealth entities on Epic (Care Connect). In addition, this position may support all EMPI functions related to Community Connect entities. These tasks require effective critical thinking skills to analyze regulatory requirements, state and federal laws, including Joint Commission, the 21st Century Cures Act and HIPAA. The Senior Data Integrity Analyst must apply this knowledge when evaluating and working multiple inbaskets and interface error queues requiring deductive reasoning for the purpose of ensuring accurate documentation in the patient's EHR. This role requires excellent written and verbal communication skills. The position also requires working independently with little to no supervision. Data abstraction and computer skills are essential to this role along with excellent customer service skills. Excellent organizational skills with attention to detail are necessary to perform this role successfully. This position is responsible for training, process and workflow assessment, recommendations for improvement, implementing changes to workflows, reporting, GEMBA board, tracking and analyzing statistics, leading huddles and assisting with team engagement. May also assist with more duties and responsibilities requiring advanced critical thinking and analysis skills. The position must work independently with little to no supervision. This associate must also be able to perform other duties as assigned by HIM Leadership. Responsibilities And Duties: 40% Assists with various functions in Data Integrity/EMPI to include, but not limited to duplicate merges, chart corrections and overlays as assigned. • Troubleshoots data integrity issues by ensuring each patient has one medical record number, including performing necessary changes in all Ohio Health systems as needed. • Monitors overlay reports and potential duplicate patient work queues, researches and performs maintenance required to validate patient identity utilizing established department guidelines / processes in addition to personal discretion and judgement. • Monitors assigned chart correction cases (document corrections, amendment requests, etc) or tasks on a routine basis and follows up with all members assigned within the case to ensure timely resolution. • Utilize internal and external resources as needed to aid in the necessary research to resolve duplicates, overlays, and other chart correction issues. Utilize various applications and validate documents such as clinical and registration notes, physician orders, prescriptions, medications, and other data fields/resources. • Search for and analyze demographic and clinical data applying critical thinking skills to discern correct patient information in accordance with established processes and procedures. • Manage multiple critical tasks and assignments simultaneously with speed and accuracy in a fast paced and evolving environment. 40% • Uses logic and reasoning to identify corrective measures, process improvements, approaches to solving problems, and alternate solutions, as necessary. • Notify all downstream systems/departments and/or support staff external to department of data integrity or medical record number (MRN) changes in a timely fashion to keep systems synchronized. • Reviews and processes inbound messages or tasks into the Ohio Health electronic medical record for patient care coordination, privacy/security, and integrity of the patient's protected health information. • Responds to questions from external facilities/practices regarding the operation and support of our health information exchange (HIE) and completes processes and tasks related to the HIE. • Manage multiple critical tasks and assignments simultaneously with speed and accuracy while under pressure. • Leads cross training and new hire onboarding • Prepare documentation and guidelines as assigned. • Generates reports and analyzes data for distribution to other areas or for the team as assigned. • Participates with task forces, project teams or committees as assigned. • Leads department huddles and GEMBA board preparation and presentation. • Maintains positive behavior and adapts to a changing environment. 10% • Understand and present complex information and respond to questions about patient chart/data integrity issues from all departments across the organization • Work both independently and collaboratively with others in a professional manner within and externally to the department with minimal supervision / guidance. • Assumes responsibility for professional growth and development by completing training/recertification designed to maintain and increase job knowledge. 10% • May be required to provide afterhours/on-call support for urgent requests and coverage. • Attends meetings as required. •Other duties and projects as assigned Minimum Qualifications: Associate's Degree, Bachelor's DegreeRHIA - Registered Health Information Administrator - American Health Information Management Association, RHIT - Registered Health Information Technician - American Health Information Management Association Additional Job Description: Data Integrity/EMPI Data Experience of 2 years or greater. Work Shift: Day Scheduled Weekly Hours : 40 Department Corporate HIM Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment Remote Work Disclaimer: Positions marked as remote are only eligible for work from Ohio.
    $42k-54k yearly est. Auto-Apply 38d ago

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