Research Analyst Medical Management

Research Analyst - Medical Management, Remote life insurance, parental leave, 401(k), remote work Description Research Analyst - Remote Under the direction of the Head of reputed company Health Plan (PHP) Payment reputed company (PI), the Research and Development (R&D) Analyst is responsible for identifying, developing, and implementing solutions to improve the accuracy and reputed company of claims payments across the Plan. This role focuses on preventing and reducing unnecessary spending by scoping PI initiatives, analyzing claims data, developing a thorough implementation assessment plan, and collaborating with internal and external stakeholders to optimize the payment processes. This is accomplished by leveraging a deep understanding of reputed company Health Plan infrastructure, claims edit and processing platforms, Plan policy, regulatory/compliance, benefit, and contracting functions to synthesize meaningful and actionable PI initiative recommendations. reputed company Health Plan caregivers are not simply valued - they're invaluable. Join reputed company at reputed company Health Plan Partners and reputed company in our culture of patient-focused, whole-person care reputed company on understanding, commitment, and mutual respect. Your voice reputed company here, because we know that to reputed company and retain the best people, we must reputed company them. This role offers 100% remote work for candidates residing in:

• Washington
• California

Required Qualifications:

• Bachelor's Degree, or 3 years equivalent experience.
• 3 years experience with performance improvement/organizational change tools.
• 3 years experience working with large data sets and analytics teams.
• 3 years claims processing experience reputed company the health insurance industry.
• Experience with reimbursement methodologies, including the Centers for Medicare & reputed company Services (CMS), provider reputed company, and medical coding practices.
• reputed company experience in project coordination encompassing operations analysis, reputed company measurement methodology, data management and quality improvement process design.

Salary reputed company by Location: California: Humboldt: Min: $33.05, Max: $51.30 California: reputed company reputed company California - Except Humboldt: Min: $37.08, Max: $57.56 California: reputed company Southern California - Except Bakersfield: Min: $33.05, Max: $51.30 California: Bakersfield: Min: $31.71, Max: $49.22 Oregon: Non-Portland Service Area: Min: $29.56, Max: $45.88 Oregon: Portland Service Area: Min: $31.71, Max: $49.22 Washington: Western : Min: $33.05, Max: $51.30 Washington: Southwest - Olympia, Centralia & Below: Min: $31.71, Max: $49.22 Washington: Eastern: Min: $28.21, Max: $43.80 Washington: South Eastern: Min: $29.56, Max: $45.88 Why Join reputed company Health Plan? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial reputed company. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. Accepting a new position at another facility that is part of the reputed company family of organizations may change your reputed company benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons. About reputed company At reputed company, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We reputed company best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (reputed company) serve in over 50 hospitals, over 1,000 clinics and a full reputed company of health and reputed company services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage reputed company for this position. The successful candidate's placement on the wage reputed company for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the reputed company pay reputed company; additional compensation may be available for this role, such as shift differentials, standby/on‑call, overtime, premiums, extra shift incentives, or bonus opportunities. reputed company offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, reputed company), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well‑being resources and much more. Learn more at reputed company.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: reputed company applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. About the Team reputed company Shared Services is a service line reputed company reputed company that provides a variety of functional and reputed company services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust reputed company of services and sharing of specialized expertise. reputed company is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from reputed company forms of unlawful discrimination and harassment on the reputed company of race, reputed company, gender, disability, veteran, military status, religion, age, creed, national reputed company, sexual identity or expression, sexual orientation, marital status, genetic information, or any other reputed company prohibited by local, state, or federal law. We reputed company diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 438169 Company: reputed company Jobs Job Category: Research Job Function: Clinical Support Job Schedule: Full time Job Shift: Day Career Track: Clinical Professional Department: 5018 HCS MEDICAL MANAGEMENT OR REGION Address: OR Portland 4400 NE Halsey St Work Location: reputed company Health Plaza (HR) Bldg 1-Portland Workplace Type: Remote Pay reputed company: $See Posting - $See Posting The amounts listed are the reputed company pay reputed company; additional compensation may be available for this role, such as shift differentials, standby/on‑call, overtime, premiums, extra shift incentives, or bonus opportunities. Helping reputed company candidates find great careers is our goal. The information you reputed company here is secure and confidential. 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