Bluespine-Sr. FWA Analyst
OR · On-site +1
Support engineering and data science teams with audit and FWA concepts, data mapping, and defining data requirements * Determine the likelihood of cases being true error/fraud, based on real-life ...
Bluespine-Sr. FWA Analyst
OR · On-site +1
Support engineering and data science teams with audit and FWA concepts, data mapping, and defining data requirements * Determine the likelihood of cases being true error/fraud, based on real-life ...
Data Engineer - Information Technology
$111.30K - $133.60K/yr
... data mappings and transformations between data sources and data repositories Incorporate error ... Founded in 1873 and accredited by the Higher Learning Commission, Southeast Missouri State ...
Data Engineer - Information Technology
$111.30K - $133.60K/yr
... data mappings and transformations between data sources and data repositories Incorporate error ... Founded in 1873 and accredited by the Higher Learning Commission, Southeast Missouri State ...
SAP BRIM S/4HANA Functional Consultant - FICA _Contract Role
Harrisburg, PA · Remote
$100 - $115/hr
Support the data team with BRIM/FICA data mapping, translation rules, cross reference maintenance ... This documentation shall follow the format and / or templates as instructed by the Commission.
Quick apply
SAP BRIM S/4HANA Functional Consultant - FICA _Contract Role
Harrisburg, PA · Remote
$100 - $115/hr
Support the data team with BRIM/FICA data mapping, translation rules, cross reference maintenance ... This documentation shall follow the format and / or templates as instructed by the Commission.
Data Engineer - Information Technology
Cape Girardeau, MO · On-site
$111.30K - $133.60K/yr
Implement and document needed data mappings and transformations between data sources and data ... Founded in 1873 and accredited by the Higher Learning Commission, Southeast Missouri State ...
Data Engineer - Information Technology
Cape Girardeau, MO · On-site
$111.30K - $133.60K/yr
Implement and document needed data mappings and transformations between data sources and data ... Founded in 1873 and accredited by the Higher Learning Commission, Southeast Missouri State ...
Support the data team with BRIM/FICA data mapping, translation rules, cross reference maintenance ... Adhere to and follow all The Commission standards, policies, and procedures. * Utilize various ...
New
Support the data team with BRIM/FICA data mapping, translation rules, cross reference maintenance ... Adhere to and follow all The Commission standards, policies, and procedures. * Utilize various ...
New
Implementation Project Director
New York, NY · Remote
$133K - $177K/yr
Analyze integration, data mapping, and workflow needs with clients and internal teams. * Lead ... The target salary range for this position (inclusive of Base + Commission) is $133,000 - $177,000 ...
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Implementation Project Director
New York, NY · Remote
$133K - $177K/yr
Analyze integration, data mapping, and workflow needs with clients and internal teams. * Lead ... The target salary range for this position (inclusive of Base + Commission) is $133,000 - $177,000 ...
Mechanic Wanted FLAT RATE commission. (Savannah)Meineke Car Care craigslist - Map data OpenStreetMap compensation: Depends on experience. Flat Rate. employment type: full-time job title: Mechanic ...
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Mechanic Wanted FLAT RATE commission. (Savannah)Meineke Car Care craigslist - Map data OpenStreetMap compensation: Depends on experience. Flat Rate. employment type: full-time job title: Mechanic ...
Previous experience with privacy preferences migration, customer data mapping, integration, and ... Those in eligible roles may receive commission-based pay and/or discretionary incentive ...
Previous experience with privacy preferences migration, customer data mapping, integration, and ... Those in eligible roles may receive commission-based pay and/or discretionary incentive ...
... data mappings, and transformation rules. • Monitor data quality, identify gaps, and drive ... commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts ...
... data mappings, and transformation rules. • Monitor data quality, identify gaps, and drive ... commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts ...
Product Delivery Manager, Data and Analytics
Manhattan, NY · On-site
$118.75K - $197K/yr
Previous experience with privacy preferences migration, customer data mapping, integration, and ... Those in eligible roles may receive commission-based pay and/or discretionary incentive ...
Product Delivery Manager, Data and Analytics
Manhattan, NY · On-site
$118.75K - $197K/yr
Previous experience with privacy preferences migration, customer data mapping, integration, and ... Those in eligible roles may receive commission-based pay and/or discretionary incentive ...
Previous experience with privacy preferences migration, customer data mapping, integration, and ... Those in eligible roles may receive commission-based pay and/or discretionary incentive ...
Previous experience with privacy preferences migration, customer data mapping, integration, and ... Those in eligible roles may receive commission-based pay and/or discretionary incentive ...
SAP BRIM Functional Consultant - FICA
Middletown, PA · On-site
$52 - $55/hr
Support the data team with BRIM/FICA data mapping, translation rules, cross reference maintenance ... Adhere to and follow all The Commission standards, policies, and procedures. * Utilize various ...
Quick apply
SAP BRIM Functional Consultant - FICA
Middletown, PA · On-site
$52 - $55/hr
Support the data team with BRIM/FICA data mapping, translation rules, cross reference maintenance ... Adhere to and follow all The Commission standards, policies, and procedures. * Utilize various ...
... data mapping, translation rules, cross reference maintenance, and open item conversion. • ... This documentation shall follow the format and / or templates as instructed by the Commission. • ...
... data mapping, translation rules, cross reference maintenance, and open item conversion. • ... This documentation shall follow the format and / or templates as instructed by the Commission. • ...
Document data mappings, transformations, and integration logic. * Monitor data flows and ... commission of daily duties. Specific vision abilities required by this job include close vision ...
Quick apply
Document data mappings, transformations, and integration logic. * Monitor data flows and ... commission of daily duties. Specific vision abilities required by this job include close vision ...
Document data mappings, transformations, and integration logic. * Monitor data flows and ... commission of daily duties. Specific vision abilities required by this job include close vision ...
Document data mappings, transformations, and integration logic. * Monitor data flows and ... commission of daily duties. Specific vision abilities required by this job include close vision ...
... data mapping, translation rules, cross reference maintenance, and open item conversion. • ... This documentation shall follow the format and / or templates as instructed by the Commission. • ...
... data mapping, translation rules, cross reference maintenance, and open item conversion. • ... This documentation shall follow the format and / or templates as instructed by the Commission. • ...
Data Engineer
Austin, TX · On-site
$67 - $77/hr
The Data Engineer will support the Texas Health and Human Services Commission (HHSC) on the ... Design, develop, and maintain mappings and workflows to automate ETL processes using Informatica ...
Data Engineer
Austin, TX · On-site
$67 - $77/hr
The Data Engineer will support the Texas Health and Human Services Commission (HHSC) on the ... Design, develop, and maintain mappings and workflows to automate ETL processes using Informatica ...
ETL Test Engineer
Irving, TX · On-site
$68.91K - $161.54K/yr
The role requires handson ETL testing experience with Informatica and data mapping. You will ... Compensation (including bonuses, commissions, or other forms of incentive pay) is not considered ...
ETL Test Engineer
Irving, TX · On-site
$68.91K - $161.54K/yr
The role requires handson ETL testing experience with Informatica and data mapping. You will ... Compensation (including bonuses, commissions, or other forms of incentive pay) is not considered ...
Data Migration Architect- SAP BRIM
Boiling Springs, PA · Hybrid
$61.75 - $79.50/hr
Data Modeling, Mapping & Transformation * Lead source-to-target mapping for subscriptions ... Commission templates. * Manage features, user stories, and tasks in Azure DevOps (ADO)/JIRA ...
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Data Migration Architect- SAP BRIM
Boiling Springs, PA · Hybrid
$61.75 - $79.50/hr
Data Modeling, Mapping & Transformation * Lead source-to-target mapping for subscriptions ... Commission templates. * Manage features, user stories, and tasks in Azure DevOps (ADO)/JIRA ...
$63K - $68K/yr
... Fishery Commission. This person will help create an adaptive problem map of connections among existing data sets, completed and ongoing research questions, and desired management decisions for ...
$63K - $68K/yr
... Fishery Commission. This person will help create an adaptive problem map of connections among existing data sets, completed and ongoing research questions, and desired management decisions for ...
Commission Data Mapping information
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Full-time
Posted 8 days ago
Job description
Description
Bluespine is an innovative new startup in the health-IT domain. By employing cutting-edge technologies, Bluespine is developing an engine that detects errors in medical billing, which causes billions of dollars in losses across the entire industry. Bluespine can offer personalized precision by tailoring assessments to each unique medical claim, considering the relevant provider, payer, and plan, and ensuring unparalleled accuracy.
We are looking for a Sr. FWA Analyst experienced in discovering medical billing errors and fraudulent billing patterns of medical claims for commercial payers.
Responsibilities
Requirements
Advantages
Bluespine is an innovative new startup in the health-IT domain. By employing cutting-edge technologies, Bluespine is developing an engine that detects errors in medical billing, which causes billions of dollars in losses across the entire industry. Bluespine can offer personalized precision by tailoring assessments to each unique medical claim, considering the relevant provider, payer, and plan, and ensuring unparalleled accuracy.
We are looking for a Sr. FWA Analyst experienced in discovering medical billing errors and fraudulent billing patterns of medical claims for commercial payers.
Responsibilities
- Proactively identify potential instances of fraud, waste, and abuse through data analysis using company systems and tools
- Support engineering and data science teams with audit and FWA concepts, data mapping, and defining data requirements
- Determine the likelihood of cases being true error/fraud, based on real-life experience.
- Validate and help to tune anomaly detection algorithms.
Requirements
- Hands-on experience exploring and investigating potential medical billing errors/fraud using analytic and SQL/graph-based tools.
- Extensive knowledge of medical terminology, medical records, health information management, medical coding, DRG methodologies, CPT/HCPCS coding guidelines, physician specialty guidelines, reimbursement programs, claims adjudication processes, member contract benefits, regulatory agency policies (CMS/HCFA, DOI, state regulations), and provider billing systems and practices.
- Strong analytical skills and ability to approach tasks in a scientific manner.
- Background in SIU or Payment Integrity.
- Independent, Organized, and with excellent communication skills.
Advantages
- Medical/clinical background.
- Experience with Pharma claims.
- Billing/coding experience.