System Configuration Analyst
Tustin, CA ยท On-site
Coordinate, track, and complete claims and UM-related projects * Analyze and process complex claim and UM scenarios * Assist with benefit implementation and claims/UM system configuration
Tustin, CA ยท On-site
Coordinate, track, and complete claims and UM-related projects * Analyze and process complex claim and UM scenarios * Assist with benefit implementation and claims/UM system configuration
Tustin, CA ยท On-site
Coordinate, track, and complete claims and UM-related projects * Analyze and process complex claim and UM scenarios * Assist with benefit implementation and claims/UM system configuration
Tustin, CA ยท On-site +1
Are you energized by solving complex Utilization Management (UM) and claims scenarios while ensuring systems work exactly as designed? LIBERTY Dental Plan is seeking a System Configuration Analyst to ...
Tustin, CA ยท On-site +1
Are you energized by solving complex Utilization Management (UM) and claims scenarios while ensuring systems work exactly as designed? LIBERTY Dental Plan is seeking a System Configuration Analyst to ...
Rancho Cordova, CA ยท Remote
$53.46 - $79.52/hr
Must have the ability to monitor, compile, report and analyze data/statistics * Requires excellent ... Seven (7) years UM experience with Charge/Lead/Supervisory/Management experience in Utilization ...
Rancho Cordova, CA ยท Remote
$53.46 - $79.52/hr
Must have the ability to monitor, compile, report and analyze data/statistics * Requires excellent ... Seven (7) years UM experience with Charge/Lead/Supervisory/Management experience in Utilization ...
Tustin, CA ยท On-site
$65K - $75K/yr
Are you energized by solving complex Utilization Management (UM) and claims scenarios while ensuring systems work exactly as designed? LIBERTY Dental Plan is seeking a System Configuration Analyst to ...
Tustin, CA ยท On-site
$65K - $75K/yr
Are you energized by solving complex Utilization Management (UM) and claims scenarios while ensuring systems work exactly as designed? LIBERTY Dental Plan is seeking a System Configuration Analyst to ...
Tustin, CA ยท On-site
$65K - $75K/yr
Are you energized by solving complex Utilization Management (UM) and claims scenarios while ensuring systems work exactly as designed? LIBERTY Dental Plan is seeking a System Configuration Analyst to ...
Tustin, CA ยท On-site
$65K - $75K/yr
Are you energized by solving complex Utilization Management (UM) and claims scenarios while ensuring systems work exactly as designed? LIBERTY Dental Plan is seeking a System Configuration Analyst to ...
Rancho Cordova, CA ยท Remote
$53.46 - $79.52/hr
Must have the ability to monitor, compile, report and analyze data/statistics * Requires excellent ... Seven (7) years UM experience with Charge/Lead/Supervisory/Management experience in Utilization ...
Rancho Cordova, CA ยท Remote
$53.46 - $79.52/hr
Must have the ability to monitor, compile, report and analyze data/statistics * Requires excellent ... Seven (7) years UM experience with Charge/Lead/Supervisory/Management experience in Utilization ...
Oroville, CA ยท On-site
$19.28 - $24.35/hr
Acts as recording secretary for the UM/UR committee and UM/UR executive committee * Track and ... Analyze correspondence from insurances from denial and appeal to track results and monitor for ...
Oroville, CA ยท On-site
$19.28 - $24.35/hr
Acts as recording secretary for the UM/UR committee and UM/UR executive committee * Track and ... Analyze correspondence from insurances from denial and appeal to track results and monitor for ...
San Francisco, CA ยท On-site
$150K - $200K/yr
Rideshare and UM/UIM Associate Attorney $150000 - $200000 per year | San Francisco, CA | On-Site ... Strong writing, analytical, and case management skills * Ability to work independently in a fast ...
New
San Francisco, CA ยท On-site
$150K - $200K/yr
Rideshare and UM/UIM Associate Attorney $150000 - $200000 per year | San Francisco, CA | On-Site ... Strong writing, analytical, and case management skills * Ability to work independently in a fast ...
New
Must have the ability to monitor, compile, report and analyze data/statistics * Requires excellent ... Seven (7) years UM experience with Charge/Lead/Supervisory/Management experience in Utilization ...
Must have the ability to monitor, compile, report and analyze data/statistics * Requires excellent ... Seven (7) years UM experience with Charge/Lead/Supervisory/Management experience in Utilization ...
Rancho Cordova, CA ยท On-site +1
$53.46 - $79.52/hr
Must have the ability to monitor, compile, report and analyze data/statistics * Requires excellent ... Seven (7) years UM experience with Charge/Lead/Supervisory/Management experience in Utilization ...
Rancho Cordova, CA ยท On-site +1
$53.46 - $79.52/hr
Must have the ability to monitor, compile, report and analyze data/statistics * Requires excellent ... Seven (7) years UM experience with Charge/Lead/Supervisory/Management experience in Utilization ...
Be Seen First
UM Audit & Compliance Nurse (LVN/RN) - MSO/IPA - HYBRID Location: Pasadena, California Industry ... Strong clinical review, analytical, written communication, organizational, and time-management ...
Quick apply
Urgent
Be Seen First
UM Audit & Compliance Nurse (LVN/RN) - MSO/IPA - HYBRID Location: Pasadena, California Industry ... Strong clinical review, analytical, written communication, organizational, and time-management ...
Urgent
Fairfield, CA ยท On-site
The Medicare Operations Analyst is responsible for ensuring operational excellence across delegated ... Ensures delegated UM/CM programs meet regulatory standards. Develops test plans covering unit ...
New
Fairfield, CA ยท On-site
The Medicare Operations Analyst is responsible for ensuring operational excellence across delegated ... Ensures delegated UM/CM programs meet regulatory standards. Develops test plans covering unit ...
New
Ensures delegated UM/CM programs meet regulatory standards. Develops test plans covering unit ... Excellent communication, analytical, and problemsolving skills. Performance Based Competencies ...
Ensures delegated UM/CM programs meet regulatory standards. Develops test plans covering unit ... Excellent communication, analytical, and problemsolving skills. Performance Based Competencies ...
UM Nurse Reviewer Under the guidance of the Utilization Management, the UM Nurse Reviewer will ... Utilizes considerable clinical judgement, independent analysis, critical-thinking skills and ...
UM Nurse Reviewer Under the guidance of the Utilization Management, the UM Nurse Reviewer will ... Utilizes considerable clinical judgement, independent analysis, critical-thinking skills and ...
Fairfield, CA ยท On-site
$106K - $138K/yr
... UM/CM), and call center performance. The Analyst will monitor, audit, and collaborate with delegated partners to ensure adherence to CMS regulations, organizational policies, and contractual ...
Fairfield, CA ยท On-site
$106K - $138K/yr
... UM/CM), and call center performance. The Analyst will monitor, audit, and collaborate with delegated partners to ensure adherence to CMS regulations, organizational policies, and contractual ...
Bakersfield, CA ยท On-site
$43.35 - $54.18/hr
The UM Nurse Reviewer holds responsibility for ensuring that members receive suitable care at the ... Utilizes considerable clinical judgement, independent analysis, critical-thinking skills and ...
Bakersfield, CA ยท On-site
$43.35 - $54.18/hr
The UM Nurse Reviewer holds responsibility for ensuring that members receive suitable care at the ... Utilizes considerable clinical judgement, independent analysis, critical-thinking skills and ...
Bakersfield, CA ยท On-site
$31 - $54.18/hr
... analysis, critical-thinking skills and detailed knowledge of medical policies, clinical guidelines ... UM nurses and participate in the orientation of newly hired staff. โข Identifies and refers all ...
Bakersfield, CA ยท On-site
$31 - $54.18/hr
... analysis, critical-thinking skills and detailed knowledge of medical policies, clinical guidelines ... UM nurses and participate in the orientation of newly hired staff. โข Identifies and refers all ...
Bakersfield, CA ยท On-site
$43.35 - $54.18/hr
... analysis, critical-thinking skills and detailed knowledge of medical policies, clinical guidelines ... UM nurses and participate in the orientation of newly hired staff. โข Identifies and refers all ...
Bakersfield, CA ยท On-site
$43.35 - $54.18/hr
... analysis, critical-thinking skills and detailed knowledge of medical policies, clinical guidelines ... UM nurses and participate in the orientation of newly hired staff. โข Identifies and refers all ...
Bakersfield, CA ยท On-site
$43.35 - $54.18/hr
... analysis, critical-thinking skills and detailed knowledge of medical policies, clinical guidelines ... UM nurses and participate in the orientation of newly hired staff. โข Identifies and refers all ...
Bakersfield, CA ยท On-site
$43.35 - $54.18/hr
... analysis, critical-thinking skills and detailed knowledge of medical policies, clinical guidelines ... UM nurses and participate in the orientation of newly hired staff. โข Identifies and refers all ...
Bakersfield, CA ยท On-site
$43.35 - $54.18/hr
The UM Nurse Reviewer holds responsibility for ensuring that members receive suitable care at the ... Utilizes considerable clinical judgement, independent analysis, critical-thinking skills and ...
Bakersfield, CA ยท On-site
$43.35 - $54.18/hr
The UM Nurse Reviewer holds responsibility for ensuring that members receive suitable care at the ... Utilizes considerable clinical judgement, independent analysis, critical-thinking skills and ...
| Aspect | Um Analyst | Data Analyst |
|---|---|---|
| Required Credentials | Bachelor's in Business, IT, or related field; certifications like CBAP or PMI-PBA | Bachelor's in Statistics, Computer Science, or related; certifications like CAP, Microsoft Data Analyst Associate |
| Work Environment | Business analysis teams, project management, client-facing roles | Data teams, analytics departments, reporting environments |
| Employer & Industry Usage | Consulting firms, finance, healthcare, retail | Tech companies, finance, marketing, healthcare |
Um Analysts focus on understanding business needs, process improvements, and project requirements, often working closely with stakeholders. Data Analysts primarily analyze data sets, generate reports, and support decision-making through data insights. While both roles require analytical skills, Um Analysts emphasize business processes, whereas Data Analysts concentrate on data manipulation and visualization.
Cities in California with the most Um Analyst job openings:

Tustin, CA โข On-site
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 12 days ago
Configure, test, and maintain system logic related to claims and Utilization Management (UM).
Coordinate, track, and complete claims and UM-related projects, analyze complex claim and UM scenarios, and assist with benefit implementation.
Audit and test existing system code rules and benefit setups, and support system testing, analysis, and cross-functional collaboration.
Sourced by ZipRecruiter
1 - 10 Employees
Ann Arbor, MI, US
2008