Healthcare EDI Analyst jobs in Hawaii

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

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Senior Financial Healthcare Data Analyst III
  • HMSA
  • Honolulu, HI FULL_TIME
    1. Facilitates complex projects and functions of high importance as an independent project lead.
      • Plans and manages the project development process and oversees implementation.
      • Analyzes intricate project objectives, data sources, methodology, data summaries and findings, and prepares and edits draft, revised and final reports for dissemination to key project sponsors to meet information request specifications.
      • Coordinates and prioritizes activities with internal and external staff for implementation and monitors work for accuracy. Ensures that outcomes meet HMSA's corporate goals.
    2. Develop, analyze, recommend, and monitor reimbursement and provider strategies; prepare reports that measure the effectiveness of reimbursement and contracting terms and the influence they may have on overall program/plan cost and utilization.
      • Analyze data and identify trends, patterns, or other notable issues with an eye for cost reduction opportunities.
      • Monitor market trends to identify emerging opportunities or risks in business environments.
      • Monitor various websites for reimbursement and policy changes, focusing on Government entities; make recommendations for implementation of changes.
      • Communicate with various stakeholders, including physicians, hospital admin staff, other healthcare insurers, auditors, and other departments within the company.
    3. Annual review of compliance workflows, such as, SSAE, MAR.
      • Independently participate in current audits; be able to respond comprehensively to auditor inquiries.
      • Review provider contracts and ensure that claims system set ups accurately reflect fully executed, signed agreements.
    4. Mentors team members; provides feedback and direction on staff's work.
    5. Performs all other miscellaneous responsibilities and duties as assigned or directed
      • Serve as a team player and role model for other employees in the organization by always exhibiting traits of courtesy, caring, helpfulness, and respect; conducts oneself in a service-oriented manner that is attentive, pleasant, cooperative, sensitive, respectful, and kind when dealing with members, visitors, the public, and all employees.

     

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Board Certified Behavior Analyst
  • Cross Country Healthcare
  • Hawaii, HI FULL_TIME
  • If you are looking to make a difference in a child's life, while enhancing your personal and professional growth, consider working with us! Cross Country Education is an amazing educator-led, student-...
  • 3 Days Ago

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Board Certified Behavior Analyst
  • Cross Country Healthcare
  • Oahu, HI FULL_TIME
  • If you are looking to make a difference in a child's life, while enhancing your personal and professional growth, consider working with us! Cross Country Education is an amazing educator-led, student-...
  • 3 Days Ago

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Board Certified Behavior Analyst
  • Invo Healthcare - Family of Companies
  • Honolulu, HI FULL_TIME
  • Board Certified Behavior Analyst (BCBA), School-Based Invo Healthcare is seeking a talented Board Certified Behavior Analyst (BCBA) to join our school-based services team throughout Hawaii. Invo is th...
  • 5 Days Ago

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Registered Nurse / Home Healthcare
  • Cross Country Healthcare
  • Kaneohe, HI FULL_TIME
  • Job DescriptionAs a home health nurse (RN HH), you will deliver healthcare in patients' residences, helping them maintain their independence. You will provide one-on-one care for patients in their hom...
  • 18 Days Ago

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Dishwasher - Healthcare
  • Kalakaua Gardens
  • Honolulu, HI FULL_TIME,PART_TIME
  • **Note- Kalakaua Gardens is a senior living residence, and therefore Servers do not accept tips from the residents. Compensation is based solely on the hourly rate.** **COVID Vaccination is not requir...
  • 2 Days Ago

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

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

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

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

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

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

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

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

Hawaii (/həˈwaɪi/ (listen) hə-WY-ee; Hawaiian: Hawaiʻi [həˈvɐjʔi]) is the 50th and most recent state to have joined the United States, having received statehood on August 21, 1959. Hawaii is the only U.S. state located in Oceania, the only U.S. state located outside North America, and the only one composed entirely of islands. It is the northernmost island group in Polynesia, occupying most of an archipelago in the central Pacific Ocean. The state encompasses nearly the entire volcanic Hawaiian archipelago, which comprises hundreds of islands spread over 1,500 miles (2,400 km). At the southea...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Healthcare EDI Analyst jobs
$55,756 to $75,186