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 I
  • HMSA
  • Honolulu, HI FULL_TIME
    1. 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 websites for reimbursement and policy changes for both private and government entities; make recommendations for implementation of these changes.
    2. Analyze standard plan or provider financial and operational reports in response to customer requirements and business needs
      • Lead and implement internal controls; Facilitate definition of data and other information requirements; Define efficient data assembly methods; and maintain adequate documentation for general reference and audit purposes.
      • Create functional summary reports for presentation to management
    3. Validate and maintain quality and consistency of data and reporting
      • On a proactive basis identify and isolate potential problems and work with staff within and outside of the department to develop and implement resolutions; develop and communicate data adjustments and workarounds.
      • Propose resolutions to management to clearly define the increase in value and productivity associated with the changes.
    4. Annual review of compliance workflows, such as, SSAE, MAR.
      • Review provider contracts and ensure that claims system set ups accurately reflect fully executed, signed agreements.
    5. Participates and promotes team activities by providing leadership, consultation, managing other projects, sharing accountability and expertise, communicating, and improving integrity of workflows, and providing constructive feedback on other team members' performance.
    6. Perform all other miscellaneous responsibilities and duties as assigned or directed.

     

  • 23 Days Ago

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Senior Financial Healthcare Data Analyst III
  • HMSA
  • Honolulu, HI FULL_TIME
  • 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 ...
  • 8 Days Ago

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GENERAL PROFESSIONAL IV (HEALTHCARE BUSINESS ANALYST) EWA, OAHU
  • State of Hawaii
  • Honolulu, HI FULL_TIME
  • Recruitment Information Recruitment Number 24-0158 THIS JOB POSTING WILL REMAIN OPEN UNTIL 15 APPLICATIONS ARE RECEIVED. PLEASE APPLY IMMEDIATELY AS THIS RECRUITMENT MAY CLOSE AT ANY TIME. The current...
  • 9 Days Ago

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GENERAL PROFESSIONAL IV (HEALTHCARE BUSINESS ANALYST) EWA, OAHU
  • State of Hawai'i
  • Island, HI OTHER
  • Recruitment Number 24-0158THIS JOB POSTING WILL REMAIN OPEN UNTIL 15 APPLICATIONS ARE RECEIVED.PLEASE APPLY IMMEDIATELY AS THIS RECRUITMENT MAY CLOSE AT ANY TIME.The current vacancy position is a perm...
  • 12 Days Ago

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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-...
  • 12 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-...
  • 12 Days Ago

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Public Health Analyst III
  • State of Vermont
  • Waterbury, VT
  • Overview The Vermont Department of Health (VDH) is excited to hire a Public Health Analyst III (PHA III) in the Research...
  • 4/25/2024 12:00:00 AM

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Strategic Public Health Analyst
  • Center for Human Development, Inc.
  • La Grande, OR
  • Job Description Job Description Salary: $26.48 - 34.44 hourly DOE Center for Human Development, Inc. is seeking a full-t...
  • 4/25/2024 12:00:00 AM

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Community Behavioral Health Analyst
  • Center for Health Care Services
  • San Antonio, TX
  • GENERAL SUMMARY The Community Behavioral Health Analyst identifies and monitors strategic drivers with internal and exte...
  • 4/24/2024 12:00:00 AM

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Sr Population Health Analyst
  • Dignity Health
  • Bakersfield, CA
  • Overview*** This position is remote.The purpose of Dignity Health Management Services Organization (Dignity Health MSO) ...
  • 4/22/2024 12:00:00 AM

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Senior Population Health Analyst
  • MVP Health Care
  • Schenectady, NY
  • Senior Population Health Analyst Headquarters Office, 625 State Street, Schenectady, New York, United States of America ...
  • 4/20/2024 12:00:00 AM

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Senior Population Health Analyst
  • MVP Health Care
  • Rochester, NY
  • Senior Population Health Analyst Headquarters Office, 625 State Street, Schenectady, New York, United States of America ...
  • 4/20/2024 12:00:00 AM

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Occupational Safety Health Analyst
  • Leidos
  • Fremont, CA
  • Description Looking for an opportunity to make an impact? At Leidos, we deliver innovative solutions through the efforts...
  • 3/11/2024 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...
  • 2/1/2024 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
$55,472 to $74,801