6 analyst jobs found in Fairfield

At NorthBay Health, the Claims Analyst II is responsible for independently completing all tasks in claims adjudication, including processing adjustments. The position is co-responsible for the operational functions for the organization’s capitated hospital and medical group business, processing all claims, oversees customer service issues, researching/resolving payment issues and addressing corrections in the system with the Claims Specialist.    PRIMARY JOB RESPONSIBILITIES Generates Department reports that are utilized weekly by the Claims Specialist position to track timely payment of claims. Oversees the production of encounter data analysis and processing. Lead point of service intake for all claims issues. Claims preparation for determination of payment. Addresses corrections in the claim system and in operational processes. Oversees grievances and provider dispute resolutions in partnership with the Claims...

At NorthBay Health, the Provider Enrollment analyst is responsible for all Medical Staff and Allied Health Practitioner (AHP) heal plan credentialing and recredentialing with government and commercial health plans.  The position is responsible for enrollment, credentialing and termination of NorthBay physicians/providers with NorthBay's contracted health plan partners.  This position maintains rosters and functionality that support a compliant provider enrollment process. Additional role responsibilities include compiling and distributing periodic reports, both within the department and throughout the organization as well as investigating and resolving provider enrollment issues.  Servies as a resource related to the National Committee for Quality Assurance (NCQA). PRIMARY JOB DUTIES Responsible for all enrollment functions, credentialing and termination of providers and select contracted specialists. Serves as a resource...

At NorthBay Healthcare an Accountant II works under limited supervision of the Manager of Accounting to help produce and analyze accurate and timely financial statements for all assigned NorthBay Healthcare companies and divisions.  PRIMARY JOB DUTIES Prepares intermediate level monthly journal entries.  Prepares, reviews, analyzes, and interprets assigned monthly financial statements, reports and all related sub-schedules for use by management.  Processes entries and financials for related entities. Maps new General Ledger accounts in Budget Advisor according to OSHPD guidelines and NBHS standards. Prepares monthly account analysis and reconciliation of all assigned general ledger accounts. Prepares, reviews, and analyzes biweekly and monthly reports timely, accurately and consistently. Prepares assigned annual audit schedules and assists all outside auditors. Evaluates and implements appropriate internal control...

At NorthBay Health the Trauma Registrar position reports to the Trauma Program Director and has operational responsibility for the Trauma Registry and for ensuring that the Trauma  Registry information is current, accurate and complete.  This injury-related database is integral to the clinical, performance improvement and research activities of the trauma service.  This position functions independently in the acquisition of accurate data for all patients meeting Trauma Registry inclusion criteria, as required by Solano County Emergency Medical Services Authority, the state of California trauma regulations and the American College of Surgeons Committee on Trauma (ACSCOT). This position also serves as a member of the trauma multidisciplinary committee and attends the peer review committee for trauma and attends and/or participates in committee meetings internally and externally as needed.  The Registrar also performs presentations, special...

At NorthBay Health, The HR Benefits and Support Specialist is responsible for assisting in administering the company's employee benefits, key Human Resources programs, including some recognition programs, and for providing general administrative support to the Human Resources function and Human Resources leadership team.  The HR Benefits and Support Specialist is also responsible for providing comprehensive support in various HR functions including general HR support functions including but not limited to data entry, HR reporting and system support. This role requires a deep understanding of HR policies and procedures and the ability to handle sensitive and confidential information.          Primary Responsibilities                           Benefits Administration:...

Groundworks is seeking talented Civil, Structural, and Geotechnical Engineers  to join our tribe!   We are North America's leading and fastest-growing foundation repair and waterproofing company. To continue growing and serving our customers with reliable, quality foundation repair solutions, we are expanding our Engineering Team.   Currently, our highest needs are in the following states, however we are always open to conversations with PE licensed engineers across the US: California Pennsylvania South Carolina Virginia   Job Responsibilities Engineering review, oversight, and production of permit submission packages Collaborate with other engineers and drafting team to organize, prepare, and review permit submission packages Interact with Certified Field Inspectors for development of work scope Perform site visits to local projects for Engineering Evaluation of structures for the more difficult and complex...