Analyst

• Conduct medical record reviews and accurately abstract diagnosis codes according to Official Coding Guidelines and Conventions, Cigna IFP Coding Guidelines and Best Practices, HHS Protocols, and applicable rules
• Use the HHS Risk Adjustment Model to confirm HCC accuracy from abstracted ICD-10-CM diagnosis codes for the correct Benefit Year
• Apply longitudinal thinking to identify valid data elements and data-capture opportunities under HHS Risk Adjustment
• Perform documentation and data audits to identify risk-adjustment data gaps, inaccuracies, and compliance risks
• Support IFP Risk Adjustment programs, including RADV audits and the Supplement Diagnosis submission program
• Conduct quality audits of vendor coding partners
• Collaborate with team members and matrix partners on coding and Risk Adjustment education for internal and external partners
• Coordinate with stakeholders to execute efficient and compliant Risk Adjustment programs
• Escalate identified risks and program gaps to management in a timely manner
• Develop and implement internal program processes supporting CMS/HHS-compliant programs
• Contribute to Cigna IFP Coding Guideline updates and policy determinations as needed

Quality Review and Audit Analyst

• Monitor equipment condition, performance, and utilization using digital services tools
• Analyze machine data to identify developing failures, operational inefficiencies, and improvement opportunities
• Prioritize and investigate abnormal events, alarms, and performance trends
• Develop and communicate actionable maintenance and operational recommendations
• Track recommendations through closure and document outcomes
• Support investigations related to equipment failures, recurring events, and critical alarms
• Serve as the primary contact for assigned Remote Monitoring Service customers
• Conduct regular service reviews and communicate monitoring findings and opportunities
• Support customers in understanding equipment performance and data-driven recommendations
• Prepare monitoring reports, performance summaries, and technical documentation
• Maintain accurate records of recommendations, investigations, and customer interactions
• Ensure data quality and consistency across monitoring systems
• Support onboarding and training activities for Sandvik digital solutions
• Promote customer adoption and utilization of monitoring platforms and reporting tools
• Assist in resolving customer questions regarding digital services and escalate issues when required
• Contribute to improving monitoring processes, reporting standards, and alarm effectiveness
• Share operational insights and recurring trends with internal stakeholders
• Support validation and implementation of new monitoring methodologies and digital capabilities

Monitoring Analyst

• Monitor equipment condition, performance, and utilization using Digital services tools
• Analyze machine data to identify developing failures, operational inefficiencies, and improvement opportunities
• Prioritize and investigate abnormal events, alarms, and performance trends
• Develop and communicate actionable maintenance and operational recommendations
• Track recommendations through closure and document outcomes
• Support investigations related to equipment failures, recurring events, and critical alarms
• Serve as the primary contact for assigned Remote Monitoring Service customers
• Conduct regular service reviews and communicate monitoring findings and opportunities
• Support customers in understanding equipment performance and data-driven recommendations
• Prepare monitoring reports, performance summaries, and technical documentation
• Maintain accurate records of recommendations, investigations, and customer interactions
• Ensure data quality and consistency across monitoring systems
• Support onboarding and training activities for Sandvik digital solutions
• Promote customer adoption and utilization of monitoring platforms and reporting tools
• Assist in resolving customer questions regarding digital services and escalate issues when required
• Contribute to improving monitoring processes, reporting standards, and alarm effectiveness
• Share operational insights and recurring trends with internal stakeholders
• Support validation and implementation of new monitoring methodologies and digital capabilities

• Provide direct assistance to the ROI Account Manager
• Review, process, and release medical records via mail, fax, email, and other mediums
• Create invoices for disability/FMLA forms according to policies and procedures
• Review records for accuracy and compliance with policies, procedures, and state/federal regulations
• Provide and log detailed, accurate information on each processed file/chart
• Update and maintain Accounting of Disclosures for disability/FMLA form activities
• Apply accurate data to processed charts when necessary
• Contact patients/requesters to collect payment on pending disability/FMLA forms
• Assign forms to Disability Account Managers/Form Specialists as necessary
• Provide customer service while ensuring patient privacy
• Handle high call volumes while maintaining service and professionalism
• Maintain production/quality goals and manage assigned accounts within established turnaround times
• Report to the Director of Operations as necessary

Disability Quality Analyst

• Implement strategies for adoption, support, and optimization of clinical information systems
• Enhance clinical workflows, data integrity, and system content to improve patient-care safety, quality, efficiency, and effectiveness
• Collaborate with the MedHost Clinical Systems Director and team throughout the full system life cycle
• Provide 24/7 support for assigned clinical information systems, including workflow, documentation, scheduling, ancillary, and imaging applications
• Support change management, implementation, optimization, and upgrades of clinical systems
• Manage facility support issues through ServiceNow and work with vendors to identify root causes and solutions
• Create training and educational documents for system changes
• Provide facility education and training and support ongoing user education
• Communicate with clinicians, physicians, leaders, radiology staff, and other stakeholders to prepare staff for electronic clinical-system adoption
• Collaborate with facility leadership and clinicians to align clinical workflows with electronic solutions
• Collaborate with HITS and Health SupportCenter teams to remove barriers to adoption
• Implement and support clinical systems and imaging-related functionality at assigned facilities
• Track and trend issues across facilities and escalate them through resolution
• Perform other duties as assigned

Senior Analyst, Clinical Informatics

• Support Payment Operations at properties by assisting with payment-related inquiries and troubleshooting with internal and external support and engineering teams
• Provide communication and support for properties migrating to or implementing payment technologies
• Work with payment providers and internal teams to establish payment implementation procedures
• Manage merchant accounts, including KYC, user roles/access, third-party integrations, and end-user functionality
• Create internal and external documentation for payments initiatives and capabilities
• Collaborate with payment providers to ensure successful implementation across payment initiatives
• Define training specifications, implementation plans, and pilot strategies with other teams
• Establish and audit onboarding processes with payment providers and front office teams
• Ensure property management system requirements are met
• Communicate with support teams to resolve reported issues and enforce operational guidelines
• Identify opportunities to improve existing practices
• Provide Payments leadership with insights to define requirements for new capabilities and associated SOPs
• Own payment gateway integrations and payment solution implementations
• Own operational procedures for payment technology solutions
• Own implementation guidelines for onboarding and installing payment technologies

Senior Payments Technology Analyst

• Facilitate contracting for SCRI vendors utilized by SCRI-managed sites
• Review, reconcile, and process SCRI vendor invoices for accurate and timely payment
• Review HCFA/UB vendor claim forms for payment
• Work with high-volume vendors to transition to data file submission and establish an appropriate cadence
• Review and understand vendor contracts to ensure accurate invoice payment and address vendor payment expectations
• Review and understand coverage analysis documents to determine Research versus Standard of Care and reimbursement impact
• Serve as a liaison between vendors, internal departments, and sponsors to resolve billing discrepancies
• Support reimbursement workflows and maintain financial integrity across the vendor payment lifecycle
• Perform other duties as assigned

Payment Reimbursement Analyst

• Reconcile clinical trial receivables to ensure accurate and timely final billing to pharmaceutical companies
• Reconcile Sarah Cannon financial study data across multiple sources
• Review and interpret contracts and budgets
• Work with operations and other departments to resolve variances
• Respond to information requests from Corporate, Internal Audit, Operations, and Management
• Analyze contracted revenue triggers to determine reimbursement eligibility
• Ensure processing and reporting deadlines are consistently achieved
• Perform other duties as assigned

Reconciliation Analyst

• Develop reports using internal and external databases and common programming languages
• Create pricing models for network negotiations and fee schedule updates used for claims adjudication
• Implement pricing information into the PREMIER Pricer system
• Validate and research report results using original operating systems and reporting databases
• Present reports to internal and external customers
• Respond to follow-up questions

Reimbursement Analyst I

• Perform analysis of chromosomes, including imaging and karyotyping of cytogenetic specimens
• Review test requisitions to gather pertinent details for analysis
• Summarize test results using ISCN nomenclature
• Distinguish between normal and abnormal test results
• Perform and evaluate troubleshooting
• Document corrective actions as needed
• Comply with company policies and procedures
• Work Monday–Friday, 8:00 am–4:30 pm, with some flexibility

Analyst jobs in Tennessee

Quality Review and Audit Analyst

Monitoring Analyst

Monitoring Analyst

Disability Quality Analyst

Senior Analyst, Clinical Informatics

Senior Payments Technology Analyst

Payment Reimbursement Analyst

Reconciliation Analyst

Reimbursement Analyst I

Cytogenetics Analyst