- Molina Healthcare (MI)
- …Operations teams + Interprets, communicates, and presents, clear in-depth analysis of claims research results, root cause analysis, remediation plans and fixes, ... **Job Description** **Job Summary** Serves as claims subject matter expert. Assist the business teams...Molina. Identifies the root cause of processing errors through research and analysis, coordinates and engages with appropriate departments,… more
- City of New York (New York, NY)
- …in terms of funding stream eligibility. DFS Childcare Claims is seeking a Childcare Claims Analyst who will report to the Childcare Claims Supervisor and ... claim data. The duties and responsibilities of the Childcare Claims Analyst will include, but will not...but will not be limited to: - Conduct child-specific research utilizing ACCIS spreadsheets and monthly reports, listing child… more
- JBS USA (Greeley, CO)
- …as deductions balances, and claims losses. It is the role of the Analyst to identify customer trends and suggest methods of improvement involving payment and ... **Description** Deductions Analyst Purpose and Scope/General Summary: We are looking...Research payments submitted including pricing, marketing money, product claims , etc. + Work with customers to rebill and… more
- City of New York (New York, NY)
- …is seeking a Claiming Analyst who will be responsible for child-specific level claims that entail extensive research , and use of various State and City data ... staff work collaboratively to manage the ACS budget, submit monthly revenue claims , process payments to provider agencies/vendors, monitor the financial health of… more
- Zurich NA (Overland Park, KS)
- General Liability Claims Analyst 117471 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to ... our General Liability team. As a General Liability (GL) Claims Analyst , you will work with a...to GL claim assignments by Claim segmentation. + Conduct research , analysis, and interpretation of claim assignment information at… more
- The Cigna Group (Bloomfield, CT)
- …Lives?** EviCore, a line of business within The Cigna Group, is hiring a Claims System Configuration Lead Analyst . This **highly technical systems** role acts as ... Matter Expert (SME) for the Configuration of the eviCore Claims Systems and the suite of eviCore Claim Products....technology to execute project initiatives, and resolve issues - research and respond to questions in relation to process,… more
- Insight Global (Glen Allen, VA)
- Job Description The Claims Vendor Operations Analyst , with limited supervision, is responsible for managing all channels of communication with Claims ... and resolve vendor issues, and other responsibilities as requested by management. The Claims Vendor Operations Analyst will assist the claims organization… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Nov 19, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57268 **Who we are** Teva ... healthier lives. Join us on our journey of growth! **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… more
- Commonwealth Care Alliance (Boston, MA)
- CCA- Claims Essential Duties & Responsibilities: * Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and ... and Zelis edits. * Quarterly and Annual review and research , as necessary on all new CPT and HCPCS...on edits implemented. * Utilize data to examine large claims data sets to provide analysis and reports on… more
- Molina Healthcare (WA)
- **JOB DESCRIPTION** **Job Summary** The Senior Business Analyst is responsible for supporting the claims processing teams by supplying regular, timely, and ... reports. As the senior level team member, this role leads efforts to ensure the claims teams and other departments have access to quality claims data through… more
- CareFirst (Fairfax, VA)
- …capabilities; analyzing alternative solutions; preparing functional specifications. + Review/ Research operations systems by analyzing and resolving problems; ... to the required work experience. **Experience:** 2 years experience as a Functional Analyst OR 4 years experience in (level 2 or above) operational role. **Preferred… more
- USAA (Tampa, FL)
- …for this position will have the opportunity to support all areas of Claims operations through partnership with decision science analysts and business stakeholders by ... in support of growing the Business Intelligence capability within the P&C Claims Analytics organization.** Analyzes business problems and issues using data from… more
- Catholic Health Services (Melville, NY)
- …Job Details Under minimal supervision, formulates and defines Resolute Hospital Billing/ Claims scope and objectives through research and fact-finding to ... Builds, tests, documents and maintains the EPIC Resolute Hospital Billing/ Claims program. Is competent to work on all phases...to work on all phases of Epic Resolute Hospital Billing/ Claims analysis and implementation activities and able to assist… more
- Elevance Health (Atlanta, GA)
- …contracting activities. **Requirements:** + a BA/BS degree and 5 years of claims research and/or issue resolution or analysis of reimbursement methodologies ... analyzing, documenting and coordinating the resolution of escalated and/or complex claims issues that span across multiple operational areas and requires expert… more
- Molina Healthcare (UT)
- …Interfaces with the customer in developing requirements for major complex claims testing projects within Medicare, Medicaid and Marketplace; prepares system test ... design specifications; conducts research to resolve customer initiated issues related to core...and business systems **PREFERRED EXPERIENCE:** Medicare, Medicaid and Marketplace claims knowledge Complex SQL and Excel expert knowledge SQL… more
- HCA Healthcare (Nashville, TN)
- …and fellows with that number growing to nearly 8,000 by 2028.** **The Research Analyst will assist in translating clinical needs into analytic questions, ... transfer methods, and electronic health record and health care claims standards and/or analytical techniques used in research...of colleagues. Do you want to work as a(an) Research Analyst GME WFH where your passion… more
- City of New York (New York, NY)
- …Revenue is recruiting for one (1) Associate Staff Analyst to function as a Research Analyst , who will: - Manage the data manipulation of large data files ... Description APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE STAFF ANALYST CIVIL SERVICE TITLE OR BE PERMANENT IN A...five distinct departments: 1) Centralized Data Entry (CDE), 2) Claims & Collections (C&C), 3) Division of Financial Review… more
- University of Colorado (Aurora, CO)
- **Data Analyst (Open Rank Research Instructor, Research Associate)** **Description** **University of Colorado Anschutz Medical Campus** **Department: Center ... for Bioethics and Humanities** **Job Title:** **Data Analyst (Open Rank Research Instructor, ...of economists, physicians, and health services researchers in quantitative research using data sources including Medicare claims … more
- Harvard University (Cambridge, MA)
- Details Title Research Associate/Data Analyst School Harvard School of Dental Medicine Department/Area Oral Health Policy and Epidemiology Position Description ... We are seeking a research Data Analyst in the Department of...research projects + Previous experience with health care claims (Medicare, Medicaid, and private insurance plans) strongly preferred… more
- Stanford University (Stanford, CA)
- Research Data Analyst 3, S-SPIRE (US -...Warehouse is a plus. + Prior experience with medical claims and billing data is a plus. + Prior experience ... Stanford University is collaborating with the Palo Alto VA. The Research Data Analyst 3 will support this new collaboration initiative. Our interdisciplinary… more