- MultiPlan (New York, NY)
- …office to be onsite few times a month. JOB SUMMARY: A Client Implementation Analyst is responsible for the electronic setup, testing and go-live of IT projects that ... involve Client Claims Processing. These claims may be received...or via Web Services (near real time technology). The analyst is involved end to end in the process… more
- Spectraforce Technologies Inc (Atlanta, GA)
- Job Title: Insurance Analyst I Duration: 6 Months Location: ( Remote ) Shift Hours: The hours of operation are 7am-7pm CST . Are you comfortable working one of the ... shift Purpose : The primary function of the Insurance Analyst I is to provides best-in-class customer services to...will be a subject matter expert in insurance billing, claims processing, and prior authorizations. This position liaises between… more
- MultiPlan (Atlanta, GA)
- …guidance for the Subrogation Business Analyst . 6. Obtaining information such as claims and plan documents from client remote systems. 7. Processing outgoing ... RESPONSIBILITIES: 1. Completing data entry and new case creation. 2. Reviewing claims . 3. Retrieving, imaging and prioritizing the daily incoming mail 4. Performing… more
- MultiPlan (Naperville, IL)
- …guidance for the Subrogation Business Analyst . 6. Obtaining information such as claims and plan documents from client remote systems. 7. Processing outgoing ... AND RESPONSIBILITIES:1. Completing data entry and new case creation. 2. Reviewing claims . 3. Retrieving, imaging and prioritizing the daily incoming mail (must be… more
- Burrell Behavioral Health (Springfield, MO)
- …analyze trends in data and report findings in a meaningful way to leadership. The Claims Analyst I - Remote position offers + All-Inclusive Employee Benefits ... Job Description: Job Title: Claims Analyst I - RemoteLocation: Springfield, MODepartment: Client Financial & Benefit Advocacy ServicesEmployment Type:… more
- Kelsey-Seybold Clinic (Houston, TX)
- …high dollar claims and present summary to management. **Job Title: Medicare Claims Analyst ** **Location: Remote ** **Department:** ** Claims ** **Job ... etc.)** **Qualifications** **Education** Required: Associate degree or 2 years Claims Payment Analyst experience in lieu of...Associate degree or 2 years Claims Payment Analyst experience in lieu of education Preferred: Experience with… more
- Molina Healthcare (Owensboro, KY)
- **Job Description** **Job Summary** Serves as claims subject matter expert. Assist the business teams with reviewing claims to ensure regulatory requirements are ... appropriately applied. Manages and leads major claims projects of considerable complexity and volume that may be initiated through provider inquiries or complaints,… more
- Molina Healthcare (Starkville, MS)
- …**Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and ... interprets trends and patterns in datasets to locate influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis based on business needs and… more
- Fallon Health (Worcester, MA)
- …the Risk Adjustment Analyst (RAA) will be to function as the Claims SME for the Risk Adjustment & Analytics Department. The RAAimplements data analytic reports, ... error resolution and risk outcome improvement. The RAA will own the claims adjustment workflow associated with regulatory retrospective chart review efforts. The RAA… more
- RTX Corporation (Columbia, SC)
- …Posted: 2024-07-12 Country: United States of America Location: HSC99: Field Office - SC Remote Location, Remote City, SC, 29201 USA Position Role Type: Remote ... (ISS) has an exciting opportunity for a Pricing & Claims Intern. This position will be part of the...role type definitions as you apply for this role. Remote : Employees who are working in Remote … more
- Tufts Medicine (Burlington, MA)
- …a reasonable timeline. 3. Four (4) years of healthcare business analyst /IT experience. **Preferred Qualifications:** 1. Master's degree in Computer Science, ... or related technical field. 2. Six (6) years of healthcare business analyst /IT experience. 3. Experience with software development and software testing/QA. **Duties… more
- TEKsystems (Flagstaff, AZ)
- Claims Analyst ( Remote ) Must live in PST MST State (21.00 USD/hour) (Paid Training) Highlights of the job: . Industry: Healthcare-Call Center . Start Date: ... an extensive client base, TEK systems is searching for Claims Analyst ! Benefits of this role: ....Benefits of this role: . Weeklypay . Work fully remote / no weekends . Helpful and supportive leadership… more
- TEKsystems (St. Louis, MO)
- Claims Analyst ( Remote ) Must live in CST time zone ( 15.00 USD/hour) (Paid Training) Highlights of the job: . Industry: Healthcare-Call Center . Start Date: ... an extensive client base, TEK systems is searching for Claims Analyst ! Benefits of this role: ....of this role: . Weekly pay . Work fully remote / no weekends . Helpful and supportive leadership… more
- The Cigna Group (Bloomfield, CT)
- …and Change Lives? EviCore, a division of the Cigna Group is hiring a Claims Systems Configuration Quality Review Senior Analyst . For this highly technical role, ... were input correctly per the specifications of the provider. The Claims Configuration Quality Review Senior Analyst will have in depth knowledge of the eviCore … more
- Sedgwick (Columbus, OH)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Performance Assurance Analyst - Property Claims (Part Time Opportunity) **PRIMARY PURPOSE** ... **:** Performs comprehensive reviews on personal and commercial lines claims of varying degree of severity (up to approximately $300,000) to ensure the highest… more
- State of Indiana (Indianapolis, IN)
- Compensation Claims Analyst Date Posted: Sep 17, 2024 Requisition ID: 449590 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career ... costs of being a violent crime victim. As a Claims Analyst , you will receive and enter...Flexible work scheduling options, including the potential for hybrid remote work for employees whose work may be performed… more
- Commonwealth Care Alliance (Boston, MA)
- …of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective ... **Essential Duties & Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and necessary… more
- Guardian Life (Bethlehem, PA)
- …career? The next step is here with Guardian in the role of **Senior Financial Analyst - Disability Claims ** where you will use your knowledge and experience to ... into the future. **You will** + Work closely with Claims Examiners and Managers to support the analysis of...guidance with a licensed Fidelity representative **Time Off and Remote Work** + Flexible work arrangements (part in-person/part … more
- Elevance Health (Los Angeles, CA)
- ** Claims Analyst III- Overpayment Prevention (Business Analyst III)** _Location: This position will work a hybrid model ( remote and office). The ideal ... incorporated into query design, completes and coordinates UAT testing on claims identified as potential overpayments. Completes all required documentation to support… more
- Zelis (St. Petersburg, FL)
- Position Overview: At Zelis, t he Business Analyst - Expert Claims Review (ECR) is ultimately responsible for enabling high quality user stories under our ECR ... market. Key Responsibilities: + Gather requirements/acceptance criteria for Expert Claims Review initiatives centered around handling of medical pre-payment and… more
