- Commonwealth Care Alliance (Boston, MA)
- …the Sr . Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr . Analyst will be responsible for developing prospective ... Integrity, Payment Integrity, and Analytics + 5+ years of Facets Claims Processing System **Required Knowledge, Skills & Abilities (must have):** + Knowledge… more
- Samsung SDS America (Santa Ana, CA)
- …("SEA") and its Loss Control Group, as well as the Samsung SDS's Management/Finance Group. Sr . Claims Analyst will work on tracking and analyzing claim data, ... services in 2012 and has now grown into a global top-level third-party logistics company. Senior Logistics Claim Analyst (" Sr . Claim Analyst ") will be… more
- ADM (Decatur, IL)
- **88365BR** **Job Title:** Sr Risk Analyst Property - Decatur, IL **Department/Function:** Risk Management **Job Description:** ** Sr Risk Analyst ... to global and regional colleagues about the overall program functioning; **Property Claims Coordination Duties:** + Provide initial guidance to all business units… more
- Prime Therapeutics (Columbus, OH)
- …passion and drives every decision we make. **Job Posting Title** Sr . Pricing Analyst **Job Description** The Senior Pricing Analyst participates in the ... 3 years of experience in Pharmacy Benefit Management (PBM), claims processing , healthcare, and/or related field +...focus **Reporting Structure** + Reports to Manager, Director, or Senior Director in the Network Management or Pricing Planning… more
- Kohler Co. (Kohler, WI)
- …+ Own & execute trade rebate program processes including enrollment, claims processing , and analysis/reporting of program performance. + Development, ... ** Sr . Market Analyst , Trade** _Work Mode:...customer-facing + Review & approve trade program co-op advertising claims **Skills/Requirements** + Requires a Bachelor's degree in marketing,… more
- Acosta Group (Charlotte, NC)
- …to best practices and account instructions. + Maintain a diary system and complete a claims analyst summary form timely and consistently. + Attend business unit ... **DESCRIPTION** The Sr . Casualty Risk Analyst will assist...+ Ability to learn new systems / software for claims processing , process documentation, or other technology… more
- Molina Healthcare (NY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare financial terms… more
- American Academy of Pediatrics (Itasca, IL)
- …to affordable, high-quality pediatric care. + Analyze opportunities to ensure accurate claims processing and maximize payment for pediatric healthcare services. ... research, policy analysis, and medical liability/risk management. Reporting to the Sr Director, Child Health Financing Strategy, this role will research, develop,… more
- Adecco US, Inc. (Dublin, OH)
- …years or more of experience as Claims Analyst or Senior Claims Analyst with expertise in processing **complex claims ** and making ... Adecco is seeking for ** Claims Specialists** to support one of our clients...have excellent benefits and an awesome work environment! The Claims Specialist works on the full range of … more
- PRGX (Grand Rapids, MI)
- …analyze the client's business operations. + Finds, supports, and documents audit and claims operations. + Produces claims using appropriate audit concepts for ... writing claims , updating claims management system, and billing claims to...with experience in retail or grocery procurement, and A/P processing . WORKING CONDITIONS The physical demands described here are… more
- Molina Healthcare (MI)
- …and conversion of new and existing health plans. + Must have experience on claims processing system, benefit configuration. + SQL knowledge is preferred. + ... accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes… more
- Deloitte (Austin, TX)
- …systems, and X12 testing. This role requires a deep understanding of healthcare claims processing and the ability to update companion guides. Key ... integration and functionality of enterprise healthcare systems involving Fee-For-Service (FFS) claims and Encounters. + Conduct thorough X12 testing to ensure… more
- Dignity Health (Glendale, CA)
- …and internal data sources and develops related presentations to support senior -level decision-making. Provide analytical support as needed to assist Marketing and ... including Data analysis (Microsoft Excel - expert level;) Word processing - proficient level; Data Base (Power BI -...use relational data sets/ tools such as Sg2 and claims data sets; and Cost Accounting systems + Demonstrated… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency DASNY - Dormitory Authority of the State of New York Title Senior Construction Claims Analyst (Cost Control) - Albany, NY or NYC Office ... and/or construction complexity, environmental issues and other non-traditional project variables. Senior Cost Control Analyst also reviews and provides comments… more
- CVS Health (Hartford, CT)
- …post-signature contract reviews, accurate financial analysis, contract approvals, contract processing , and post-execution contract management. + Apply knowledge of ... + Compatible with a dynamic work environment + Working knowledge of medical claims and coding. **Education** High School Diploma or GED Required **Pay Range** The… more
- Entergy (Little Rock, AR)
- … claims experience, litigation paralegal/secretarial work or equivalent experience. + **Associate Analyst - Claims , Sr :** 7+ years of property & casualty ... or equivalent. + Desired: Associates degree. **Minimum experience required of the position** + **Associate Analyst - Claims :** 3+ years of property & casualty… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- … correctly; any necessary changes are being modified and programmed into the claims processing system. + Assist in reviewing clients Summary Plan Description ... into an internal source document. Primary Responsibilities + The Senior Benefits Analyst 's job responsibilities include, but...experience. + Union experience a plus. + Knowledge of claims processing and medical coding a plus.… more
- Honeywell (Charlotte, NC)
- Senior Benefits Analyst - Canada & US...& 401k We are looking for an experienced, data-driven Sr . Benefits Analyst to manage our Savings, Retirement ... Canada. You will need to partner with our outsourced administrators on the processing of the most complex calculations for plans, analyzing data and interpreting… more
- Citigroup (New Castle, DE)
- The Cash and Trade Proc Sr Analyst is an intermediate level role responsible for ensuring transactions are processed accurately and on time in coordination with ... day to day for all fraud - Counterfeit , Signature verification, Forgery Claims , Suspicious activity reporting, and Fraud wire. Will be responsible for having some… more
- AdventHealth (Maitland, FL)
- …strongly preferred. + Managed Care, Patient Financial services, health insurance claims processing , contract management, or medical economics required + ... 3 days at the office (Altamonte Springs,FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating… more