- Commonwealth Care Alliance (Boston, MA)
- … Sr . Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr . Analyst will be responsible for developing prospective ... specific to Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims , settlement, claims… more
- Netflix (Los Angeles, CA)
- …want, anytime, anywhere, and can change their plans at any time. We are seeking a Senior Analyst to assist our growing Risk Management team. In this role, you ... , including workers' compensation, return to work, auto liability, and general liability claims . This role reports to a Senior Manager within Risk Management… more
- Amazon (New York, NY)
- …Risk Management & Claims team is seeking a highly skilled and detail-oriented Senior Risk Analyst with a background in logistics, supply chain, and data ... ideal candidate will possess an in-depth understanding of insurance claims processes, global cargo regulations, and risk management in...cargo regulations, and risk management in transportation. As a Senior Risk Analyst , you will partner with… more
- Healthfirst (NC)
- …the development and configuration of new business, member benefits and products, claims editing, reference data and their enhancements including claims ... enhancements. + Follow the annual product development processes to manage major claims configuration projects, including claims business rule set up outlier… more
- Pacificorp (Salt Lake City, UT)
- Insurance Analyst (Mid/ Sr . Levels) - Salt Lake City, UT - #112960 **Date:** Dec 13, 2024 **Location:** SALT LAKE CITY, UT, US, 84116 **Company:** PacifiCorp ... or programs. ** Sr . Level Responsibilities** **Additional Responsibilities of the Sr . Insurance Analyst position include the following:** * Perform… more
- Terumo Medical Corporation (Somerset, NJ)
- Sr . Tax Analyst , Indirect Date: Jan...go next!** **_Advancing healthcare with heart_** **Job Summary** The Senior Tax Analyst , Indirect Tax will work ... 08873 Company: Terumo Americas Holding, Inc. Department: TAH Tax Terumo Medical Corporation (TMC) develops, manufactures, and markets a complete, solutions-based… more
- Warner Music Group (TN)
- …music company that retains the creative spirit of a nimble independent. **Job Title: Sr . Analyst , Financial** **A little bit about our team:** Warner Music ... We're excited to share this new opportunity for a Sr . Analyst , Participations with strong analytical &...update cash forecasts and budgets, investigate audit issues and claims , perform tasks as part of the overall close… more
- Kiewit (Houston, TX)
- …Project Engineering **Market:** OGC **Employment Type:** Full Time **Position Overview** The Sr . Commercial/Contracts Analyst is an integral member of the energy ... **Requisition ID:** 173870 **Job Level:** Senior Level **Home District/Group:** Kiewit Energy US District...our shared needs. **Responsibilities** The overall responsibility of the Sr . Commercial/Contracts Analyst entails, in general: Contract… more
- Molina Healthcare (TX)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through ... sources. **Preferred Qualifications:** + Experience with Medicaid + Experience with medical claims , authorization, and membership data + Advanced proficiency… more
- Robert Half Technology (Brookfield, WI)
- Description We are offering a long-term contract employment opportunity for an RPG Sr . Programmer Analyst in the Financial Services Industry, based in ... Brookfield, Wisconsin. As an RPG Sr . Programmer Analyst , you will be instrumental...Manager, etc. * Collaborate with teams such as Underwriting, Claims , and Finance, providing constructive recommendations for system enhancements… more
- Health First (Rockledge, FL)
- …pricing of new products and product enhancements. Collaborate with Decision Support, Underwriters, Claims , and Senior Management to develop plans for new lines ... and service. **Job:** **Underwriting* **Organization:** **HF Administrative Plan Inc* **Title:** * Sr Actuarial Analyst - Actuarial and Underwriting (must reside… more
- Prime Therapeutics (Columbus, OH)
- …we make. **Job Posting Title** Sr . Applied Stars and Quality Analytics Analyst **Job Description** The Senior Health Data Analyst provides information, ... experience + Experience conducting complex analysis on large sets of pharmacy, claims , medical , and/or financial data + Basic to intermediate SAS coding skills +… more
- Dignity Health (Bakersfield, CA)
- …240k capitated lives within the California region. The responsibility for the Senior Financial Analyst includes monitoring monthly capitation revenue, preparing ... remote.** This role will be filled as a Finance Analyst 2 or 3 level, based upon overall experience...providing quality managed care administrative and clinical services to medical groups hospitals health plans and employers with a… more
- AIG (Chicago, IL)
- Senior Claims Analyst , Severity Join us as a Senior Claims Analyst to grow your experience in Claims . Make your mark in Claims Our ... This challenging role involves negotiating, analyzing and resolving complex medical malpractice and GL claims at primary...senior management, underwriters, insureds and brokers. + The analyst will employ best claims handling practices,… more
- Point32Health (Canton, MA)
- …click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Under the oversight of the Senior Manager of Consulting and Operations, this individual will support the ... of risk adjustment strategy across Point32Health business lines. The Data Analyst will assist in managing vendor relationships, monitoring risk adjustment program… more
- Molina Healthcare (Syracuse, NY)
- …during EST hours **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... Economics, Math, or Computer Science **Preferred Experience** Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators: + Proactively… more
- Molina Healthcare (OH)
- **Knowledge/Skills/Abilities** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... in Finance, Economics, Math, or Computer Science Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators: + Proactively identify… more
- Somatus (Mclean, VA)
- …Somatus, the leader in value-based kidney care, has an immediate opening for a Senior Analyst , Operations Analytics to create impact among Somatus' clients and ... version of themselves, including: + Subsidized, personal healthcare coverage ( medical , dental vision) + Flexible Paid Time Off (PTO)...leadership by analyzing Somatus' healthcare claims and care management data. This position will work… more
- CVS Health (Hartford, CT)
- …of managed care and how provider reimbursement policies relate to the control of medical claims costs. + Full comprehension of provider contracts and the ... differentiated non-participating (Out-Of-Network) provider determinations, and evaluate changes to medical policy to support the overarching Medical Economic… more
- AIG (Dallas, TX)
- Senior Claims Management Analyst Join us as a Senior Claims Analyst to grow your experience in handling complex claims . Make your mark in ... of indemnity, medical and legal aspects of highest valued, complex claims . + Reviews and analyzes TPA claim financials to ensure payments are appropriate… more