- University of Maryland Medical System (Baltimore, MD)
- …is 100% remote and does not require any travel The University of Maryland Medical System (UMMS) serves more than one million patients and families every year. More ... billable items in the coverage analysis in order to assist in the management of claims review, as well as identifying items that are to be billed to the sponsor… more
- 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
- Bank of America (Newark, DE)
- Sr Claims Analyst (Credit...company also prohibits discrimination on other bases such as medical condition, marital status or any other factor that ... **Job Description:** This job is responsible for resolving the day-to-day complex claims and escalations including in-depth analysis for fraud and non-fraud … more
- Bank of America (Pennington, NJ)
- Wealth Management Fraud & Claims - Sr . Fraud Analyst Pennington, New Jersey **Job Description:** At Bank of America, we are guided by a common purpose to ... on retention and re-establishing client confidence. Wealth Management Fraud & Claims associates will handle inbound calls from clients, branch offices, banking… more
- Molina Healthcare (Starkville, MS)
- …the business to provide recommendations on opportunities for process improvements, medical cost savings or revenue enhancements. + Create Business Requirements ... Documents, Test Plans, Requirements Traceability Matrix, User Training materials and other related documentations. + Actively participates in all stages of project development including research, design, programming, testing and implementation to ensures the… more
- HCA Healthcare (Nashville, TN)
- …lives and you have the opportunity to make a difference. We are looking for a dedicated Sr Business Intelligence Analyst like you to be a part of our team. **Job ... Summary and Qualifications** The Senior BI Analyst is a part of...Our Talent Acquisition team is reviewing applications for our Sr Business Intelligence Analyst opening. Qualified candidates… 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, ... now grown into a global top-level third-party logistics company. Senior Logistics Claim Analyst (" Sr ....progress. The position tracks and reports progress on complex claims with customers, shippers, consignees, and carriers relating to… 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
- HomeSafe Alliance (Columbus, OH)
- **Title:** Deltek Time & Expense Sr Systems Analyst **_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 Military ... are currently seeking a highly skilled and motivated Assistant Claims Manager to assist in all aspects of ...service. **About the Role** As the Time & Expense Sr Systems Analyst , you will be responsible… 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
- Elevance Health (Tampa, FL)
- **Provider Contract/Cost of Care Analyst Sr .** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates must ... 50 miles of one of Elevance's Pulse Point locations. **The Provider Contract/Cost of Care Analyst Sr .** is responsible for analytical support to the Cost of Care… more
- Molina Healthcare (Richmond, KY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical… more
- Elevance Health (Columbus, OH)
- **Proposal Develop Analyst Sr - Commercial Proposals** **Team** **Location:** This position will work a hybrid model (remote and office). The ideal candidate ... Elevance Health PulsePoint locations listed on the requisition. The **Proposal Develop Analyst Sr ** is responsible for providing technical and consultative… more
- Zions Bancorporation (Houston, TX)
- …endless. You bring the talent; we bring the opportunity. We are looking for a Sr . Supplier Risk Analyst to join the Supply Chain Management Department. The ... and addressing control weaknesses identified through control assessments. The Sr Supplier Risk Analyst role is a...mindset to actively challenge inputs (eg vendor and business claims ). + Contribute to and lead internal initiatives, including… 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
- CGI Technologies and Solutions, Inc. (Boston, MA)
- **Guidewire Sr . Business Analyst (ClaimCenter)** **Category:** Business Consulting, Strategy and Digital Transformation **Main location:** United States, ... Guidewire ClaimCenter. Your future duties and responsibilities: As a senior BA, you will: * Working with the client's...* Perform integration testing to test the flow of claims data * Create test scripts and coordinate testing… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …to formulary access and tier position for biosimilars and pharmacy drugs ( Medical Claims /Managed Care), and Pharmaceutical contract language. Ability to display ... Sr . Contract Compliance Analyst Date: Sep...and Gross to Net. + Understands fundamental mechanics of claims validation, rebate systems, and outside formulary tools such… more
- Catholic Health Initiatives (Houston, TX)
- …offering adult and pediatric care for the Greater Houston area. **Responsibilities** Sr . Planning Analyst is responsible for coordination of planning analytics ... **Overview** Baylor St. Luke's Medical Center is an 881-bed quaternary care academic...internal data sources and develops related presentations to support senior -level decision-making. Provide analytical support as needed to assist… more
- Molina Healthcare (Richmond, KY)
- **Job Description** **Job Summary** The Sr Analyst , Risk Adjustment - Predicitve Analytics role supports Molina's Risk Adjustment Predictive Analytics team. ... of businesses. + Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and related financial data like risk score, revenue and… more
