- Molina Healthcare (Albany, NY)
- JOB DESCRIPTION Job Summary Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... inquiries and projects. * Interprets and presents in-depth analysis of claims research findings and results to leadership and respective operations teams. *… more
- Baylor Scott & White Health (Dallas, TX)
- **JOB SUMMARY** The Claims Analyst is responsible for claims processing, research and adjudication to correctly apply benefit determination and pricing ... for areas of responsibility to include clinic professional claims , hospital and facility inpatient and outpatient claims... claims , hospital and facility inpatient and outpatient claims , and Rx-drug claims (CMS 1500 and… more
- AIG (Charlotte, NC)
- …member of the Fraud and Recovery Analytics team, the Data & Reporting Senior Analyst will be responsible for reporting, analysis, and data management for GI ... Claims Fraud and Recovery (F&R). This position will work...and the Data Office. The Data & Reporting Senior Analyst will also be responsible for supporting the delivery… more
- TEKsystems (Tampa, FL)
- Description Seeking a Medical Claims Analyst to join the IBNR team. This role focuses on supporting claim and billing processes, provider outreach, and refund ... billing experience (Medicaid, Medicare, Commercial, Workers' Compensation). -Knowledge of claims research , resolution, and appeals processes. -Strong provider… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Jan 2, 2026 Location: Parsippany, United States, 07054 Company: Teva Pharmaceuticals Job Id: 64915 **Who we are** Together, we're ... to make a difference with. **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid Drug...Medicaid systems and authorize transactions. Document errors and perform research . + Conduct initial quality check on summary data… more
- Beacon Mobility (Chelmsford, MA)
- …at 200+ locations from New England to New Mexico. Reporting to the Director of Claims , the Region Claims Analyst provides oversight and controls to reporting ... management skills while delivering analytical support to operations, safety and claims leadership. Support to locations will require compliance with applicable… more
- Highmark Health (Harrisburg, PA)
- …and claims staff regarding the final adjudication of complex claims . Research and investigate conflicting benefit structures in multi-payor situations. ... is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a liaison between various… more
- Trane Technologies (Minneapolis, MN)
- …create process** **improvements** + **Use claim analytics process to data mine, research and analyze** **dealer warranty and service performance to suggest and** ... and service policy to** **channel and customers to ensure claims are filed within** **guidelines** + **Support team efforts...bring:** + 3+ years of experience in customer service, claims analysis, warranty support, service or related field +… more
- Center For Health Information And Analysis (Boston, MA)
- …at CHIA and be a driving force in health policy impact! We are seeking a Research Analyst to contribute to our growing research projects within the dynamic ... Strategy and Research team. The Research Analyst will work closely with...tasks for large datasets such as the All Payer Claims Database (APCD), hospital discharge data (Case Mix), and… more
- The County of Los Angeles (Los Angeles, CA)
- CHIEF RESEARCH ANALYST , BEHAVIORAL SCIENCES Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4891039) Apply CHIEF RESEARCH ANALYST , ... and career-minded individuals to fill the position of Chief Research Analyst , Behavioral Sciences. To view classification...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… 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
- The Cigna Group (Bloomfield, CT)
- …outcomes for all. Join our ambitious and compassionate team as a Market Insight Lead Analyst / Lead Research Analyst , where your insights will drive ... teams and clients to uncover strategic opportunities and deliver actionable research insights that influence healthcare decisions. + Transform large-scale healthcare… more
- UPMC (Pittsburgh, PA)
- Purpose: The Clinical Trial Coverage Analyst is responsible for ensuring the billing compliance and proper coverage of clinical trial procedures. This role involves ... by the study sponsor. The specialist collaborates with clinical research teams, finance departments, and compliance to ensure accurate...analysis in order to assist in the management of claims review, as well as identifying items that are… more
- Organization of the Joint Chiefs of Staff (VA)
- …various cost, budget, economic, capability and program data. Responsibilities As a OPERATIONS RESEARCH ANALYST at the GS-1515-14 some of your typical work ... Performing as project team leader in planning, conducting, and accomplishing research , or self-developed and VCJCS-level directed studies applicable to existing or… more
- The Cigna Group (Bloomfield, CT)
- …unlock new possibilities for patients and communities. As a Market Insight Senior Analyst , you'll help shape the future of healthcare by turning complex data into ... with cross-functional teams to uncover opportunities and deliver impactful research insights. + Translate data into clear, actionable recommendations that… more
- University of Pennsylvania (Philadelphia, PA)
- …Profile Title Statistical Analyst A Job Description Summary The Statistical Analyst A position will support health policy-related research projects conducted ... skills in data creation and cleaning. Job Description DUTIES: The Statistical Analyst position will support health policy-related research projects conducted by… more
- Ventura County (Ventura, CA)
- Workers' Compensation Risk Analyst Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5142408) Apply Workers' Compensation Risk Analyst Salary ... The candidate must possess extensive experience in workers' compensation claims administration, rating permanent disability, developing case settlement recommendations,… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan has an exciting opportunity for a Clinical Auditor/ Analyst Intermediate! The Clinical Auditor/ Analyst Intermediate is an integral part of the ... and revises better best practice within the department. The Clinical Auditor/ Analyst Intermediate creates, maintains and analyzes auditing reports related to their… more
- Fifth Third Bank, NA (Grand Rapids, MI)
- …ensuring compliance with Uniform Commercial Code (UCC) and Regulation E and Regulation Z claims . The Analyst uses various bank and vendor systems to research ... Third Bank. GENERAL FUNCTION: Under general supervision, the Dispute Intake Analyst provides outstanding customer service while capturing accurate customer account… 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 ... 011250 CCA- Claims Hiring for One Year Term **_This position...role will also be responsible for timely review and research , as necessary on all new and revised coding… more
Related Job Searches:
Analyst,
Analyst Claims Research Remote,
Associate Analyst Claims Research,
Claims,
Claims Analyst,
Research,
Senior Analyst Claims Research