- LA Care Health Plan (Los Angeles, CA)
- …a quantitative role as a Business Analyst , Data Analyst , Programming Analyst , Claims processing, encounter processing. Skills Required: Competent ... Business Analyst III - Encounters ... Business Analyst III - Encounters Analyst Job...departments, and/or assist IT with definition of criteria. Delegate data and reporting requests to business analysts.… more
- AIG (Lenexa, KS)
- GI Claims Fraud & Recovery Reporting Analyst At...and/or Claims Recovery. + Bachelor's degree in business , finance, data sciences or similar. + High ... customers to manage risk. Join us as a GI Claims Fraud & Recovery Reporting Analyst to...business stakeholders. + Manage quality control process of data for Fraud and Recovery, ie gathering, cleansing, and… more
- Equitable (Charlotte, NC)
- Employee Benefits- Technology Strategy Claims Lead Analyst ( 2400007L ) **Primary Location** : UNITED STATES-NC-Charlotte **Other Locations** : UNITED ... that will help unlock your potential? The Technology Strategy Claims Lead Analyst will serve as a...functions to solve business problems and meet business goals. ** Data Gathering and Analysis:** Knowledge… more
- AC Disaster Consulting (Santa Fe, NM)
- …reviews 3rd party claims processing procedures to collect, analyze, and present data on appropriate corrective actions to claims processing practices. + Work ... experience customer service + 3-5 years as a program analyst / claims processor for disaster survivors + 3+...Experience developing COAs and recommending corrective actions. + Strong business acumen. + Proficiency with Excel and other Office… more
- Highmark Health (Columbus, OH)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards....behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of… more
- Lowe's (Mooresville, NC)
- "The primary purpose of this role is to serve as a high risk claims analyst for the Legal department, handling litigated cases and sensitive brand issues. The ... claims examiners + Develops and delivers training to business units on claims processing process and...expertise in subject area; leveraging an understanding of policies, data , and resources to support projects or initiatives; collaborating… more
- AIG (Lenexa, KS)
- …role The Technical Third-Party Oversight team is adding a growth position as a Claims Analyst and is responsible for working with TPAs in investigating, ... assets, manage risks and provide for retirement security. Get to know the business General Insurance is a leading provider of insurance products and services for… more
- Walgreens (Deerfield, IL)
- …Employer, including disability/veterans". **Job ID:** 1400298BR **Title:** Senior Analyst , Liability Claims **Company Indicator:** Walgreens **Employment ... claims system. + Experience with analyzing and reporting data in order to identify issues, trends, or exceptions...to travel up to 5% of the time for business purposes (within state and out of state). **Preferred… more
- Acosta Group (Charlotte, NC)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be ... responsible for analyzing claims and making decisions about their validity. The position...position will be a communicator to internal and external business partners and a problem solver/agent for change to… more
- AmeriHealth Caritas (Manchester, NH)
- …services. Discover more about us at www.amerihealthcaritas.com. The Provider Network Operations Data Analyst Senior supports the business goals and ... **Provider Network Operations Claims Analyst Sr (hybrid)** Location: Manchester,...Network ID**: 34151 **Job Brief** The Provider Network Operations Data Analyst Sr. will be responsible for… more
- Acosta Group (Dallas, TX)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be ... responsible for analyzing claims and making decisions about their validity. The position...position will be a communicator to internal and external business partners and a problem solver/agent for change to… more
- Amazon (New York, NY)
- …Global Risk Management and Claims team is seeking a Sr. Risk Analyst to assist with the development and management of Amazon's global insurance programs, ... risk management tools and techniques for new and existing business initiatives. Additionally, the Sr. Risk Analyst ...to prioritize resources. (eg RMIS, actuarial reports, and broker data ) * Assist in developing business proposals… more
- SSM Health (MO)
- …MO-REMOTE **Worker Type:** Regular **Job Highlights:** SSM Health's Epic Billing and Claims Support Team is seeking a technically skilled team member with strong ... expertise, the individual will serve as an IT liaison for Epic end-users, business partners and our supporting epic application team members. Applicants should have… more
- Crawford & Company (Lake Zurich, IL)
- …general direction of the Claims Data Operations Manager, the Senior Claims Analyst provides a variety of critical operational support services to the ... Claim Department, its business partners and its clients related to the handling...Departments identifying, researching and correction of indicative and financial data errors + Maintains applicable log books as well… more
- Amazon (Seattle, WA)
- …experienced Senior Risk Analyst to support Global Risk Management & Claims (GRMC). The ideal candidate will be innovative, team oriented, an effective ... submitted for underwriting, reserving, values at risk, and funding requests. - Review claims looking for trends in the data that indicate possible unexpected… more
- Crawford & Company (Lake Zurich, IL)
- …be residing within Lake Zurich! Under the general direction of the Claims Data Operations Manager, the Claim Sys Ops Analyst provides a variety of critical ... operational support services to the Claim Department, its business partners and its clients related to the handling of returned checks, processing of refunds,… more
- Fairview Health Services (Minneapolis, MN)
- …applications. Configure code, test and solve existing programs. Analyze end user data and business needs to assure user-orientation and efficient program/system ... M Health Fairview is a hiring a Sr Application Analyst in Professional Billing - Epic! This position is...area. Job functions include configuring applications by translating the business requirements into software specifications. This is a full… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Business Data Analyst II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... to achieve that purpose. Job Summary The Care Management Business Data Analyst II supports...plan. Previous experience with report generation using health care data with focus on elements from encounter/ claims ,… more
- CareOregon (Portland, OR)
- …remote positions must reside in Oregon or Washington. Job Title Medicare Encounter Data Analyst Exemption Status Exempt Department Finance Manager Title Risk ... in Oregon or Washington. Job Summary The Medicare Encounter Data Analyst leads the process for the...Using SQL and SAS programs, monitor submissions of core claims and supplemental data and reconcile against… more
- HCA Healthcare (Denver, CO)
- …population health management solution. This goal will be achieved by working with cross-functional business teams. The Data Analyst II is responsible for ... for the population health solution, including mapping, interface of claims and electronic medical record data from... Analyst II will collaborate closely with CCP's Data Analytics team ( Business Analysts/ Data … more
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