- Elevance Health (Plano, TX)
- …through our specialty pharmacies, our infusion centers, and the home setting._ **Title:** Claims Coding Data Analyst - Paragon Healthcare **Location:** ... between 6:00am - 9:00pm (flexible), Monday - Friday. The ** Claims Coding Data Analyst ** **-...They are how we achieve our strategy, power our business outcomes and drive our shared success - for… more
- AIG (Atlanta, GA)
- Senior Lead Analyst Claims Operations At AIG, we are reimagining the way we help customers to manage risk. Join us as Senior Lead Analyst Claims ... + Document cross-functional business process mapping and business requirements. + Conduct necessary data analytics...one or more of the following areas: process engineering, data analysis, Claims Operations, and TPA Operations.… more
- AON (Fort Wayne, IN)
- Claims Litigation Analyst K&K Insurance is a...and effective solutions as part of our K&K Insurance Claims business group within Aon Affinity. This is ... succeed. What the day will look like As a Claims Litigation Analyst , you will report directly...and effective solutions as part of our K&K Insurance Claims business group within Aon Affinity. This… more
- AIG (Atlanta, GA)
- AIG is reimagining the way we help customers manage risk. Join us as a Claims JD Analyst to play your part in that transformation with opportunities to learn and ... regulatory developments, as well as industry trends impacting the business / claims area. + Maintaining best...will start on July 28, 2025. Locations Early Career Claims JD Analyst positions are in-person opportunities… more
- Acosta Group (Charlotte, NC)
- …a claims analyst summary form timely and consistently. + Attend business unit claims reviews as necessary. + Monitor and oversee subrogation files, ... claims reporting, investigation, and depositions. + Workers' Compensation claims resource to corporate and business unit...Windows environment, Word, Excel, software and use of on-line claims data systems. + Ability to learn… more
- City of New York (New York, NY)
- …system using monthly claim data . The duties and responsibilities of the Childcare Claims Analyst will include, but will not be limited to: - Conduct ... oversight of ACS Child Welfare financial eligibility, and oversee data maintenance for financial systems of record. Within DFS,...DFS Childcare Claims is seeking a Childcare Claims Analyst who will report to the… more
- The Cigna Group (Bloomfield, CT)
- …EviCore, a line of business within The Cigna Group is hiring a Claims Systems Configuration Quality Review Senior Analyst . For this **highly technical senior ... input correctly per the specifications of the provider. The Claims Configuration Quality Review Senior Analyst will...RC3 systems required + 3+ years of experience with claims adjudication, claims data types… more
- The Cigna Group (Bloomfield, CT)
- …EviCore, a line of business within The Cigna Group, is hiring a Claims System Configuration Lead Analyst . This **highly technical systems** role acts as the ... initiatives. You'll be the subject matter expert to the business and IT for eviCore claims product...presentation skills, strongly preferred + Knowledge of industry standard claims data types (837, 835, 277, 999)… more
- The Cigna Group (Bloomfield, CT)
- …experience with MC400, McNet and RC3 systems Preferred + 3+ years of experience with claims adjudication, claims data types and editing rules (ICD, CPT/HCPC, ... a division of the Cigna Group is hiring a Claims System Configuration Senior Analyst . This highly...and act as a subject matter expert (SME) to business and IT for eviCore claims product… more
- AIG (Atlanta, GA)
- Claims Analyst Sr. Severity Join us as a Senior Claims Analyst , Severity to grow your experience in Claims . Make your mark in Claims Our ... have forward thinking skills. + 5 years work experience in Commercial Property Claims . + Experience in General Commercial Property, Business Interruption, Real… more
- Healthfirst (FL)
- …for new and existing claims business rules including member benefits, claims editing, reference data and system functionality within the claims ... configuration requirements and provide feedback to stakeholders regarding feasibility of claims business rule and program changes. + Collect and analyze… more
- Amazon (New York, NY)
- …for cargo claims . You'll develop and validate metrics, review benchmarking data , and communicate with internal stakeholders through business reviews. In this ... is seeking a highly skilled and detail-oriented Senior Risk Analyst with a background in logistics, supply chain, and...KPIs, and benchmarking that will track the global cargo claims program - Reporting business metrics to… more
- Commonwealth Care Alliance (Boston, MA)
- …+ Analyze, measure, manage, and report outcome results on edits implemented. + Utilize data to examine large claims data sets to provide analysis ... TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible...small to large Operations Management + Collaborate system and data configuration into CES ( Claims Editing System)… more
- Molina Healthcare (WA)
- **JOB DESCRIPTION** **Job Summary** The Senior Business Analyst is responsible for supporting the claims processing teams by supplying regular, timely, and ... to ensure the claims teams and other departments have access to quality claims data through processes which are efficient, accurate, and timely to support … more
- Netflix (Los Angeles, CA)
- …corrective actions to mitigate them. Data Analysis and Reporting + Analyze claims data to identify trends, performance metrics, and areas for improvement in ... any time. The Role We are seeking a Senior Analyst to assist our growing Risk Management team. In...you will support our Global Corporate and Production Casualty Claims , including workers' compensation, return to work, auto liability,… more
- City of New York (New York, NY)
- …is seeking a Claiming Analyst who will be responsible for child-specific level claims that entail extensive research, and use of various State and City data ... staff work collaboratively to manage the ACS budget, submit monthly revenue claims , process payments to provider agencies/vendors, monitor the financial health of… more
- Molina Healthcare (Long Beach, CA)
- …SQL. + Must be able to conduct root cause analysis in Healthcare Porvider claims data .. + Experienced in Healthcare domain specifically Medicare, Medicaid and ... processes and solutions associated with a wide variety of data sets used for data /text mining, analysis,.../text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business … more
- The Cigna Group (Bloomfield, CT)
- …AS400, MC400, McNet and RC3 systems required preferred + 3+ years of experience with claims adjudication, claims data types and editing rules (ICD, CPT/HCPC, ... a division of The Cigna Group is hiring a ** Claims Systems Configuration Senior Analyst .** For this...act as a subject matter expert (SME) to the business and IT for eviCore claims product… more
- USAA (Tampa, FL)
- … Intelligence capability within the P&C Claims Analytics organization.** Analyzes business problems and issues using data from internal and external sources ... Claims operations through partnership with decision science analysts and business stakeholders by transforming data into insights and interactive… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Nov 19, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57268 **Who we are** Teva ... healthier lives. Join us on our journey of growth! **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… more
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