- AIG (New York, NY)
- Claims Analyst III , EPL and D&O Join us as a Claims Analyst III to grow your experience in Claims . Make your mark in Claims Our Claims ... showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop...How you will create an impact + As an Analyst III , you will be responsible for… more
- AIG (New York, NY)
- …risks, business practices, and the ever-evolving legal and regulatory environment. About the role Claims Analyst III - Financial Lines -Cyber Media & ... Technology What you need to know: As a Claims Analyst III , you will be responsible for handling claims from inception through conclusion of Professional… more
- Montrose Memorial Hospital (Montrose, CO)
- …the PFS team to streamline workflows to maximize clean accounts. About The Career: + The Claims Analyst III must know the essential functions of denied ... claims for Medicare, Medicaid and Commercial payers for accurate payments of services provided by Montrose Memorial Hospital. They must also be proficient in the Electronic Health Record system, Electronic Billing System, and all insurance portals. All… more
- AIG (Alpharetta, GA)
- …business practices, and the ever-evolving legal and regulatory environment. About the role The Claims Analyst III will handle and analyze general liability ... to customers through a diversified, multichannel distribution network. Our Claims professionals support AIG policyholders through some of the...a lost family heirloom or a prized possession. Our Claims team is an industry leader, drawing daily on… more
- LA Care Health Plan (Los Angeles, CA)
- Payment Integrity Analyst III Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ... to achieve that purpose. Job Summary The Payment Integrity Analyst III is responsible for leading or...team lead on any issues identified during research or claims review. Serves as a subject matter expert and… more
- CDPHP (Albany, NY)
- …of CDPHP's core claims systems and any integrated systems. The Configuration Analyst III will be responsible for the technical oversight of all departmental ... you to be a part of that experience. Configuration Analyst III is responsible for oversight of...of the analysis, maintenance, and configuration of CDPHP's core claims systems and applications application systems, as well as… more
- LA Care Health Plan (Los Angeles, CA)
- …but is not limited to Claims and Capitation disbursements. The ERP Disbursement Analyst III is also responsible for the design and configurations of the ... Enterprise Resource Planning Analyst III Job Category: Accounting/Finance Department:...FS-CD and FI/CO modules within SAP. Requires knowledge of Claims and Capitation disbursements. Salary Range Disclaimer: The expected… more
- LA Care Health Plan (Los Angeles, CA)
- Clinical Data Analyst III Job Category: Clinical Department: Quality Improvement Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: ... to achieve that purpose. Job Summary The Clinical Data Analyst III supports Healthcare metrics, quality and...the relationships between the field elements in encounters and claims , membership, and provider databases. This position supports the… more
- LA Care Health Plan (Los Angeles, CA)
- Business Analyst III - Encounters Analyst...quantitative role as a Business Analyst , Data Analyst , Programming Analyst , Claims processing, ... the safety net required to achieve that purpose. Job Summary The Business Analyst III facilitates business process improvement via the methodical investigation,… more
- CareOregon (Portland, OR)
- …Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Data Science Analyst III Exemption Status Exempt Department Business Intelligence Manager Title ... Healthcare Analyst Manager Direct Reports n/a Requisition # 24282 Pay...data products to facilitate production of insights from healthcare claims , enrollment, and other related data. The core function… more
- Bank of America (Plano, TX)
- Consumer Product Strategy Analyst III Charlotte, North Carolina;Belfast, Maine; Plano, Texas; New York, New York; Boston, Massachusetts; Chandler, Arizona; ... + Research LOB Specific Information: The Client Protection data analyst will provide analytical and data support for Consumer...adhoc report and analytical requests to support fraud and claims LOBs. The candidate will coordinate the production of… more
- Hackensack Meridian Health (Edison, NJ)
- …healthcare and serve as a leader of positive change. The **Applications Analyst III ** gathers business requirements, conducts needs assessments, and develops ... is desired.** **Responsibilities** A day in the life of a **Applications Analyst III ** at **Hackensack Meridian** **_Health_** includes: + Ability to… more
- Elevance Health (Latham, NY)
- **Business Analyst III [AID000]** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of the ... to Friday, 8:00 am to 5:00 pm The **Business Analyst III ** will own all technical aspects...exchanges and day to day operations. * Participate in claims data/encounter reconciliation with states/client partners. (Ref #907182) **Minimum… more
- Bank of America (Boston, MA)
- Consumer Product Strategy Analyst III - Digital Fraud Strategies Charlotte, North Carolina;Belfast, Maine; Plano, Texas; Richmond, Virginia; Fort Worth, Texas; ... of data required for performing analysis + Partner with claims , policy, strategy, and product teams to deliver data...▪ Basic understanding of 1st and 3rd party fraud ( claims to charge-off timing, chargeback recovery rights, etc.) ▪… more
- Elevance Health (Denver, CO)
- …**Position Overview:** Responsible for handling high level pharmaceutical claim audits and reviewing claims issues from junior team to ensure claims are being ... manner. **How You Will Make an Impact:** + Reviews and Audits Pharmaceutical claims processed by vendors to ensure proper compliance + Conducting Data analysis and… more
- Centene Corporation (Tallahassee, FL)
- …in healthcare (ie documenting business process, gathering requirements) or claims payment/analysis experience. Experience in benefits, pricing, contracting or ... claims and knowledge of provider reimbursement methodologies. Knowledge of...provider reimbursement methodologies. Knowledge of managed care information or claims payment systems preferred. Previous structured testing experience preferred.… more
- Centene Corporation (Phoenix, AZ)
- …Preferred skills- Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity ... with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired Pay Range: $67,400.00 -… more
- Centene Corporation (Tallahassee, FL)
- …support for business operations in all or some of the following areas: claims , provider data, member data, clinical data, HEDIS, pharmacy, external reporting + ... Extract, load, model, and reconcile large amounts of data across multiple system platforms and sources + Review data to determine operational impacts and needed actions; elevate issues, trends, areas for improvement and opportunities to management + Develop… more
- Geisinger (Danville, PA)
- …required. Experience using data from an electronic health record or health care claims in the area of health research or healthcare analytics (preference for Epic's ... Clarity models) required. Job Duties + Performs complex data extraction, manipulation, and summarization of large databases to create analytical datasets and provides a range of solutions to support Research activities. + Takes lead role in the design,… more
- The County of Los Angeles (Los Angeles, CA)
- SUPERVISING CLINICAL LABORATORY SCIENTIST III Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2918845) Apply SUPERVISING CLINICAL LABORATORY ... SCIENTIST III Salary $113,652.00 - $170,724.00 Annually Location Los Angeles...time of filing, or email it to the exam analyst , within fifteen (15) calendar days of filing online.… more