- UPMC (Pittsburgh, PA)
- **Purpose:** The function of the Associate Accounts Receivable Claims Analyst is to ensure all HRA, FSA , ASO & Stop Loss related reporting & reconciliation, ... claims utilization billing, and employer group reimbursements are completed...reconciled appropriately + Perform weekly HRA, FSA & ASO claims utilization billing, while ensuring stop loss billing arrangements… more
- Molina Healthcare (Spokane, WA)
- …**Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and ... interprets trends and patterns in datasets to locate influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis based on business needs and… more
- Kelly Services (Roseville, CA)
- Job Title: Workers' Compensation Claims Analyst **Location:** Remote Set up **Job Type:** Full-time, Contract **Job Description:** We are seeking a skilled ... **Workers' Compensation Claims Analyst ** to join our team. The ideal candidate must have: + A minimum of 3 years of relevant California Workers' Compensation … more
- The Cigna Group (Bloomfield, CT)
- …Lives?** EviCore, a line of business within The Cigna Group, is hiring a Claims System Configuration Lead Analyst . This **highly technical systems** role acts as ... Matter Expert (SME) for the Configuration of the eviCore Claims Systems and the suite of eviCore Claim Products....matter expert to the business and IT for eviCore claims product setups/processes, the eviCore claim system and related… more
- AON (Fort Wayne, IN)
- …for benefits is governed by the applicable plan documents and policies. #LI-CC1 #LI-HYBRID #LI- REMOTE 2551890 Claims Litigation Analyst K&K Insurance is a ... Claims Litigation Analyst K&K Insurance is...includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies. #LI-CC1 #LI-HYBRID #LI- REMOTE… 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 ... **Essential Duties & Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and necessary… more
- Morley (CA)
- …case details? If so, this role could be a perfect fit for you! As a Legal Claims Analyst at Morley, you'll play a key role in managing small automotive claims ... **About the Role** **Location: San Francisco Bay Area** **_( remote , periodic area travel required)_** Are you confident...to support the client's defense strategies, including lemon law claims . + Serve as the "Person Most Knowledgeable" (PMK)… more
- Jacobs (Albany, NY)
- …Construction Management-for-Fee firm, then Jacobs is where you belong. We are seeking a full-time claims analyst and cost estimator with at least 4 years of ... claims and estimating experience. Candidate must be highly proficient...days in the office and 2 or 3 days remote . * 4+ years of claims and...3 days remote . * 4+ years of claims and estimating experience (preferably with P6 software). *… more
- ICW Group (San Diego, CA)
- …involving claim and account level issues.** + Analyzes and processes reinsurance claims in accordance with company policies and regulatory requirements. + Conducts ... day-to-day assessment of company's reinsurance claims and validates them for payment. + Prepares and...computer, telephone, copier, and other standard office equipment. \#LI-DS1 \#LI- Remote The current range for this position is $74,932.01… more
- The Institute for Family Health (New Paltz, NY)
- HIT ANALYST - Claims / Professional Billing Job...New Paltz Family Health Center - New Paltz, NY Remote Type Fully Remote Position Type Full Time ... Job Category Information Technology Description SUMMARY: The position of Epic Analyst requires an individual that possesses functional knowledge and skills in… more
- AECOM (Sacramento, CA)
- …better world. Join us. **Job Description** **AECOM** is seeking a **Senior Forensic Claims Analyst ** to be based in **Sacramento, CA.** **JOB RESPONSIBILITIES:** ... providing reasonable and realistic schedule forecasts. + Review Contractors' claims and assist with responses and potential rebuttals. +...work options. Whether you're working from an AECOM office, remote location or at a client site, you will… more
- State of Indiana (Indianapolis, IN)
- Compensation Claims Analyst Date Posted: Dec 30, 2024 Requisition ID: 454038 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career ... contribution + Flexible work scheduling options, including the potential for hybrid remote work for employees whose work may be performed outside state facilities… more
- Cedars-Sinai (Los Angeles, CA)
- …care we strive for. **Req ID** : 6619 **Working Title** : Financial Business Systems Analyst - Revenue Cycle ( Remote ) **Department** : CSRC HB AR Follow Up ... **What will I be doing in this role?** The Financial Business System Analyst will have the primary responsibility of assisting in data analysis, solution definition,… more
- Prime Therapeutics (Eagan, MN)
- …fuels our passion and drives every decision we make. **Job Posting Title** Pricing Analyst - REMOTE **Job Description** The Pricing Analyst maintains, ... with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness &… more
- Fairview Health Services (St. Paul, MN)
- **Overview** The Performance Integrity Innovation Analyst (PI Innovation Analyst ) is responsible for a thorough understanding of software system configuration ... shoot, monitor and support improved utilization of the system. The PI Innovation Analyst will lead the development of requirements specific to changes and updates to… more
- TriTech Enterprise Systems, Inc. (Raleigh, NC)
- …Systems, Inc, (TriTech) is seeking a 'Technical Specialist - EHR Epic Rev Cycle Analyst ' to support a Raleigh, NC project. This candidate will build the following ... Epic modules: Resolute Hospital Billing Claims and Resolute Professional Billing Claims . In addition, the candidate will serve as the primary build and support… more
- Cedars-Sinai (Torrance, CA)
- …environment that fuels innovation. **Req ID** : 6403 **Working Title** : Revenue Cycle Analyst ( Remote ) **Department** : CSRC PB - Group **Business Entity** : ... Hospitals. **What will I be doing in this role?** The Revenue Cycle Analyst is responsible for the development, assessment and quantification of trends. This will… more
- RWJBarnabas Health (Oceanport, NJ)
- Associate Analyst ARS, Appeals, Remote , NJReq #:0000175741 Category:No Category Assigned Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate ... Services Department:Appeals Location: Remote , 2 Crescent Place, Oceanport, NJ 07757 Summary of...Oceanport, NJ 07757 Summary of Job Function The Associate Analyst , Appeals is primarily responsible for validating clinical and… more
- Molina Healthcare (Kenosha, WI)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources (eg authorization) to identify early signs of trends… more
- Cedars-Sinai (CA)
- …Angeles and beyond. **Req ID** : 4757 **Working Title** : Revenue Recovery Analyst (Accounting) - Remote **Department** : MNS Accounting **Business Entity** : ... high-cost cases and bills for stop loss recoveries + Prepares claims listings for third party liabilities recoveries **Qualifications** **Education:** High school… more