- Prime Therapeutics (Columbus, OH)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Treasury Claims Analyst Senior - Remote **Job Description** The Senior Treasury ... for providing guidance to the Accounting, Finance, Information Technology and Claims operation functions, as well as Pharmacy Networks and Government Programs.… more
- Ryder System (Columbus, OH)
- …Privacy Policy by clicking HERE. (https://ryder.com/job-applicant-privacy-policy)\_ **Position Description** The Claims Analyst handles complex and high exposure ... bodily injury and property damage claims under Ryder's self-administered liability program. This position investigates and adjusts claims , as well as directs… more
- Kelsey-Seybold Clinic (Houston, TX)
- …high dollar claims and present summary to management. **Job Title: Medicare Claims Analyst ** **Location: Remote ** **Department:** ** Claims ** **Job ... etc.)** **Qualifications** **Education** Required: Associate degree or 2 years Claims Payment Analyst experience in lieu of...Associate degree or 2 years Claims Payment Analyst experience in lieu of education Preferred: Experience with… more
- Molina Healthcare (Starkville, MS)
- …**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
- Fallon Health (Worcester, MA)
- …the Risk Adjustment Analyst (RAA) will be to function as the Claims SME for the Risk Adjustment & Analytics Department. The RAAimplements data analytic reports, ... error resolution and risk outcome improvement. The RAA will own the claims adjustment workflow associated with regulatory retrospective chart review efforts. The RAA… more
- RTX Corporation (Columbia, SC)
- …Posted: 2024-07-12 Country: United States of America Location: HSC99: Field Office - SC Remote Location, Remote City, SC, 29201 USA Position Role Type: Remote ... (ISS) has an exciting opportunity for a Pricing & Claims Intern. This position will be part of the...role type definitions as you apply for this role. Remote : Employees who are working in Remote … more
- Tufts Medicine (Burlington, MA)
- …a reasonable timeline. 3. Four (4) years of healthcare business analyst /IT experience. **Preferred Qualifications:** 1. Master's degree in Computer Science, ... or related technical field. 2. Six (6) years of healthcare business analyst /IT experience. 3. Experience with software development and software testing/QA. **Duties… more
- TEKsystems (Flagstaff, AZ)
- Claims Analyst ( Remote ) Must live in PST MST State (21.00 USD/hour) (Paid Training) Highlights of the job: . Industry: Healthcare-Call Center . Start Date: ... an extensive client base, TEK systems is searching for Claims Analyst ! Benefits of this role: ....Benefits of this role: . Weeklypay . Work fully remote / no weekends . Helpful and supportive leadership… more
- TEKsystems (St. Louis, MO)
- Claims Analyst ( Remote ) Must live in CST time zone ( 15.00 USD/hour) (Paid Training) Highlights of the job: . Industry: Healthcare-Call Center . Start Date: ... an extensive client base, TEK systems is searching for Claims Analyst ! Benefits of this role: ....of this role: . Weekly pay . Work fully remote / no weekends . Helpful and supportive leadership… more
- Sedgwick (Columbus, OH)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Performance Assurance Analyst - Property Claims (Part Time Opportunity) **PRIMARY PURPOSE** ... **:** Performs comprehensive reviews on personal and commercial lines claims of varying degree of severity (up to approximately $300,000) to ensure the highest… 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
- Guardian Life (Bethlehem, PA)
- …career? The next step is here with Guardian in the role of **Senior Financial Analyst - Disability Claims ** where you will use your knowledge and experience to ... into the future. **You will** + Work closely with Claims Examiners and Managers to support the analysis of...guidance with a licensed Fidelity representative **Time Off and Remote Work** + Flexible work arrangements (part in-person/part … more
- Zelis (St. Petersburg, FL)
- Position Overview: At Zelis, t he Business Analyst - Expert Claims Review (ECR) is ultimately responsible for enabling high quality user stories under our ECR ... market. Key Responsibilities: + Gather requirements/acceptance criteria for Expert Claims Review initiatives centered around handling of medical pre-payment and… more
- SSM Health (MO)
- …delivering exceptional patient financial experience outcomes. An Epic Resolute Hospital Billing Claims Certification is required. **Our employees work remote but ... **It's more than a career, it's a calling.** MO- REMOTE **Worker Type:** Regular **Job Highlights:** SSM Health's...Type:** Regular **Job Highlights:** SSM Health's Epic Billing and Claims Support Team is seeking a technically skilled team… more
- ALDI (Naperville, IL)
- …and learning opportunities with one of the nation's top grocers. In this role, the Claims Analyst II will help lead Workers' Compensation and General Liability ... claims management responsibilities, including projects and initiatives, working with...to participate in ALDI's Hybrid Work Program, which allows remote work up to 3 days per week (ie,… more
- The Institute for Family Health (New York, NY)
- HIT ANALYST - Claims / Professional Billing Job...2006 Madison Avenue Business Office - New York, NY Remote Type Fully Remote Position Type Full Time ... PA, TN or VA SUMMARY: The position of Epic Analyst requires an individual that possesses functional knowledge and...that are used to conduct clinical operations. The Epic Analyst will be responsible for workflow analysis, building, training,… more
- Conduent (Elkridge, MD)
- …part of a culture where individuality is noticed and valued every day. As the ** Claims Quality Assurance Analyst ** , you will be responsible for monitoring and ... access to all internal systems, conducting various audits related to claims , systems, business, and project requirement rules. **Responsibilities:** + Monitoring and… 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
- Centene Corporation (Tallahassee, FL)
- …Microsoft Applications, including Excel and Access preferred. Knowledge of claims and/or encounter processing and data analysis experience preferred. Understanding ... reimbursement, paid time off plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay will be adjusted based on… more
- Nordstrom (Costa Mesa, CA)
- …for, managing subrogation of claims , and negotiating settlements. **This position is a remote "work from home" position - Must be located in California. A day in ... Job Description The Workers Compensation Risk Analyst 3 will be responsible for managing moderately... 3 will be responsible for managing moderately complex claims , including high exposure and litigated claims .… more