- Usaa (Phoenix, AZ)
- … coverage including potential legal liability. Partners with vendors and internal business partners to facilitate complex claims resolution. May also involve ... to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will...(Including the state of Arizona) . This role is remote eligible for candidates located or willing to self-relocate… more
- Usaa (Seattle, WA)
- …guidelines and framework, protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance ... SIU background and not just auto This role is remote eligible. However, you must currently live in the...is Washington or Oregon . There may be occasional business travel. What you'll do: Applies knowledge and understanding… more
- UTMB Health (Galveston, TX)
- Senior EHR Clin Apps Analyst (Resolute Hospital and Professional Claims ), Remote - ITS-Clin Revenue Cycle **Galveston, Texas, United States** Information ... **Preferred Qualifications:** Certified or Accredited in Epic Resolute Hospital Billing Claims and Remittance Administration and Epic Resolute Professional Billing … more
- Travel + Leisure Co. (Orlando, FL)
- …inspiration into exceptional experiences for millions of travelers worldwide. The **Senior Property Claims Analyst ** will play a crucial role as part of a ... high-performing, results-oriented Risk Management Team. The Senior Property Claims Analyst will be accountable for all aspects of property claim recordkeeping… more
- Travel + Leisure Co. (Orlando, FL)
- …exceptional experiences for millions of travelers worldwide. The **Workers Compensation** ** Claims Analyst ** is responsible for supporting workers' compensation ... would consist of proactive claim administration for workers' compensation claims by providing analysis on each open claim, as...quarterly, and annual basis to corporate management and our business unit leaders. On a secondary level, this role… 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*: Southern California / Los Angeles area** **_( remote , periodic area travel required)_** Are you confident speaking in public, a… more
- Centene Corporation (Columbus, OH)
- … business process analysis, preferably in healthcare (ie documenting business process, gathering requirements) or claims payment/analysis experience. Advanced ... Purpose:** Perform and lead various analysis and interpretation to link business needs and objectives for assigned function and implement process improvements.… more
- Providence (OR)
- …within the PHP claims editing system. In addition, the Coding Policy Analyst will be responsible for replying to provider and member appeals and providing ... **Description** **Coding Policy Analyst ** **_Remote_** The Coding Policy Analyst ...and assists with implementation of such changes to the claims adjudication and editing software. This position requires extensive… more
- NTT DATA North America (Lincoln, NE)
- …inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Business Systems Analysis Analyst to join our team in Lincoln, ... Nebraska (US-NE), United States (US). **Posisition: Claims Case Manager** **This position is eligible for company...issues and agent downtime. Consistent availability is critical to business operations. 2. Remote employees must adhere… more
- Beth Israel Lahey Health (Charlestown, MA)
- …Director of Epic Patient Financial Services - PB, the Senior Epic Operations Analyst serves as the preeminent Epic analytical resource tasked with improving revenue ... back-end billing functions and workflows, charge generation and capture, claims generation and reconciliation, remittance posting processes, retro adjudication and… more
- Fairview Health Services (Minneapolis, MN)
- …translating the business requirements into software specifications. This position is ** remote ** and requires on call rotation 1 week after hours and weekends ... **Job Overview** The **Sr** **Epic Professional Billing Application Analyst ** role will provide technical expertise and leadership, including configuring,… more
- Prime Therapeutics (Baton Rouge, LA)
- …Come build the future of pharmacy with us. **Job Posting Title** Principal Pricing Analyst - REMOTE **Job Description** **The Principal Pricing Analyst leads ... complex analyses, financial modeling, and reporting to create new business insights and strategies for Prime's financial pricing programs and will drive the… more
- World Insurance Associates, LLC. (Miami, FL)
- …Overview World Insurance is seeking an experienced Employee Benefits Underwriting & Financial Analyst to join our Underwriting & Analytics team. In this role, you ... deliverables. + Prepare and maintain financial dashboards for a book of business (clients typically 100-500 employees). Client funding arrangements may range from… more
- PPL Corporation (Louisville, KY)
- …a fully remote /work from home schedule.** \#LI-HY #INDPPL The Insurance Analyst or Senior Insurance Analyst position will assist with corporate insurance ... programs and any special programs in place for specific business lines. + Support claims management activities...Business Administration or a related field. + Insurance Analyst consideration - at least 2 years' experience in… more
- Martin's Point Health Care (Portland, ME)
- …"Great Place to Work" since 2015. Position Summary The Senior Medical Economics Analyst - Pharmacy is responsible for performing advanced analytical work to evaluate ... pharmacy benefit design, formulary management, and value-based initiatives. The analyst partners closely with pharmacy, actuarial, clinical, and finance teams… more
- Molina Healthcare (Rochester, NY)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more
- Molina Healthcare (NM)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more
- NTT America, Inc. (Little Rock, AR)
- …adaptable, and forward-thinking organization, apply now. We are currently seeking a Senior Business Analyst to join our team in Little Rock, Arkansas (US-AR), ... business , technical, and user requirements related to Medicaid Claims Adjudication and other functional areas. * Collaborate with...for specific roles. The starting pay range for this remote role is $89,032- $145,000. This range reflects the… more
- CareFirst (Baltimore, MD)
- …used for configuration in benefits & pricing for claims processing, claims editing configuration set-up and maintenance. Analyzes business requirements and ... Assesses alternatives to different designs and chooses best solution to fit business needs. Performs complex data modeling and database design with minimal… more
- Cayuse Holdings (Austin, TX)
- **Overview** **_JOB TITLE:_** Business Analyst /Product Owner **_CAYUSE COMPANY:_** Cayuse Civil Services, LLC **_LOCATION_** Austin, TX **_SALARY:_** $108,888.03 ... application to be considered for similar upcoming roles** The Business Analyst /Product Owner will perform work on...Medicaid systems and processes. + 8 years' experience in claims processing. + Must be able to pass a… more
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