- Elevance Health (Plano, TX)
- …through our specialty pharmacies, our infusion centers, and the home setting._ **Title:** Claims Coding Data Analyst - Paragon Healthcare **Location:** ... 8-hour shift between 6:00am - 9:00pm (flexible), Monday - Friday. The ** Claims Coding Data Analyst ** **- Paragon Healthcare** is responsible for the audit… 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, modeling, and predicting to enable informed business… more
- AON (Fort Wayne, IN)
- Claims Litigation Analyst K&K Insurance is...as well as internal equity and alignment with market data . The salary may also be adjusted based on ... succeed. What the day will look like As a Claims Litigation Analyst , you will report directly...as well as internal equity and alignment with market data . The salary may also be adjusted based on… 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 ... business problems. It is critical for the Senior Lead Analyst to understand the challenges stakeholders experience on an...one or more of the following areas: process engineering, data analysis, Claims Operations, and TPA Operations.… 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
- Randstad US (Phoenix, AZ)
- claims analyst iii. + phoenix , arizona (remote) + posted november 4, 2024 **job details** summary + $17.99 - $18 per hour + temporary + bachelor degree + ... and weekend off. Paid weekly We are looking for Claims Analyst III with a heavy finance...documented team processes to ensure compliance with departmental standards Data entry and verification Drafts claimant facing communications based… more
- Flynn Restaurant Group (Independence, OH)
- **Position Description** The Liability Claims Analyst / Bodily Injury Analyst is responsible for assuring the quality and cost-effectiveness of the general ... and damages, strategy development, analysis of risk and plans to move claims to closure. **General Liability Analyst ** **Essential responsibilities will… 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 ... to fulfill projects and programs. + Providing support to data and operations to analyze key metrics that balance...will start on July 28, 2025. Locations Early Career Claims JD Analyst positions are in-person opportunities… more
- Acosta Group (Charlotte, NC)
- …to best practices and account instructions. + Maintain a diary system and complete a claims analyst summary form timely and consistently. + Attend business unit ... **DESCRIPTION** The Sr. Casualty Risk Analyst will assist the Director of Risk Management...Windows environment, Word, Excel, software and use of on-line claims data systems. + Ability to learn… more
- The Cigna Group (Bloomfield, CT)
- …with AS400, MC400, McNet and RC3 systems required + 3+ years of experience with claims adjudication, claims data types and editing rules (ICD, CPT/HCPC, ... of business within The Cigna Group is hiring a Claims Systems Configuration Quality Review Senior Analyst ....Partner with technology and analytics teams to develop new data sources for reporting and act + as liaison… 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 ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… 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...Partner with technology and analytics teams to develop new data sources for reporting and act as liaison between… more
- The Cigna Group (Bloomfield, CT)
- …facing communication and presentation skills, strongly preferred + Knowledge of industry standard claims data types (837, 835, 277, 999) and editing rules (ICD, ... of business within The Cigna Group, is hiring a Claims System Configuration Lead Analyst . This **highly...data file mapping (such as provider, member, auths, claims , etc.) + Design solutions for billing rule, benefits… 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
- 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
- Healthfirst (FL)
- …for new and existing claims business rules including member benefits, claims editing, reference data and system functionality within the claims ... data to assess and resolve operational obstacles to claims configuration design optimization. + Perform root-cause analysis on...understand manner to other staff. As the SME, the Claims Configuration Analyst will need to effectively… more
- Amazon (New York, NY)
- …cargo claims . You'll develop and validate metrics, review benchmarking data , and communicate with internal stakeholders through business reviews. In this ... Description Amazon's Global Risk Management & Claims team is seeking a highly skilled and...is seeking a highly skilled and detail-oriented Senior Risk Analyst with a background in logistics, supply chain, and… 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
- 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, ... EviCore, a division of The Cigna Group is hiring a ** Claims Systems Configuration Senior Analyst .** For this senior level role, you'll be responsible to resolve… 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 ... on our journey of growth! **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid Drug...with assigned states to get Medicaid Summary invoice, summary data file and Claim Level Invoice each quarter and… more
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