- 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
- LA Care Health Plan (Los Angeles, CA)
- Business Analyst III Job Category: Claims Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... quantitative role as a Business Analyst , Data Analyst , Programming Analyst , Claims processing, encounter processing. Skills Required: Competent to… 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)
- 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
- 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
- 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
- Wolters Kluwer (Riverwoods, IL)
- …**Key Responsibilities:** + Research, analyze and interpret CMS rules and claims data to identify trends, issues, and changes. This ... Analyst to join the Mediregs team focusing on claims processing and the RCM process. The ideal candidate...requirements for software solutions based on changes. + Conduct data analysis to ensure our systems provide accurate and… 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
- Eaton Corporation (Beachwood, OH)
- Eaton's Corporate Sector division is currently seeking a Lead Analyst - Insurance Claims . This position will be located at our Beachwood, OH facility. We are ... to join our dynamic team as a Global Insurance Analyst . This role requires a strong ability to utilize...role requires a strong ability to utilize processes and data to measure and drive claim performance. The incumbent… 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
- 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 ... plans at any time. 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 (CO)
- …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
- 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
- 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
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Jan 6, 2025...with assigned states to get Medicaid Summary invoice, summary data file and Claim Level Invoice each quarter and ... us on our journey of growth! **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… more
- Carrier (Indianapolis, IN)
- …and we can make a difference together. **About the role** As a **Logistics Claims Analyst ** you will review information about Finished Goods and Replacement ... Component claims , related to damage and overs, shorts, and wrong...CRM system. + 3+ years experience with Excel building data analysis tools such as pivot tables, at a… more
- Publix (Lakeland, FL)
- **31050BR** **Position Title:** Pharmacy Quality Related Event Analyst , Customer Claims - Risk Mgmt **Department:** Risk Management **Location:** Lakeland, FL ... events, and determining if an event should be escalated to a Customer Claims Unit (CCU) adjuster, + data entry of all QRE's into the Risk Master claims … more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Dec 18, 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
- 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, ... + Reconcile weekly HRA, FSA & ASO claims from our claims system and other data sources, to our reporting & billing system, for external employer group… more
- Buffalo Public Schools (Buffalo, NY)
- Title:Assistant Management Analyst - Special Projects Claims , Perm/Prov - RB # 24 - 225 ID:9477 Department:Special Project Claims Location:City Hall ... Civil Service Residency Requirements will Apply POSITION: ASSISTANT MANAGEMENT ANALYST - Permanent/Provisional SALARY: $55,428 - $66,268 SHARED LOCATION: Special… more
Related Job Searches:
Analyst,
Business Data Analyst Claims,
Claims,
Claims Analyst,
Data,
Data Analyst,
Healthcare Claims Data Analyst,
Pharmacy Data Claims Analyst