- State of Colorado (CO)
- Disabled Buy-In Claims Test Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4792294) Apply Disabled Buy-In Claims Test ... . https://dhr.colorado.gov/dhr-resources/student-loan-forgiveness-programs We are looking for a Disabled Buy-In Claims Test Analyst for the Testing Support… more
- AIG (Atlanta, GA)
- …reimagining the way we help customers to manage risk. Join us as North America Claims Operations- Sr. Business Analyst to play your part in that transformation. ... of the industry's top talent. Make your mark in Claims Our Claims teams are the proven...targeting operational efficiencies. In this role, the Sr. Business Analyst will be responsible for process optimization and engineering… 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...do:** * Ensure timely and accurate reporting of insurance claims . * Ensure that claims are processed… 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
- Rush Enterprises (New Braunfels, TX)
- The Risk and Insurance Analyst - Workers' Compensation Claims is responsible for managing WC claims with oversight of the Third Party Claims ... lost time claims , authorizing settlements, and maintaining accurate records. The Analyst serves as the primary point of contact for the day-to-day operations of… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Jan 22, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 60414 **Who we are** Teva ... us on our journey of growth! **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Jan 6, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 59984 **Who we are** Teva ... us on our journey of growth! **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… more
- Hackensack Meridian Health (Edison, NJ)
- …and serve as a leader of positive change. The **Applications Analyst III** gathers business requirements, conducts needs assessments, and develops functional ... Professional Billing Administration as well as Epic Resolute Hospital Billing Claims / Electronic Remittances and/or Resolute Professional Billing Claims … more
- Sharp HealthCare (San Diego, CA)
- …position, and employer business practices. **What You Will Do** The Sr. Systems Analyst role within IT is responsible for systems analysis, consulting with users and ... for you if you had the following certification: Resolute Professional Billing Claims and Remittance Administration. An ideal candidate would have 3+ years'… more
- Healthfirst (NC)
- …the development and configuration of new business, member benefits and products, claims editing, reference data and their enhancements including claims ... enhancements. + Follow the annual product development processes to manage major claims configuration projects, including claims business rule set up outlier… more
- ICW Group (San Diego, CA)
- …clients, to gather necessary documentation. + Provides input into the development and implementation of best practices for claims handling and reporting. + ... involving claim and account level issues.** + Analyzes and processes reinsurance claims in accordance with company policies and regulatory requirements. + Conducts… more
- Healthfirst (FL)
- **Duties & Responsibilities** : + Conducts routine assessments of current claims edits and ensures comprehensive and defensible editing across all Healthfirst ... new edits and modifications to existing edits. + Leads implementation efforts with respect to new or modified edits...edits. + Monitors and reports on performance of current claims editing packages + Supports claims editing… more
- The Institute for Family Health (New Paltz, NY)
- HIT ANALYST - Claims / Professional Billing Job Details Level Experienced Job Location New Paltz Family Health Center - New Paltz, NY Remote Type Fully Remote ... Job Category Information Technology Description SUMMARY: The position of Epic Analyst requires an individual that possesses functional knowledge and skills in… more
- Public Consulting Group (Columbus, OH)
- Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human ... Project and Grants Management + Assessments and Feasibility Studies Analyzes claims for accuracy, provides client support, documents inquiries, supervises staff,… more
- ManpowerGroup (Warren, MI)
- Job title: Warranty/ Claims Data Analyst Location: Hybrid In Warren MI 48093 Duration: 12 months Contract with potential to convert to FTE Pay Range: $26-$29/hr. ... on site) Summary: The main function of a Data Analyst is to coordinate changes to computer databases, test,...and waste reduction areas Global Focus Help manage the implementation of all change requests and enhancements to the… more
- Public Consulting Group (Columbus, OH)
- Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human ... Services **Duties and Responsibilities** + Analyzes the development of claims assigned at each level of the adjudication process....sent with applications. + Monitors and gives direction to Claims Developer regarding specific tasks on claims .… more
- Centene Corporation (Jefferson City, MO)
- …assigned function and implement process improvements. + This role will focus on claims configuration for the state of Georgia Behavioral Health. Amisys claims ... Lead the support of business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems. + Lead the… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains ... claims databases. Synchronizes data among operational and claims systems and application of business rules as they...execution of some test plans. + Participates in the implementation and conversion of new and existing health plans.… more
- Fairview Health Services (Minneapolis, MN)
- **Overview** The Senior Application PB/HB Claims Analyst role with Epic Hospital and/or Professional billing (HB and/or PB) will provide technical expertise and ... through the testing process and ultimately into production. Provide implementation /production support as required. + Evaluate and understand dependencies between… more
- Catholic Health Services (Melville, NY)
- … program. Is competent to work on all phases of Epic Resolute Hospital Billing/ Claims analysis and implementation activities and able to assist the patient ... Job Details Under minimal supervision, formulates and defines Resolute Hospital Billing/ Claims scope and objectives through research and fact-finding to develop or… more