- Molina Healthcare (Warren, MI)
- …adjudication processes. Strong analytical, organizational, and problem-solving skills. Proficiency in claims management systems and data analysis tools Excellent ... Job Description Job Summary The Senior Claims Research Analyst provides senior-level support...a related field. Demonstrated expertise in regulatory and contractual claims requirements, root cause analysis, and project management… more
- Banner Health (Phoenix, AZ)
- …to join the department and assist with risk identification, mitigation, transfer, and claims management to protect one of the nation's largest non-profit ... or referral to our third party administrator, as well as handling ongoing claims management to include investigating, documenting, and paying invoices in Origami… more
- Robert Half (Raleigh, NC)
- Description We are looking for a detail-oriented Medical Claims Analyst to join our team in Raleigh, North Carolina. This long-term contract position is ideal ... of medical billing procedures and practices. Ability to manage unemployment claims efficiently. Excellent organizational and time- management skills. Dependable… more
- UMB Bank (Kansas City, MO)
- …This position will report directly to the Manager, Enterprise Fraud Claims , supporting UMB's protection against multi-channel payment fraud loss. These payment ... Banking, Mobile, Wire, ACH & P2P. Responsible for managing multi-channel fraud claims . Responsible for mastering the associated systems and tools used for managing… more
- BrightView (Blue Bell, PA)
- …optimization. The role requires proven expertise in large deductible programs, high-volume claims management , complex and litigated claims , and workers' ... be your brightest. We're looking for a Quality Assurance Analyst . Can you picture yourself here? Hybrid Schedule: 4...related field; Juris Doctor preferred. Minimum 5 years of claims management experience, including Auto, GL, and… more
- UnitedHealth Group (Minnetonka, MN)
- …Join us to start Caring. Connecting. Growing together . The Senior Compliance Analyst for Flag Management is responsible for supporting provider-focused Fraud, ... standards, or equivalent experience (5+ years) Practical experience working with claims platforms Proven solid project management , organizational, and analytical… more
- Commonwealth Care Alliance (Boston, MA)
- …Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective claims ... Payment Integrity and Analytics Direct and relevant experience with HCFA/UB-04 claims management , coding rules and guidelines, and evaluating/analyzing claim… more
- ONEOK, Inc (Tulsa, OK)
- …employees. The position will include, but not be limited to: Coordinating the management of litigated claims with the legal department and assisting internal ... responsible. Employee focused. JOB SUMMARY Manages moderately complex and complex claims including first- and third-party claims , insured litigated matters,… more
- Public Consulting Group (Lansing, MI)
- …To learn more, visit www.publicconsultinggroup.com . The Contract Support and RCM Analyst will support both the contractual administrative tasks and the entire claim ... through claim issue research. Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist… more
- Aerotek (Tempe, AZ)
- …analyze liability and root cause of accident. Enter claim data into various claims management systems. Answer incoming calls from clients, contractors, field ... opening for an ONSITE Customer Service Representative (Intake Compliance Analyst ) at the corporate office in Tempe, AZ. Compensation:...all incoming calls regarding new and existing workers' compensation claims . Intake new claims and act as… more
- Fairview Health Services (St. Paul, MN)
- …hospital revenue cycle operations (registration, charge capture, health information management , claims , payment posting). Organization Expectations, as ... is looking for a Revenue Integrity Charge Description Master Analyst to join our team. The Revenue Integrity Charge...updates to the CDM that contribute to generating clean claims , enabling the collection of expected payments. Participates in… more
- Prime Therapeutics (Boston, MA)
- …or financial analysis to include 1 year of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related field Must be eligible ... career? Come build the future of pharmacy with us. Job Posting Title Pricing Analyst - REMOTE Job Description The Pricing Analyst maintains, provides analyses,… more
- UnitedHealth Group (Phoenix, AZ)
- …on a global scale. Join us to start Caring. Connecting. Growing together. A Medical Claims Analyst (MCA) is responsible for the intake processing and triage of ... with your schedule. Primary Responsibilities: Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and… more
- Elevance Health (St. Louis, MO)
- Performance Quality Analyst II Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing ... is granted as required by law. The Performance Quality Analyst II is responsible for driving service quality excellence...Included are processes related to enrollment and billing and claims processing, as well as customer service written and… more
- UPMC (Pittsburgh, PA)
- …in healthcare reimbursement? At UPMC Health Plan, we're looking for a Senior Payment Accuracy Analyst to play a critical role in shaping how claims are processed ... to create dashboards and actionable insights Collaborate across teams: Partner with Claims Operations, Medical Policy, IT, and more to align edits with clinical… more
- Rocket Software (Lansing, MI)
- …truly BELIEVE in what they're doing! Job Description Summary: The Senior Benefit Analyst is responsible for building and delivering both global and local benefit ... programs that enhance the employee experience, through support and management of both global and country programs in line with the global total rewards philosophy.… more
- Zurich NA (Minneapolis, MN)
- TPA Operations Sr. Performance Analyst 125087 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes ... your next career move. Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct… more
- Evolent (Oklahoma City, OK)
- …for the mission. Stay for the culture. What You'll Be Doing: Lead Analyst , Performance Analytics - Oncology & Member Product Focus Overview: Evolent is seeking ... an experienced and strategic Lead Analyst , Performance Analytics to lead data-driven initiatives focused on...role plays a critical part in both Medical Cost Management and Product Management , leveraging advanced… more
- BJC HealthCare (St. Louis, MO)
- …Additional Information About the Role BJC HealthCare is seeking a Patient Accounts Analyst ! who will be writing appeals for denials for Medicaid and Medicaid risk ... schools in the country. Preferred Qualifications Role Purpose The Patient Accounts Analyst ensures that all insurance, accounts receivable and billing processes are… more
- Insight Global (St. Paul, MN)
- Job Description Insight Global is seeking a Principal level Treasury Claims Analyst . The Treasury Claims Principal is responsible for managing the claim ... processes and controls, and manage state audits. -Performs complex issue management triage collaborating with stakeholders across the organization and at various… more
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