- The Cigna Group (Bloomfield, CT)
- …Lives? EviCore, a division of the Cigna Group is hiring a Claims Systems Configuration Quality Review Senior Analyst . For this highly technical role, you'll ... input correctly per the specifications of the provider. The Claims Configuration Quality Review Senior Analyst will... will have in depth knowledge of the eviCore claims systems and products. As the Subject… more
- Walgreens (Deerfield, IL)
- …Employer, including disability/veterans". **Job ID:** 1400298BR **Title:** Senior Analyst , Liability Claims **Company Indicator:** Walgreens **Employment ... handling Liability claims . + Knowledge of Liability claims and 3rd party claim management systems ;...of Liability claims and 3rd party claim management systems ; risk management; insurance coverages and policies. **Shift:**… more
- Aston Carter (Parsippany, NJ)
- Job Title: Medicaid Claims Analyst Job Description The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes validating, ... payment for assigned state Medicaid agencies, SPAPs and Supplemental Rebates. Analyst is accountable for submitting payments within deadlines and in compliance… more
- Robert Half Finance & Accounting (Miami, FL)
- Description We are offering an exciting opportunity for a Senior Claims Analyst to join our team in Miami, Florida. As Senior Analyst , you will play a ... in areas such as Atlassian Jira, CRM, Database, EO/IR systems , and Agile Scrum. Responsibilities * Conduct Gap Analysis...minimum of 7 years of relevant experience as an Analyst . * Proficiency in Atlassian Jira is required. *… more
- Elevance Health (Los Angeles, CA)
- ** Claims Analyst III- Overpayment Prevention (Business Analyst III)** _Location: This position will work a hybrid model (remote and office). The ideal ... and operating systems preferred. + In-depth knowledge of WGS Commercial Claims processing or adjustments is strongly preferred. + In-depth knowledge of WGS… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Aug 22, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57784 **Who we are** ... and new people to make a difference with. **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Aug 24, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57268 **Who we are** Teva ... healthier lives. Join us on our journey of growth! **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… more
- Zelis (TX)
- …based on the work and team objectives in accordance with Company policies. The Claims Testing Quality Assurance Analyst will deliver the highest levels of ... to a suite of software products for the Zelis Claims team. This position will be involved in design,...data validation and development of testcases. The Quality Assurance Analyst will participate in all aspects of the software… more
- Acosta Group (Tampa, FL)
- …+ Searches for and links invoices, contracts, and Proof of Performance to claims as needed. + Uses systems , reports, and Standard Operating Procedures ... **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be… more
- Acosta Group (Jacksonville, FL)
- …Supervisor + Searches for and links invoices, contracts, and Proof of Performance to claims as needed + Uses systems , reports, and Standard Operating Procedures ... **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be… more
- Acosta Group (Charlotte, NC)
- …+ Searches for and links invoices, contracts, and Proof of Performance to claims as needed. + Uses systems , reports, and Standard Operating Procedures ... **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be… more
- Acosta Group (Jacksonville, FL)
- …+ Searches for and links invoices, contracts, and Proof of Performance to claims as needed. + Uses systems , reports, and Standard Operating Procedures ... **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be… 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
- The Institute for Family Health (New York, NY)
- HIT ANALYST - Claims / Professional Billing Job Details Level Experienced Job Location 2006 Madison Avenue Business Office - New York, NY Remote Type Fully ... PA, TN or VA SUMMARY: The position of Epic Analyst requires an individual that possesses functional knowledge and...with customers and stakeholders to identify issues with current systems and to gather requests/requirements for new systems… more
- Conduent (Elkridge, MD)
- …part of a culture where individuality is noticed and valued every day. As the ** Claims Quality Assurance Analyst ** , you will be responsible for monitoring and ... auditing access to all internal systems , conducting various audits related to claims , systems , business, and project requirement rules. **Responsibilities:**… more
- SSM Health (MO)
- …MO-REMOTE **Worker Type:** Regular **Job Highlights:** SSM Health's Epic Billing and Claims Support Team is seeking a technically skilled team member with strong ... exceptional patient financial experience outcomes. An Epic Resolute Hospital Billing Claims Certification is required. **Our employees work remote but must be… more
- Insight Global (Philadelphia, PA)
- Job Description A large healthcare system is looking to hire a Lead Epic Claims Analyst in North Philadelphia. The role is hybrid - Monday and Friday WFH, ... https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements Epic Hospital billing and claims billing experience in support and implementations Resolute Hospital… more
- Molina Healthcare (Covington, KY)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... previous experience and knowledge to research and resolve claim/encounter issues, pended claims and update system(s) as necessary. + Works with fluctuating volumes… more
- Carrington (Columbus, OH)
- **Come join our amazing team and work remote from home!** The Default Claims and Loss Analysis Business Analysts function as an expert resource which consults with ... reports. + Using a strong background of Default MI Claims and/or Loss Analysis identify gaps, trends and build...report metrics. + Gain expert knowledge of the operational systems and utilization within the business process. + Act… more
- DXC Technology (Troy, MI)
- …DXC Technology (NYSE: DXC) helps global companies run their mission critical systems and operations while modernizing IT, optimizing data architectures, and ensuring ... Customer personnel involving customer products, and processing product warranty claims . Representatives provide technical support and warranty adjudication on heavy… more