- Commonwealth Care Alliance (Boston, MA)
- …under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for ... **Essential Duties & Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and necessary… more
- Hartford HealthCare (Hartford, CT)
- …matters. And this is *your moment*. **Job:** **Legal / Compliance* **Organization:** **Hartford HealthCare Corp.* **Title:** * Claims Analyst / Claims ... Manages a robust caseload, from inception to closure, of Hartford HealthCare 's claims and suits through HHC's Legal Department. Responsible to assist in… more
- Zelis (St. Petersburg, FL)
- …or advanced understanding of payment integrity, claim processing and/or revenue cycle for healthcare claims + Understanding of medical coding and medical ... Position Overview: At Zelis, t he Business Analyst - Expert Claims Review (ECR)...in accordance with Company policies. Zelis is modernizing the healthcare financial experience by providing a connected platform that… more
- AdventHealth (Altamonte Springs, FL)
- …being spent to close the most critical gaps in lowering the cost of care. The Analyst uses healthcare data ( claims , labs, EHR data) analytics to gain ... **Health Plan Data Analyst ** **Location:** Virtual, local to Central Florida **All...data analytic strategies focused on lowering the cost of healthcare for our managed populations by providing actionable data… more
- Molina Healthcare (Nicholasville, KY)
- …solution or configuration during warranty period. **KNOWLEDGE/SKILLS/ABILITIES** + Knowledge of healthcare claims and claim processing from receipt through ... + Strong SQL knowledge preferred + Edifecs knowledge preferred + Understanding of Healthcare EDI Claims transactions preferred + Understanding of complex claim… more
- Molina Healthcare (Covington, KY)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... previous experience and knowledge to research and resolve claim/encounter issues, pended claims and update system(s) as necessary. + Works with fluctuating volumes… more
- AIG (Chicago, IL)
- Senior Claims Analyst , Severity Join us as a Senior Claims Analyst to grow your experience in Claims . Make your mark in Claims Our Claims ... an impact + This position will ensure high quality claim handling in the Healthcare Professional Liability ("HPL") Claims Department of General Insurance (AIG, … more
- Kelsey-Seybold Clinic (Houston, TX)
- …dollar claims and present summary to management. **Job Title: Medicare Claims Analyst ** **Location: Remote** **Department:** ** Claims ** **Job Type: Full ... certifications, etc.)** **Qualifications** **Education** Required: Associate degree or 2 years Claims Payment Analyst experience in lieu of education Preferred:… more
- The Cigna Group (Bloomfield, CT)
- …work independently and as a team + Strongcommunicationskills + 5+ years of healthcare claims lifecycle; configuration design, editing, claims system ... EviCore, a division of the Cigna Group is hiring a Claims Systems Configuration Quality Review Senior Analyst . For this highly technical role, you'll review our … more
- Walgreens (Deerfield, IL)
- …Employer, including disability/veterans". **Job ID:** 1400298BR **Title:** Senior Analyst , Liability Claims **Company Indicator:** Walgreens **Employment ... **Job Description:** **Job Summary** Responsible for supervising the Company's Liability claims including oversight of the 3rd party claims administrator and… more
- Randstad US (Duarte, CA)
- epic systems analyst - resolute pb/pb claims (remote). + duarte , california (remote) + posted 1 day ago **job details** summary + $65 - $85.02 per hour + ... is currently seeking a talented and accomplished Sr. Systems Analyst to support Resolute PB and PB Claims... opportunity! Minimum Qualifications and Experience: + 7+ years healthcare experience in a Revenue Cycle Systems Analyst… more
- The Cigna Group (Bloomfield, CT)
- …School Diploma or GED required, bachelor's degree preferred + **5+ years of healthcare claims lifecycle; configuration design, editing, claims system ... EviCore, a division of the Cigna Group is hiring a Claims System Configuration Senior Analyst . This highly technical systems role requires the review of our… more
- Carle (Urbana, IL)
- Claims Analyst Team A + Department: HA - Claims + Entity: Health Alliance + Job Category: Clerical/Admin + Employment Type: Full - Time + Job ID: 45246 + ... Requirements: no Email a Friend Save Save Apply Now Position Summary: The Claims Analyst accurately processes medical, dental, orthodontia and pharmacy claims… more
- Molina Healthcare (Nicholasville, KY)
- **JOB DESCRIPTION** **Job Summary** **Must have Claims Medical Exp** Analyzes complex business problems and issues using data from internal and external sources to ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- The Cigna Group (Bloomfield, CT)
- …with all MS office products including PowerPoint - REQUIRED + 5+ years of healthcare claims life cycle experience, emphasis in claims system requirements ... EviCore, a division of the Cigna Group is hiring a Claims System Configuration Lead Analyst . This highly technical systems role acts as the Subject Matter… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Sep 22, 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
- Molina Healthcare (Starkville, MS)
- …for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare ... is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $49,430.25 - $107,098.87 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. more
- Hackensack Meridian Health (Edison, NJ)
- …community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The **Applications Analyst ... Professional Billing Administration as well as Epic Resolute Hospital Billing Claims / Electronic Remittances and/or Resolute Professional Billing Claims … 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 ... team members. Applicants should have a passion to research and implement healthcare revenue cycle solutions leveraging known best practices for build and testing… 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
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