- New York State Civil Service (New York, NY)
- NY HELP No Agency Attorney General, Office of the Title Legal Nurse: Medical Analyst Support Medicaid Fraud Cases (6345) Occupational Category Legal Salary Grade ... seeking an experienced Registered Nurse to serve as a Medical Analyst in its New York City...out of more than $4 Million in false Medicaid claims .Duties: * Assisting with screening and evaluating complaints of… more
- AdventHealth (Maitland, FL)
- …at the office (Altamonte Springs,FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial ... analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst must have attention to...of app provider types + Applies detailed understanding of medical coding systems affecting the adjudication of claims… more
- Robert Half Accountemps (Sterling Heights, MI)
- Description We are offering a short term contract employment opportunity for a Medical Claims Analyst in STERLING HEIGHTS, Michigan. This role is in the ... member interviews. Responsibilities: * Accurately process and adjust disability claims in the claim system. * Review...* Minimum of three years of experience as a Medical Claims Analyst or in… more
- Atrius Health (Chelmsford, MA)
- …to payer claim audits including Medicare program, writing complex clinical medical necessity appeals, analysis of claims data and billing related issues ... medical necessity and billing policy related to denied claims for all payers. In accordance with department policies...EXPERIENCE * Minimum of 3-5 years of experience in medical billing/denial management or claim data analysis… more
- CVS Health (Irving, TX)
- …of managed care and how provider reimbursement policies relate to the control of medical claims costs. + Full comprehension of provider reimbursement logic + ... care more personal, convenient and affordable. CVS Health is seeking a Sr. Analyst , Medical Economics to join our team! The Sr. Analyst participates on… more
- Molina Healthcare (MI)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical… more
- Commonwealth Care Alliance (Boston, MA)
- …the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing ... experience, specific to Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims ,… more
- Keystone Lab (Asheville, NC)
- …excellent interpersonal and customer relationship skills for interacting with patients regarding medical claims and payments. + Must possess a positive, open, ... Inc. - Asheville, NC An exciting and challenging opportunity awaits a highly qualified Medical Insurance Billing & Reimbursement Analyst I in one of the most… more
- Trinity Health (Niskayuna, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Medical Billing Analyst - Cardiology Associates of Schenectady - Niskayuna, NY - Full ... to the efficient and service oriented operation of a medical practice. The Billing Analyst will perform...outstanding claims to contact to ensure all claims are billed timely + Review each claim… more
- Rush University Medical Center (Chicago, IL)
- …clinical, quality improvement, and business data analysis needs of Rush University Medical Center. The Analyst will assist clinical faculty and Principal ... **Job Description** **Location:** Chicago, IL **Hospital:** Rush University Medical Center **Department:** Research Computing **Work Type:** Full Time (Total FTE… more
- Travelers Insurance Company (Tampa, FL)
- …of the New Product team. + Deliver superior customer service to Travelers Claim professionals and those medical providers with escalated issues. Answer questions ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...for examining and evaluating previously paid moderate to complex medical bills, based on additional information submitted by … more
- The Cigna Group (Bloomfield, CT)
- …conducting customer negotiations with other underwriting areas and Sales. + Evaluates medical claim experience and analyzes total case profitability. + Develops ... Finance, Accounting, Management, Mathematics, and/or Business + 2-5 years of medical underwriting experience required + Strong analytical and problem solving skills… more
- Healthfirst (NY)
- …accurate estimates of program savings. + Provide data driven analysis to Finance, Claims , Medical Management, Network, and other departments to enable critical ... **Duties & Responsibilities:** + Value new medical cost initiatives, applying financial modeling expertise and using independent judgement to determine the best… more
- Healthfirst (NY)
- …accurate estimates of program savings.** **Provide data driven analysis to Finance, Claims , Medical Management, Network, and other departments to enable critical ... **Duties and Responsibilities** **Value new medical cost initiatives, applying financial modeling expertise and using independent judgement to determine the best… more
- Trinity Health (Albany, NY)
- …variety of clerical duties related to the efficient and service oriented operation of a medical practice. The Billing Analyst will perform all job functions in a ... Medical Associates. **Responsibilities:** Responsible to monitor and resolve Claims Work queues; Specifically, Front End, Referrals & Authorizations, and… more
- UPMC (Pittsburgh, PA)
- …revises better best practice within the department. The Intermediate Clinical Auditor Analyst reviews medical records, creates, maintains, and analyzes auditing ... working in collaboration with appropriate Health Plan departments including Quality Improvement, Claims , and Medical Directors as needed to facilitate the… more
- Commander, Navy Installations (Norfolk, VA)
- …-Conducts initial assessment of service member and family to identify any non- medical issues. -Works alongside agencies and service providers to facilitate case ... arrange invitational travel orders for family members, assisting with travel claims . -Consults and collaborates with multidisciplinary teams during initial treatment… more
- Robert Half Accountemps (Plantation, FL)
- Description We are offering a short term contract employment opportunity for a Medical Claims Analyst in the insurance industry, based in Plantation, ... Florida. As a Medical Claims Analyst , you will...Florida. As a Medical Claims Analyst , you will be tasked with...insurance industry * Knowledge of billing functions related to medical claims * Experience in claim… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission ... documentation and queries, coding software tools and Insurance carrier medical and reimbursement policies during the claim ...with training new staff in all aspects of the Analyst role. PHYSICAL AND SE NSORY REQUIRE M ENTS:… more
- Principal Financial Group (Des Moines, IA)
- **What You'll Do** As a **Short Term Disability Claims Analyst 2,** your day will be anything but routine. In this fast-paced environment, every single day ... interpersonal skills to assist with our clients' short-term disability claims - all during a time in which they...claim decisions. + Connect with employers, employees and medical providers via phone, email, text, and letters. +… more