- Burrell Behavioral Health (Springfield, MO)
- …analyze trends in data and report findings in a meaningful way to leadership. The Claims Analyst I - Remote position offers + All-Inclusive Employee Benefits ... Job Description: Job Title: Claims Analyst I - RemoteLocation: Springfield, MODepartment: Client Financial & Benefit Advocacy ServicesEmployment Type:… more
- Molina Healthcare (Miami, FL)
- **JOB DESCRIPTION** This position is remote and employee must reside in Florida **Job Summary** Analyzes complex business problems and claims issues using data ... client-focused. **KNOWLEDGE/SKILLS/ABILITIES** + Provides analytical, problem solving foundation within claims including: definition and documentation, specifications. + Recognizes, identifies… more
- Kelsey-Seybold Clinic (Houston, TX)
- …high dollar claims and present summary to management. **Job Title: Medicare Claims Analyst ** **Location: Remote ** **Department:** ** Claims ** **Job ... etc.)** **Qualifications** **Education** Required: Associate degree or 2 years Claims Payment Analyst experience in lieu of...Associate degree or 2 years Claims Payment Analyst experience in lieu of education Preferred: Experience with… more
- Molina Healthcare (Starkville, MS)
- …**Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and ... interprets trends and patterns in datasets to locate influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis based on business needs and… more
- Molina Healthcare (Owensboro, KY)
- **Job Description** **Job Summary** Serves as claims subject matter expert. Assist the business teams with reviewing claims to ensure regulatory requirements are ... appropriately applied. Manages and leads major claims projects of considerable complexity and volume that may be initiated through provider inquiries or complaints,… more
- The Cigna Group (Bloomfield, CT)
- …and Change Lives? EviCore, a division of the Cigna Group is hiring a Claims Systems Configuration Quality Review Senior Analyst . For this highly technical role, ... were input correctly per the specifications of the provider. The Claims Configuration Quality Review Senior Analyst will have in depth knowledge of the eviCore … more
- Fallon Health (Worcester, MA)
- …the Risk Adjustment Analyst (RAA) will be to function as the Claims SME for the Risk Adjustment & Analytics Department. The RAAimplements data analytic reports, ... error resolution and risk outcome improvement. The RAA will own the claims adjustment workflow associated with regulatory retrospective chart review efforts. The RAA… more
- RTX Corporation (Columbia, SC)
- …Posted: 2024-07-12 Country: United States of America Location: HSC99: Field Office - SC Remote Location, Remote City, SC, 29201 USA Position Role Type: Remote ... (ISS) has an exciting opportunity for a Pricing & Claims Intern. This position will be part of the...role type definitions as you apply for this role. Remote : Employees who are working in Remote … more
- Tufts Medicine (Burlington, MA)
- …a reasonable timeline. 3. Four (4) years of healthcare business analyst /IT experience. **Preferred Qualifications:** 1. Master's degree in Computer Science, ... or related technical field. 2. Six (6) years of healthcare business analyst /IT experience. 3. Experience with software development and software testing/QA. **Duties… more
- TEKsystems (Flagstaff, AZ)
- Claims Analyst ( Remote ) Must live in PST MST State (21.00 USD/hour) (Paid Training) Highlights of the job: . Industry: Healthcare-Call Center . Start Date: ... an extensive client base, TEK systems is searching for Claims Analyst ! Benefits of this role: ....Benefits of this role: . Weeklypay . Work fully remote / no weekends . Helpful and supportive leadership… more
- Sedgwick (Columbus, OH)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Performance Assurance Analyst - Property Claims (Part Time Opportunity) **PRIMARY PURPOSE** ... **:** Performs comprehensive reviews on personal and commercial lines claims of varying degree of severity (up to approximately $300,000) to ensure the highest… more
- State of Indiana (Indianapolis, IN)
- Compensation Claims Analyst Date Posted: Sep 17, 2024 Requisition ID: 449590 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career ... costs of being a violent crime victim. As a Claims Analyst , you will receive and enter...Flexible work scheduling options, including the potential for hybrid remote work for employees whose work may be performed… 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
- Guardian Life (Bethlehem, PA)
- …career? The next step is here with Guardian in the role of **Senior Financial Analyst - Disability Claims ** where you will use your knowledge and experience to ... into the future. **You will** + Work closely with Claims Examiners and Managers to support the analysis of...guidance with a licensed Fidelity representative **Time Off and Remote Work** + Flexible work arrangements (part in-person/part … 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 ... incorporated into query design, completes and coordinates UAT testing on claims identified as potential overpayments. Completes all required documentation to support… 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 ... FL, and Hyderabad, India. We foster a hybrid and remote friendly culture and all of our employee's work...to a suite of software products for the Zelis Claims team. This position will be involved in design,… more
- Zelis (St. Petersburg, FL)
- Position Overview: At Zelis, t he Business Analyst - Expert Claims Review (ECR) is ultimately responsible for enabling high quality user stories under our ECR ... market. Key Responsibilities: + Gather requirements/acceptance criteria for Expert Claims Review initiatives centered around handling of medical pre-payment and… more
- SSM Health (MO)
- …delivering exceptional patient financial experience outcomes. An Epic Resolute Hospital Billing Claims Certification is required. **Our employees work remote but ... **It's more than a career, it's a calling.** MO- REMOTE **Worker Type:** Regular **Job Highlights:** SSM Health's...Type:** Regular **Job Highlights:** SSM Health's Epic Billing and Claims Support Team is seeking a technically skilled team… more
- ALDI (Naperville, IL)
- …and learning opportunities with one of the nation's top grocers. In this role, the Claims Analyst II will help lead Workers' Compensation and General Liability ... claims management responsibilities, including projects and initiatives, working with...to participate in ALDI's Hybrid Work Program, which allows remote work up to 3 days per week (ie,… more
- The Institute for Family Health (New York, NY)
- HIT ANALYST - Claims / Professional Billing Job...2006 Madison Avenue Business Office - New York, NY Remote Type Fully Remote Position Type Full Time ... PA, TN or VA SUMMARY: The position of Epic Analyst requires an individual that possesses functional knowledge and...that are used to conduct clinical operations. The Epic Analyst will be responsible for workflow analysis, building, training,… more