- Amazon (New York, NY)
- Description Amazon's Global Risk Management and Claims team is seeking a Sr . Risk Analyst to assist with the development and management of Amazon's global ... management tools and techniques for new and existing business initiatives. Additionally, the Sr . Risk Analyst will manage the insurance programs for some Amazon… more
- Lowe's (Mooresville, NC)
- "The primary purpose of this role is to serve as a high risk claims analyst for the Legal department, handling litigated cases and sensitive brand issues. The ... for issues which cannot be satisfactorily resolved by the Claims Examiner or Sr . Claims ...age, ancestry, national origin, mental or physical disability or medical condition, sexual orientation, gender identity or expression, marital… more
- Carle (Urbana, IL)
- Sr Revenue Cycle Analyst - Cadence +...Save Save Apply Now Position Summary: Revenue Cycle Systems Analyst Senior is a qualified/certified analyst ... module/ systems assigned and is proficient in the Revenue Cycle Systems Analyst role. Develops, implements, modifies, tests and administers more complex modules and… more
- Adecco US, Inc. (Minneapolis, MN)
- Adecco is currently assisting a local client in their search to fill a ** Sr . HEALTHCARE Data Analyst ** job opportunity. **100% Remote** **Shift: Mon - Fri 8am - ... experience applying causal inference methodologies required + Experience with medical and/or pharmacy claims data preferred +...is preferred Apply Today to be considered for this ** Sr . HEALTHCARE Data Analyst ** job and any… more
- CVS Health (Scottsdale, AZ)
- …dynamic individual to join our Rebate Client Services organization. The Rebate Client Support Sr . Analyst will work directly with our clients and help us deliver ... Analytics.To successfully investigate and answer our client's questions, the Rebate Client Support Sr . Analyst will be expected to understand all steps of the… more
- Kohler Co. (Kohler, WI)
- ** Sr . Sales Analyst , Builder and P&S...such as Point of Sale (POS), Builder closings, and claims . **Skills/Requirements** + Position requires a BS degree in ... Mode: Onsite_ **Location:** Onsite - Kohler, WI **Opportunity** The Sr Sales Analyst - Builder and P&S...their education, and the work location. Available benefits include medical , dental, vision & 401k._ **Why Choose Kohler?** We… more
- Robert Half Finance & Accounting (Collierville, TN)
- Description We are offering an exciting opportunity for a Sr . Financial Analyst in Collierville, Tennessee. As part of our client's team, you will be involved in ... US census surveys * Reconcile, audit, and fund TPA Claims accounts * Compile large datasets and organize them...a minimum of 5 years of experience in a Sr . Financial Analyst role or similar position… more
- CGI Technologies and Solutions, Inc. (Boston, MA)
- **Guidewire Sr . Business Analyst (ClaimCenter)** **Category:** Business Consulting, Strategy and Digital Transformation **Main location:** United States, ... Guidewire ClaimCenter. Your future duties and responsibilities: As a senior BA, you will: * Working with the client's...* Perform integration testing to test the flow of claims data * Create test scripts and coordinate testing… more
- CVS Health (Cumberland, RI)
- …Inc., a CVS Health company, is hiring for the following role in Cumberland, RI: Sr . Analyst , Application Development to analyze and assist with the design and ... develop applications, systems, and databases used to process prescriptions, claims , and related healthcare activities; and collaborate with cross-functional teams… more
- Molina Healthcare (Florence, KY)
- **Job Description** **Job Summary** The Sr Analyst , Risk Adjustment - Predicitve Analytics role supports Molina's Risk Adjustment Predictive Analytics team. ... of businesses. + Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and related financial data like risk score, revenue and… more
- NextEra Energy (Juno Beach, FL)
- ** Sr Tax Analyst ** **Date:** Jun 27, 2024 **Location(s):** Juno Beach, FL, US, 33408 **Company:** NextEra Energy **Requisition ID:** 80881 is the world's largest ... inquiries from government agencies regarding tax filings, compliance, and other claims * Leverage technology to create effective financial models, calculations… more
- CVS Health (Falls Church, VA)
- …a CVS Health company, is hiring for the following rolein Falls Church, VA : Sr . Analyst , Application Support to analyze and assist with the design and ... and develop applications,systems, and databases used to process prescriptions, claims , and related healthcare activities; and collaborate with cross-functional teams… more
- CVS Health (Northbrook, IL)
- …to make health care more personal, convenient and affordable. Position Summary This Senior Consultant role performs claims diagnosis to identify claims ... running AS400 queries in order to identify the impacted claims . Depending on the type of case submitted, this...explained to other parties, both internal and external. A Senior Consultant would be expected to handle more complex… more
- Molina Healthcare (Georgetown, KY)
- …business hours **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... Economics, Math, or Computer Science **Preferred Experience** Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators: + Proactively… more
- The Hershey Company (Hershey, PA)
- …for serving as primary contact for all inquiries regarding Family and Medical Leave Act (FMLA), short-term disability (STD), long-term disability (LTD), Workers ... of one direct report in Mexico * LTD Administration o Monitor approved STD claims approaching maximum duration and ensure timely transition to LTD status to prevent… more
- CVS Health (Scottsdale, AZ)
- …an exciting opportunity to join our PBM Finance Systems Improvement team as Senior Analyst . The Systems Improvement team manages a variety of cross-functional ... to work with SQL, job submission, database libraries. + Knowledge of pharmacy claims , claim adjudication and data file transmission. + Working knowledge of NCPDP… more
- Healthfirst (NY)
- …core system (MHS) + Validate repricing/reprocessing projects outcome and follow up with Claims Operation teams for any fallout + Additional projects and duties as ... tables, filtering and formatting. + Knowledge of healthcare financial terms and claims processing. + Basic understanding of Medicaid and Medicare programs or other… more
- Highmark Health (Columbus, OH)
- … terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards....years of prior experience processing 1st dollar health insurance claims + 3 years of experience with medical… more
- Henry Ford Health System (Detroit, MI)
- …+ Serves as a liaison between the employee, third party administrator/ claims manager, HFHS benefits administration team, and HR representatives regarding LOA ... acquired knowledge in daily practice. + Partner with New York Life regarding medical information and understand the job description and the essential functions of… more
- Amazon (Seattle, WA)
- Description Amazon is seeking an experienced Senior Risk Analyst to support Global Risk Management & Claims (GRMC). The ideal candidate will be innovative, ... reserving, values at risk, and funding requests. - Review claims looking for trends in the data that indicate...compensation package, in addition to a full range of medical , financial, and/or other benefits. For more information, please… more
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