- Acosta Group (Jacksonville, FL)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be ... responsible for analyzing claims and making decisions about their validity. The position...for change to provide continuous improvements. This is a Hybrid role. The Hybrid schedule for all… more
- Acosta Group (Irving, TX)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be ... responsible for analyzing claims and making decisions about their validity. The position..., assesses the reason for the escalation, and provides resolution in priority order as directed by the Supervisor.… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Senior Reimbursement-Chargemaster Analyst -Chargemaster/Projects - Hybrid East 42nd Street** The Senior Reimbursement and Chargemaster ... Analyst is reporting to Associate Director of Finance and...and reimbursement to ensure compliance with Federal and State claims submission regulations + Ensures the existence of accurate… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and integrity of key risk adjustment ... methodology, risk score calculation, ACA enrollment, premiums, medical and pharmacy claims , and provider data. Incumbent is responsible for performing complex… more
- The Cigna Group (Bloomfield, CT)
- Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager, Director, and Other ... Coordinated Care Organization (financial understanding, provider network building, conflict/issue resolution , contracting, claim payment, meetings, training, etc.). **RESPONSIBILITIES:** +… more
- The Cigna Group (Houston, TX)
- …utilization, coding, and STARs/quality performance + Perform root cause analyses and resolution related to provider concerns, grievances, claims and care ... with other internal departments, including but not limited to Health Services, Finance, Claims , and Coding in order to develop solutions for strategic business needs… more
- The Cigna Group (Huntsville, AL)
- …utilization, coding, and STARs/quality performance. + Perform root cause analyses and resolution related to provider concerns, grievances, claims and care ... other internal departments, including but not limited to Health Services, Finance, Claims , and Coding in order to develop solutions for strategic business needs.… more
- Virtua Health (Mount Laurel, NJ)
- …optimize reimbursement within budget guidelines. Participate in ongoing coordination and resolution of revenue issues as they arise. Assists in troubleshooting and ... Financial Services staff for reporting problems and denials on individual claims . Assist in researching coding issues, provide guidance and recommend solution… more
- AIG (Atlanta, GA)
- …and professional service with empathy and efficiency. How you will create an impact The Claims Analyst III will handle and analyze general liability claims ... ensure proactive claims handling aimed at the prompt and cost-effective resolution of claims through well-developed action plans. Determine need for and… more
- Cummins Inc. (Troy, MI)
- **DESCRIPTION** **Job Summary:** Manages warranty claims according to the terms and conditions of multiple contracts for multiple international customers. ... the department. **Key Responsibilities:** As a National Accounts Service Analyst , you will make an impact in the following...an impact in the following ways: + **Administering Warranty Claims ** : By administering warranty claims according… more
- Elevance Health (Tampa, FL)
- …with various departments, when necessary, to determine root cause and appropriate resolution . + Must remediate impacted claims . **Minimum Requirements:** + ... **Provider Payment Reconsider Analyst I** **Must be located within 50 miles...lines of business and is specifically responsible for the resolution of Provider Payment Reconsideration requests. **How you will… more
- CVS Health (Cumberland, RI)
- …to the Senior Manager of the Internal Audit Recovery Team, the Senior Analyst performs audits mainly related to retail and supports additional teams as requested. ... Collaborate with CVS internal and external partners to resolve audit claims . + Audit Reporting/Communication- Solid meeting management and oral/written communication… more
- State of Colorado (Denver, CO)
- Statistical Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4675560) Apply Statistical Analyst Salary $61,380.00 - $73,656.00 ... responses from people of diverse backgrounds and abilities. We are looking for a Statistical Analyst to join out Finance team! As part of the State of Colorado, HCPF… more
- University of Michigan (Ann Arbor, MI)
- Clinical Info Analyst Assoc Apply Now **Job Summary** We, the staff and faculty within the Department of Ophthalmology & Visual Sciences and Kellogg Eye Center are ... guidelines + Adhere to appropriate billing workque and submission claims + Manage claim denials and required follow up...Identify and track reoccurring operational problems and participate in resolution + Required to have knowledge and adhere to… more
- Humana (Louisville, KY)
- …accuracy and compliance with accepted accounting policies and principles. The Accounting Analyst will assist with funding of pharmacy claims , reconciliation of ... first** We are seeking a meticulous and adaptable Accounting Analyst to join our dynamic team. This role is...in the documentation of accounting projects. This is a Hybrid position, in-office a few days a week located… more
- The Hartford (Charlotte, NC)
- Treasury Analyst - FC09AN We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here ... shape the future. The Hartford's Enterprise Treasury Organization is seeking a Treasury Analyst to support both its Liquidity and Cash Management functions. The role… more
- Aflac (SC)
- Financial Systems Analyst I The Company: CAIC The Location: SC, US The Division: Financial Services Job Id: 6754 Salary Range: $42,000 - $98,000 Job Posting End ... you at Aflac. Worker Designation - This role is hybrid . This means you will be expected to report...system cycles for Wynsure, VUE and FSCD; ensures that claims benefits, premium refunds and commissions processed are paid… more
- Medical Mutual of Ohio (Toledo, OH)
- **_The Operations Data Analyst II position allows you the_** **_flexibility to work a hybrid schedule (on-site and at home)_** **_as long as you reside within a ... and errors that involve internal and external systems, appeals, correspondence, claims and HIPAA data, and regulatory guidance; executes complex data-related… more
- Wells Fargo (Chandler, AZ)
- …begins with you. **About this role:** Wells Fargo is seeking a Quality Assurance Analyst in the Lending Fulfillment Customer Service team as part of the Commercial ... this role, you will:** + Examine and research complex programs, processes, claims , documentation, or files to ensure compliance with internal company requirements or… more
- BP Americas, Inc. (Chicago, IL)
- …minimum overall exposure for bp Trading & Shipping. + Identification and timely resolution of any deal entry discrepancies to ensure accuracy between recaps / ... advice to the T&S business, both in respect of pre-trade information and the resolution of disputes arising in the operation or completion of the trade. +… more