- AON (Fort Wayne, IN)
- …for benefits is governed by the applicable plan documents and policies. #LI-CC1 #LI-HYBRID #LI- REMOTE 2551890 Claims Litigation Analyst K&K Insurance is a ... Claims Litigation Analyst K&K Insurance is a...and effective solutions as part of our K&K Insurance Claims business group within Aon Affinity. This is… more
- The Hartford (Scottsdale, AZ)
- Sr Claims Analyst FL - CV08DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. ... claims made coverage to insureds. The Senior Claims Analyst will handle more complex primary...and tact to effectively avoid or diffuse high-tension situations. Business Acumen and Technical Expertise + Utilize verbal and… more
- Zurich NA (Rocky Hill, CT)
- General Liability Claims Analyst 117471 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to ... our General Liability team. As a General Liability (GL) Claims Analyst , you will work with a...supporting daily work processes of the GL Line of Business by reviewing data received at claim intake, managing… 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 ... in a fast-paced environment. * Work efficiently in a remote environment. * Proficiently use MS Excel and MS...Minimum of three years of experience as a Medical Claims Analyst or in a similar role… more
- Hackensack Meridian Health (Edison, NJ)
- …healthcare and serve as a leader of positive change. The **Applications Analyst III** gathers business requirements, conducts needs assessments, and develops ... III on our Digital Technology Services team** **!** **Our openings include:** **Applications Analyst III - Epic Resolute HB/PB Claims :** Candidates need to be… 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** ... to meet established operational and technical audit requirements. + Coordinates with the Analyst Team in implementing Sedgwick business unit (SBU) and national… 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
- Children's Hospital Boston (Boston, MA)
- …per Week:40 Job Posting Category:Information TechnologyJob Posting Description: This IT Epic Analyst II - Professional Billing and Claims will be responsible ... 77505BRJob Posting Title:IT EPIC Analyst II - Professional Billing and ClaimsDepartment:Information Services-ApplicationsAutoReqId:77505BRStatus:Full-TimeStandard… more
- The Institute for Family Health (New Paltz, NY)
- HIT ANALYST - Claims / Professional Billing Job...New Paltz Family Health Center - New Paltz, NY Remote Type Fully Remote Position Type Full Time ... Job Category Information Technology Description SUMMARY: The position of Epic Analyst requires an individual that possesses functional knowledge and skills in… more
- AECOM (Sacramento, CA)
- …better world. Join us. **Job Description** **AECOM** is seeking a **Senior Forensic Claims Analyst ** to be based in **Sacramento, CA.** **JOB RESPONSIBILITIES:** ... analysis providing reasonable and realistic schedule forecasts. + Review Contractors' claims and assist with responses and potential rebuttals. + Other duties… more
- McLaren Health Care (Flint, MI)
- We are looking for a Business Analyst II to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren Health Care ... **Position Overview:** At the direction of the assigned leadership, interprets business rules and prepares functional specifications for all information systems,… more
- Prime Therapeutics (Columbus, OH)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Business Analyst II - Remote in the California market **Job Description ... Summary** Serves as liaison between departmental team business owners, end users, IT, Claims and Clinical departments. Responds to ad hoc requests for support,… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is looking for an Intermediate Clinical Auditor/ Analyst to join the Quality Assurance team! This role will work standard daylight hours, Monday - ... however, this role may work remotely. The Intermediate Clinical Auditor/ Analyst is an integral part of the Quality Assurance...procedural and diagnosis codes have been used appropriately on claims . This role also acts as a SME for… more
- Prime Therapeutics (Eagan, MN)
- …fuels our passion and drives every decision we make. **Job Posting Title** Pricing Analyst - REMOTE **Job Description** The Pricing Analyst maintains, ... with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness &… more
- Rising Medical Solutions (Chicago, IL)
- As a Business Application Analyst , you are responsible for the administration, solution design and delivery, and support for the applications under the ... Business Applications umbrella. You'll make sure that the processes...providers, and case managers nationwide, RISING provides comprehensive medical claims solutions to our valued clients: insurance carriers, Fortune… more
- Fallon Health (Worcester, MA)
- …purpose:** As a member of the Enterprise Project Management Office team, the Senior Business Analyst is responsible for the documentation of Business ... effectively in a fast-paced environment. Many of systems rely on core business functions (ex. claims processing, provider contracting, network management) and… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Payment Integrity Analyst is responsible for conducting research and analysis and reviewing billing requirements, provider ... **This role will be focused on Medicare and Medicaid lines of business .** **ESSENTIAL FUNCTIONS:** + Identifies, develops, and implements new concepts that will… more
- LifePoint Health (Brentwood, TN)
- …field* **Organization:** **LifePoint Health Support Center* **Title:** *Sr Financial Analyst - Remote - Hybrid* **Location:** *Tennessee-Brentwood* **Requisition ... POSITION SUMMARY: The Senior Financial Analyst , Population Health provides support to advance and...guidance, to develop budget variance analysis and deliver to business owners across the organization, partnering with budget owners… more
- Prime Therapeutics (Columbus, OH)
- …fuels our passion and drives every decision we make. **Job Posting Title** Regulatory Analyst Sr - Remote **Job Description** The Senior Regulatory Analyst ... for being the primary point of contact for new internal and external business partners with regard to related regulatory activity and quality efforts involving… more
- CareFirst (Baltimore, MD)
- …documentation for support of legal action pertaining to CareFirst indemnity business , ensuring that all appropriate materials, related claims , contracts, ... documentation for support of legal action pertaining to CareFirst indemnity business , ensuring that all appropriate materials, related claims , contracts,… more