- MultiPlan (Irving, TX)
- …innovation voice in healthcare. Onward and upward JOB SUMMARY: A Client Implementation Analyst is responsible for the electronic setup, testing and go-live of IT ... projects that involve Client Claims Processing. These claims may be received...or via Web Services (near real time technology). The analyst is involved end to end in the process… more
- Adecco USA (Brea, CA)
- …expert with a knack for problem-solving?Adecco's client is seeking a Senior Workers' Compensation Claims Analyst to join their team in California, USA. Why work ... Hourly rate: $45.00 * Benefits include dental, vision, health, 401K. * REMOTE for only CA residents.What you'll do:Investigate and assess claim complexity.Develop… more
- MultiPlan (Naperville, IL)
- …guidance for the Subrogation Business Analyst . 6. Obtaining information such as claims and plan documents from client remote systems. 7. Processing outgoing ... AND RESPONSIBILITIES:1. Completing data entry and new case creation. 2. Reviewing claims . 3. Retrieving, imaging and prioritizing the daily incoming mail (must be… more
- Prime Therapeutics (Columbus, OH)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Treasury Claims Analyst Senior - Remote **Job Description** The Senior Treasury ... for providing guidance to the Accounting, Finance, Information Technology and Claims operation functions, as well as Pharmacy Networks and Government Programs.… more
- Ryder System (Columbus, OH)
- …Privacy Policy by clicking HERE. (https://ryder.com/job-applicant-privacy-policy)\_ **Position Description** The Claims Analyst handles complex and high exposure ... bodily injury and property damage claims under Ryder's self-administered liability program. This position investigates and adjusts claims , as well as directs… more
- Burrell Behavioral Health (Springfield, MO)
- Job Description: Job Title: Claims Analyst I - RemoteLocation: Springfield, MO.Department: Client Financial ServicesEmployment Type: Full-timeShift: Monday - ... Friday 8:00 AM - 5:00 PM Job Summary: The Claims Analyst I position is responsible for creating and maintaining queries and reports in reconciling and managing… more
- TEKsystems (Woodland Hills, CA)
- Hiring for Claims Analyst 1 100% Remote Position (California Candidates only) Description: Summary: The main purpose of a Claims analyst is to ... pended medical claims verifying and updating information on submitted claims and reviewing work processes to determine reimbursement eligibility. Ensure payments… more
- Randstad US (Phoenix, AZ)
- financial claims analyst . + phoenix , arizona ( remote ) + posted 1 day ago **job details** summary + $18.99 - $19 per hour + temp to perm + high school + ... occupations + referenceAB_4595859 job details Randstad is seeking Financial Claims Analyst for a contract opportunity working...+ (TRAINING ONSITE FOR 2 DAYS THEN YOU GO REMOTE ) + Work Schedule: M-F Open to work a… more
- Fairview Health Services (Minneapolis, MN)
- **Overview** M Health Fairview is a hiring a Remote Senior Application Analyst - Epic - Claims and Remittance! This position is involved with building in ... Epic. This role will provide technical expertise and leadership, including configuring, documenting, testing, modifying and maintaining software applications. Apply specific applications and technology expertise to the specification and design development… more
- Nordstrom (Santa Ana, CA)
- …for, managing subrogation of claims , and negotiating settlements. **This position is a remote "work from home" position - Must be located in California. A day in ... Job Description The Workers Compensation Risk Analyst 3 will be responsible for managing moderately... 3 will be responsible for managing moderately complex claims , including high exposure and litigated claims .… more
- Bozeman Health (Bozeman, MT)
- …not need to complete the assessments again. This is an on-site only position. Approved Remote States: 1. Arizona 2. Florida 3. Georgia 4. Idaho 5. Iowa 6. South ... Carolina 9. Wisconsin 10. North Carolina Position Summary: The Application Analyst is responsible for installing, designing, configuring, training, and supporting… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** ** Claims Analyst ** **Location:** Trinity Health PACE Corp Michigan, Livonia, MI **Status:** Full time ... work in the office each Wednesday. **Position Purpose:** The Claims Analyst is responsible for analyzing and...records for processing. **Position Details:** HYBRID work environment - remote 4 days a week and on site one… more
- Randstad US (Phoenix, AZ)
- claims analyst iii. + phoenix , arizona + posted august 8, 2024 **job details** summary + $18.99 - $19 per hour + temporary + bachelor degree + category office ... and administrative support occupations + referenceAB_4584818 job details Experienced Claims Securities Specialist Wanted - Remote Position! Do you excel in… 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
- TEKsystems (Sacramento, CA)
- TEKsystems - Remote Job Opportunities Description: Role : Claims Analyst + Research why medical claims are stuck in the Pre-Payment Review Database. ... such as a member match problem so the claim can go to a trained Claims Analyst for adjudication. + Verifying and updating information on submitted claims and… 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 (Denver, CO)
- ** 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 (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
- AmeriHealth Caritas (Manchester, NH)
- **Provider Network Operations Claims Analyst Sr (hybrid)** Location: Manchester, NH Primary Job Function: Provider Network ID**: 34151 **Job Brief** The Provider ... Network Operations Data Analyst Sr. will be responsible for supporting Provider Enrollment...reviews requests prior to initial submission to EO and claims post-production + Capitation reconciliations - building queries, comparing… 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
