- The MITRE Corporation (Mclean, VA)
- …make a difference with us. Department Summary: MITRE is seeking experienced healthcare claims data analysts with the ability to develop expertise in quality ... comfortably in team settings. This position requires significant experience with CMS claims data and the ability to design studies and analyses, interpret and… more
- Molina Healthcare (Nicholasville, KY)
- …identify root cause, validate root cause and extrapolate potential impact of issue. Validates data received on claims to identify billing issues that will impact ... for accurate and timely production review of issues reported within our claims intake and processing ecosystem (QNXT, Edifecs, etc.). Gains understanding of solution… more
- LA Care Health Plan (Los Angeles, CA)
- …in a quantitative role as a Business Analyst , Data Analyst , Programming Analyst , Claims processing, encounter processing. Skills Required: Competent ... Business Analyst III - Encounters Data Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives Location: Los Angeles, CA, US, 90017… more
- AdventHealth (Maitland, FL)
- …knowledge of healthcare managed care contracts and healthcare administrative claims data + Works alongside Senior Medical Economics Analyst in identify ... Remote - Altamonte Springs, FL** **The role you'll contribute:** A Medical Economics Analyst is responsible for supporting the Senior Medical Economics Analyst … more
- Randstad US (Austin, TX)
- claims analyst - workers compensation full-time. + austin , texas + posted august 28, 2024 **job details** summary + $28 - $30 per hour + temp to perm + bachelor ... and administrative support occupations + referenceAB_4596611 job details Job Title: Claims Analyst - Workers' Compensation Salary: $30/hour Location: Austin… more
- Brink's (Atlanta, GA)
- …people have made the choice to join our team - and stay here. Job Title Regional Claims Analyst Job Description Job Summary: The Claims Analyst will ... armed environment. Key Responsibilities: + Monitor case and claim data for branches in your region + Drive improvement...VA team for support + Escalate to assigned Variance Analyst any claims not resolved within 25… more
- The Cigna Group (Bloomfield, CT)
- …with AS400, MC400, McNet and RC3 systems required + 3+ years of experience with claims adjudication, claims data types and editing rules (ICD, CPT/HCPC, ... a division of the Cigna Group is hiring a Claims Systems Configuration Quality Review Senior Analyst ....Partner with technology and analytics teams to develop new data sources for reporting and act + as liaison… more
- AIG (Atlanta, GA)
- …span AIG's global reach. The role will be responsible for supporting the delivery of the claims data and analytics strategy for claims in partnership with ... customers to manage risk. Join us as a Senior Analyst , Claims Analytics to play your part...functional departments for business involvement + Lead conversations with Claims Technical Leadership to define gaps in data… more
- Aston Carter (Parsippany, NJ)
- Job Title: Medicaid Claims Analyst Job Description The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes validating, ... payment for assigned state Medicaid agencies, SPAPs and Supplemental Rebates. Analyst is accountable for submitting payments within deadlines and in compliance… more
- Commonwealth Care Alliance (Boston, MA)
- …+ Analyze, measure, manage, and report outcome results on edits implemented. + Utilize data to examine large claims data sets to provide analysis ... TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible...small to large Operations Management + Collaborate system and data configuration into CES ( Claims Editing System)… more
- Consolidated Electrical Distributors (Irving, TX)
- Summary Job title: Loss Control Analyst ( Claims Coordinator) Job ID: 202496380002 Department: Loss Control Location: TX-Irving Description Summary: Consolidated ... + Provide periodic reports to Loss Control Manager of the complex claims and trends within the data + Works with CED field locations to obtain necessary … more
- Fallon Health (Worcester, MA)
- …of the Risk Adjustment Analyst (RAA) will be to function as the Claims SME for the Risk Adjustment & Analytics Department. The RAAimplements data analytic ... Job Responsibilities:** + Analyze, prioritize & support resolution of Claims / Encounter data errors by triaging to...for resolution + Work with the Senior Risk Adjustment Analyst on monthly operational and performance reporting and dashboards… 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
- Robert Half Accountemps (Plantation, FL)
- Description We are offering a long term contract employment opportunity for a Medical Claims Analyst to join our team in the insurance industry, located in ... and support to ensure productivity and quality of work. * Monitor claims data , generate reports, and analyze trends to identify areas for improvement in… more
- Baylor Scott & White Health (Dallas, TX)
- **JOB SUMMARY** The Claims Analyst is accountable for claims processing, research and adjudication to correctly apply benefit determination and pricing for ... areas of responsibility to include clinic professional claims , hospital and facility inpatient and outpatient claims , and Rx-drug claims (CMS 1500 and UB04),… more
- Walgreens (Deerfield, IL)
- …Employer, including disability/veterans". **Job ID:** 1400298BR **Title:** Senior Analyst , Liability Claims **Company Indicator:** Walgreens **Employment ... of a TPA on-line claims system. + Experience with analyzing and reporting data in order to identify issues, trends, or exceptions to drive improvement of results… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Aug 22, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57784 **Who we are** ... to make a difference with. **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid Drug...with assigned states to get Medicaid Summary invoice, summary data file and Claim Level Invoice each quarter and… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Aug 24, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57268 **Who we are** Teva ... on our journey of growth! **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid Drug...with assigned states to get Medicaid Summary invoice, summary data file and Claim Level Invoice each quarter 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...for decision-making purposes. + Perform forensic analyses of large data sets and demonstrate the ability to communicate and… more
- Robert Half Finance & Accounting (Miami, FL)
- Description We are offering an exciting opportunity for a Senior Claims Analyst to join our team in Miami, Florida. As Senior Analyst , you will play a ... performance. * Utilize EO/IR systems to analyze and interpret data and generate insightful reports. * Perform AB Testing...minimum of 7 years of relevant experience as an Analyst . * Proficiency in Atlassian Jira is required. *… more