- Wolters Kluwer (Dallas, TX)
- …highly skilled Business Analyst to join the Mediregs team focusing on claims processing and the RCM process. The ideal candidate will have a strong understanding ... proficient in analyzing CMS rules as it relates to claims and processes. The candidate will be able to...participate in all stages of functional development: designing solutions, implementation , testing and documentation; as well as contribute to… more
- Acosta Group (Charlotte, NC)
- …to best practices and account instructions. + Maintain a diary system and complete a claims analyst summary form timely and consistently. + Attend business unit ... **DESCRIPTION** The Sr. Casualty Risk Analyst will assist the Director of Risk Management...will assist the Director of Risk Management in the implementation of the corporation's property and casualty risk management… more
- Eaton Corporation (Beachwood, OH)
- Eaton's Corporate Sector division is currently seeking a Lead Analyst - Insurance Claims . This position will be located at our Beachwood, OH facility. We are ... to join our dynamic team as a Global Insurance Analyst . This role requires a strong ability to utilize...do:** * Ensure timely and accurate reporting of insurance claims . * Ensure that claims are processed… 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
- Rush Enterprises (New Braunfels, TX)
- The Risk and Insurance Analyst - Workers' Compensation Claims is responsible for managing WC claims with oversight of the Third Party Claims ... lost time claims , authorizing settlements, and maintaining accurate records. The Analyst serves as the primary point of contact for the day-to-day operations of… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Jan 6, 2025 Location: Parsippany, United States, New Jersey, 00000 Company: Teva Pharmaceuticals Job Id: 59984 **Who we are** Teva ... us on our journey of growth! **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… more
- Hackensack Meridian Health (Edison, NJ)
- …and serve as a leader of positive change. The **Applications Analyst III** gathers business requirements, conducts needs assessments, and develops functional ... Professional Billing Administration as well as Epic Resolute Hospital Billing Claims / Electronic Remittances and/or Resolute Professional Billing Claims … more
- Sharp HealthCare (San Diego, CA)
- …position, and employer business practices. **What You Will Do** The Sr. Systems Analyst role within IT is responsible for systems analysis, consulting with users and ... for you if you had the following certification: Resolute Professional Billing Claims and Remittance Administration. An ideal candidate would have 3+ years'… more
- Healthfirst (NC)
- …the development and configuration of new business, member benefits and products, claims editing, reference data and their enhancements including claims ... enhancements. + Follow the annual product development processes to manage major claims configuration projects, including claims business rule set up outlier… more
- ICW Group (San Diego, CA)
- …clients, to gather necessary documentation. + Provides input into the development and implementation of best practices for claims handling and reporting. + ... involving claim and account level issues.** + Analyzes and processes reinsurance claims in accordance with company policies and regulatory requirements. + Conducts… more
- Healthfirst (FL)
- **Duties & Responsibilities** : + Conducts routine assessments of current claims edits and ensures comprehensive and defensible editing across all Healthfirst ... new edits and modifications to existing edits. + Leads implementation efforts with respect to new or modified edits...edits. + Monitors and reports on performance of current claims editing packages + Supports claims editing… more
- The Institute for Family Health (New Paltz, NY)
- HIT ANALYST - Claims / Professional Billing Job Details Level Experienced Job Location New Paltz Family Health Center - New Paltz, NY Remote Type Fully Remote ... Job Category Information Technology Description SUMMARY: The position of Epic Analyst requires an individual that possesses functional knowledge and skills in… more
- Fairview Health Services (Minneapolis, MN)
- **Overview** The Senior Application PB/HB Claims Analyst role with Epic Hospital and/or Professional billing (HB and/or PB) will provide technical expertise and ... through the testing process and ultimately into production. Provide implementation /production support as required. + Evaluate and understand dependencies between… more
- USAA (Colorado Springs, CO)
- …for this position will have the opportunity to support all areas of Claims operations through partnership with decision science analysts and business stakeholders by ... learning in support of growing the Business Intelligence capability within the P&C Claims Analytics organization.** This role can work remotely in the continental US… more
- Catholic Health Services (Melville, NY)
- … program. Is competent to work on all phases of Epic Resolute Hospital Billing/ Claims analysis and implementation activities and able to assist the patient ... Job Details Under minimal supervision, formulates and defines Resolute Hospital Billing/ Claims scope and objectives through research and fact-finding to develop or… more
- Zurich NA (Stevens Point, WI)
- …the Americas Claims and Assistance Business Operations. **The Senior Business Analyst /Product Owner is responsible for:** + the onboarding and support of the ... Americas Operations Senior Business Analyst / Product Owner 120060 Travel Guard meets...owns the Travel Program of Work for the Americas Claims and Assistance Business Operations. This person will identify,… more
- CDPHP (Albany, NY)
- …CDPHP's core claims systems and any integrated systems. The Configuration Analyst II will recommend system and configuration solutions and alternatives that meet ... and invites you to be a part of that experience. The Configuration Analyst II is responsible for leading the analysis, maintenance, and configuration of CDPHP's… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …achieve their best possible health and quality of life. Business Systems Analyst III Provides the interface between clinical business teams (Case Management, ... Clinical Claims Review, Quality Management & STARS, Utilization Management, etc.)...solutions. Works with the systems development team or vendor implementation team throughout the project life cycle to ensure… more
- Hackensack Meridian Health (Brick, NJ)
- …and serve as a leader of positive change. The **Risk Management Analyst (RMA)** is responsible for investigating risk management events, reviewing and analyzing ... on various insurance matters, as well as assisting with claims and litigation matters on a day-to-day basis for...A day in the life of a **Risk Management Analyst (RMA)** at **Hackensack Meridian** **_Health_** includes: + Investigates… more
- TEKsystems (Honolulu, HI)
- Description Serves as the entry level position for the Healthcare Service Analyst job family. Employees in this position will gain the necessary knowledge, skills ... assigned in strategic planning. * Learns to conduct cost/benefit analysis of claims processing. Extract and analyze data using SQL, MicroStrategy and/or other tools… more