- Molina Healthcare (Cincinnati, OH)
- …adjudication processes. Strong analytical, organizational, and problem-solving skills. Proficiency in claims management systems and data analysis tools Excellent ... Job Description Job Summary The Senior Claims Research Analyst provides senior-level support...a related field. Demonstrated expertise in regulatory and contractual claims requirements, root cause analysis, and project management… more
- Banner Health (Phoenix, AZ)
- …to join the department and assist with risk identification, mitigation, transfer, and claims management to protect one of the nation's largest non-profit ... or referral to our third party administrator, as well as handling ongoing claims management to include investigating, documenting, and paying invoices in Origami… more
- BrightView (Blue Bell, PA)
- …optimization. The role requires proven expertise in large deductible programs, high-volume claims management , complex and litigated claims , and workers' ... be your brightest. We're looking for a Quality Assurance Analyst . Can you picture yourself here? Hybrid Schedule: 4...related field; Juris Doctor preferred. Minimum 5 years of claims management experience, including Auto, GL, and… more
- Commonwealth Care Alliance (Boston, MA)
- …Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective claims ... Payment Integrity and Analytics Direct and relevant experience with HCFA/UB-04 claims management , coding rules and guidelines, and evaluating/analyzing claim… more
- Public Consulting Group (St. Paul, MN)
- …To learn more, visit www.publicconsultinggroup.com . The Contract Support and RCM Analyst will support both the contractual administrative tasks and the entire claim ... through claim issue research. Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist… more
- Fairview Health Services (St. Paul, MN)
- …hospital revenue cycle operations (registration, charge capture, health information management , claims , payment posting). Organization Expectations, as ... is looking for a Revenue Integrity Charge Description Master Analyst to join our team. The Revenue Integrity Charge...updates to the CDM that contribute to generating clean claims , enabling the collection of expected payments. Participates in… more
- Prime Therapeutics (Boston, MA)
- …or financial analysis to include 1 year of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related field Must be eligible ... career? Come build the future of pharmacy with us. Job Posting Title Pricing Analyst - REMOTE Job Description The Pricing Analyst maintains, provides analyses,… more
- UnitedHealth Group (Phoenix, AZ)
- …on a global scale. Join us to start Caring. Connecting. Growing together. A Medical Claims Analyst (MCA) is responsible for the intake processing and triage of ... with your schedule. Primary Responsibilities: Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and… more
- Elevance Health (St. Louis, MO)
- Performance Quality Analyst II Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing ... is granted as required by law. The Performance Quality Analyst II is responsible for driving service quality excellence...Included are processes related to enrollment and billing and claims processing, as well as customer service written and… more
- Rocket Software (Harrisburg, PA)
- …truly BELIEVE in what they're doing! Job Description Summary: The Senior Benefit Analyst is responsible for building and delivering both global and local benefit ... programs that enhance the employee experience, through support and management of both global and country programs in line with the global total rewards philosophy.… more
- Zurich NA (Minneapolis, MN)
- TPA Operations Sr. Performance Analyst 125087 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes ... your next career move. Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct… more
- Evolent (Phoenix, AZ)
- …for the mission. Stay for the culture. What You'll Be Doing: Lead Analyst , Performance Analytics - Oncology & Member Product Focus Overview: Evolent is seeking ... an experienced and strategic Lead Analyst , Performance Analytics to lead data-driven initiatives focused on...role plays a critical part in both Medical Cost Management and Product Management , leveraging advanced… more
- BJC HealthCare (St. Louis, MO)
- …Additional Information About the Role BJC HealthCare is seeking a Patient Accounts Analyst ! who will be writing appeals for denials for Medicaid and Medicaid risk ... schools in the country. Preferred Qualifications Role Purpose The Patient Accounts Analyst ensures that all insurance, accounts receivable and billing processes are… more
- Insight Global (St. Paul, MN)
- Job Description Insight Global is seeking a Principal level Treasury Claims Analyst . The Treasury Claims Principal is responsible for managing the claim ... processes and controls, and manage state audits. -Performs complex issue management triage collaborating with stakeholders across the organization and at various… more
- TelCom Construction (Clearwater, MN)
- …telecommunications industry. We are currently hiring an individual to fill our Safety Analyst role reporting to our Clearwater, MN location. Connecting you to great ... insurance, and much more! What you'll do The Safety Analyst is responsible for the following areas of safety...Assists with investigating and administering property and utility damage claims in a timely and professional manner Conducts near-miss… more
- Bank of America (Charlotte, NC)
- Fraud Analytics and Innovation Lead Analyst - Fraud Strategy Jacksonville, Florida;Plano, Texas; Richmond, Virginia; Sun City West, Arizona; Boston, Massachusetts; ... must be at least 18 years of age. Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Jacksonville/Fraud-Analytics-and-Innovation-Lead- Analyst Fraud-Strategy_25042825-2) Job Description: At Bank of America, we… more
- Sedgwick (Biloxi, MS)
- …in Financial Services & Insurance Workforce Analytics & Productivity Monitoring Analyst PRIMARY PURPOSE OF THE ROLE: To manage Sedgwick's Workforce Analytics ... software or programs and provides written or verbal analysis and recommendations to management . Analyzes client and customer needs as required and provides clear and… more
- Enterprise Mobility (St. Louis, MO)
- Overview ABOUT THE ROLE The Financial Analyst for Entegral is responsible for creating and maintaining financial reporting, metrics, processes and procedures ... reviewing financial data, and creating financial tools and dashboards. The Financial Analyst also provides insights and influences the development of a pricing… more
- WTW (Charlotte, NC)
- Description The Role We are seeking an organized and detail-oriented Retirement Plan Compliance analyst to join our team. As a compliance analyst you will play a ... Adhere to audit protocol to ensure accuracy of documentation. Document Production/ Management : Adhere to document production timelines to ensure efficiency and timely… more
- Prime Therapeutics (Raleigh, NC)
- …or financial analysis to include 5 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related field 3 years of ... Come build the future of pharmacy with us. Job Posting Title Principal Pricing Analyst - REMOTE Job Description The Principal Pricing Analyst leads complex… more
