• Quality Assurance Analyst

    Zelis (TX)
    …highest levels of quality to a suite of software products for the Zelis Claims team. The Quality Assurance Analyst will be involved in design, ... manual processes, data validation and development of testcases. The Quality Assurance Analyst will participate in all...cycle knowledge is plus. + EDI (835 & 837) claims testing and understanding health care claims more
    Zelis (07/02/24)
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  • GI Claims F&R Reporting Analyst

    AIG (Lenexa, KS)
    GI Claims Fraud & Recovery Reporting Analyst At AIG, we are reimagining the way we help customers to manage risk. Join us as a GI Claims Fraud & Recovery ... Head of Analytics, Intel and Reporting, the F&R Reporting Analyst will be responsible for all reporting and analysis...Regional Leads, Country Managers, F&R Performance as well as Claims , Risk, Legal, Underwriting, and Global Quality more
    AIG (07/01/24)
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  • Employee Benefits- Technology Strategy…

    Equitable (Charlotte, NC)
    Employee Benefits- Technology Strategy Claims Lead Analyst ( 2400007L ) **Primary Location** : UNITED STATES-NC-Charlotte **Other Locations** : UNITED ... that will help unlock your potential? The Technology Strategy Claims Lead Analyst will serve as a...system. Review and approve the release scope, schedule and quality . Manage the change control process and identify non-standard… more
    Equitable (04/10/24)
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  • Senior Claims Analyst - Severity

    AIG (Concord, CA)
    Senior Claims Analyst Join us as a...+ You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional ... Senior Claims Analyst to take on key... to take on key responsibilities within a world-class claims function. Make your mark in Claims ...world-class claims function. Make your mark in Claims Our Claims teams are the proven… more
    AIG (07/01/24)
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  • Claims Tech Analyst Associate…

    Prime Therapeutics (Columbus, OH)
    …It fuels our passion and drives every decision we make. **Job Posting Title** Claims Tech Analyst Associate - Remote **Job Description** The Associate Claims ... Analyst is responsible for serving as the claims analysis resource for an assigned operations team. This...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
    Prime Therapeutics (07/02/24)
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  • Medicare Claims Analyst

    State of Indiana (Indianapolis, IN)
    Medicare Claims Analyst Date Posted: Jun 6, 2024 Requisition ID: 443202 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career with the ... fully engaged with this mission. Role Overview: The Medicare Claims Analyst will serve as the primary...evaluate the performance of employees. Ensure work adheres to quality standards, deadlines, and proper procedures. The job profile… more
    State of Indiana (06/29/24)
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  • Senior Analyst , Liability Claims

    Walgreens (Deerfield, IL)
    …Employer, including disability/veterans". **Job ID:** 1400298BR **Title:** Senior Analyst , Liability Claims **Company Indicator:** Walgreens **Employment ... **Job Description:** **Job Summary** Responsible for supervising the Company's Liability claims including oversight of the 3rd party claims administrator and… more
    Walgreens (06/11/24)
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  • Claims Audit Analyst

    WelbeHealth (Los Angeles, CA)
    …Plan Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and accurate ... corrections . Provide feedback to the Oversight & Monitoring Manager on claims processing errors, quality improvement opportunities, and configuration change… more
    WelbeHealth (07/03/24)
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  • Claims Management Analyst

    AIG (Lenexa, KS)
    …role The Technical Third-Party Oversight team is adding a growth position as a Claims Analyst and is responsible for working with TPAs in investigating, ... evaluating, and negotiating large limit primary general and auto liability claims , ensuring high quality claims handling. Maintains high standard of customer… more
    AIG (07/01/24)
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  • Freight Audit and Claims Analyst

    Elkay (Milwaukee, WI)
    Freight Audit and Claims Analyst **_The Company_** Zurn Elkay Water Solutions Corporation is a thriving, values-driven company focused on doing the right things. ... Zurn Elkay Water Solutions Corporation family! **Job Description** The Freight Audit and Claims Analyst reports to the Logistics Systems & Analytics Manager and… more
    Elkay (06/12/24)
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  • Epic Hospital Billing/ Claims

    UCHealth (Aurora, CO)
    Description Epic Hospital Billing/ Claims Analyst Department: UCHlth EPIC Revenue Cycle IT FTE: Full Time, 1.0, 80.00 hours per pay period (2 weeks) Shift: Days ... managing the delivery of small projects. UCHealth is hiring for an Epic Hospital Billing/ Claims Analyst . Candidates will be considered for one of the following… more
    UCHealth (05/24/24)
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  • Workers Compensation Claims Analyst

    Aston Carter (Wayne, MI)
    Job Title: Workers Compensation Claims Analyst Job Description Join our team as a Workers' Compensation Claims Handler at our plant location. This role ... focuses on delivering excellent customer service, quality claims handling, and effective loss cost management. Duties + Set up and enter new claims into… more
    Aston Carter (06/28/24)
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  • Chargeback Analyst - Medicaid Claims

    Belcan (Whippany, NJ)
    Chargeback Analyst - Medicaid Claims Job Number: 350121 Category: Finance/Accounting Description: #nowhiring! Belcan is excited to be working with our client in ... a Chargeback Analyst . Focus is on Consumer Health and Pharmaceutical claims activities within Order to Cash Operations and Chargeback activities. Job Title:… more
    Belcan (06/27/24)
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  • Healthcare Claims Data Analyst

    The MITRE Corporation (Mclean, VA)
    …then choose MITRE-and make a difference with us. MITRE is seeking experienced healthcare claims data analysts with the ability to develop expertise in quality ... team settings. This position requires significant experience with CMS claims data and the ability to design studies and...a substantive impact in the areas of health care quality , federal policy, and alternative models of healthcare payment.… more
    The MITRE Corporation (06/23/24)
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  • Claims Analyst III

    Adecco US, Inc. (Phoenix, AZ)
    …Processing/Reviewing Experience** + Strong Computer Skills + Works full range of claims , correspondence, quality assurance and escalations. + Attention to detail ... We are currently looking for Claims Representatives for a Remote Opportunity. **You MUST be located within the Phoenix area and have the following qualifications** :… more
    Adecco US, Inc. (07/02/24)
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  • Senior Application Analyst - Epic…

    Fairview Health Services (Minneapolis, MN)
    **Overview** M Health Fairview is a hiring a Sr Application Analyst in Professional Billing - Epic! This position is involved with building in Epic. This role will ... code and programs prior to releasing them to the quality assurance (QA) team. Resolve all unit test issues...members of the technology and business teams to ensure quality and minimize impact on other applications and business… more
    Fairview Health Services (05/09/24)
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  • Manager Claims & Insurance | Sharp…

    Sharp HealthCare (San Diego, CA)
    …plans, and reserves.* Attends quarterly claims meetings of Sharp Rees-Stealy claims with the Chief Medical Officer, President, Quality Director and Physician ... for the position, and employer business practices. **What You Will Do** Manager Claims & Insurance manages and supports the defense and resolution of their party… more
    Sharp HealthCare (06/01/24)
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  • Provider Reimbursement Analyst

    Medical Mutual of Ohio (OH)
    …provide peace of mind to more than 1.6 million Ohioans through our high- quality health, life, disability, dental, vision and indemnity plans. We offer fully insured ... Advantage, Medicare Supplement, and individual plans.** **Responsibilities** **Provider Reimbursement Analyst II** Under general supervision, supports assigned provider network… more
    Medical Mutual of Ohio (05/23/24)
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  • Claims Auditor - Quest Behavioral Health…

    WellSpan Health (York, PA)
    …or GED Required + Bachelors Degree Preferred Work Experience: + 3 years As a claims analyst or similar responsibilities. Required and + 8 years In health ... Events General Summary Performs audits to ascertain that the quality of both PPO and TPA claims ...the quality of both PPO and TPA claims meets departmental policies, procedures and production standards. Duties… more
    WellSpan Health (07/03/24)
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  • Claims Processor - Hybrid working…

    State of Colorado (Denver, CO)
    Claims Processor - Hybrid working arrangements Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4559293) Apply  Claims Processor - Hybrid ... individuals who exhibit our shared values and passion for quality and excellence in all we do. In addition,...Property Division, This position is responsible for processing owner claims according to the Revised Uniform Unclaimed Property Act… more
    State of Colorado (06/28/24)
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