- HEPCO, Inc. (Hicksville, NY)
- Our client is seeking an experienced Procurement Analyst to manage and optimize the procurement processes for information technology and telecommunications services ... of contracts for IT and telecommunications projects, including managing change orders, claims , and back charges. Assert warranty claims and develop methods… more
- Acosta Group (Euless, TX)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be ... responsible for analyzing claims and making decisions about their validity. The position..., assesses the reason for the escalation, and provides resolution in priority order as directed by the Supervisor.… more
- AON (Chicago, IL)
- …is subject to the terms and conditions of the applicable incentive plan. #LI-MB1 #LI- HYBRID 2544115 Workers' Compensation Claims Analyst Aon has a tremendous ... claims are within the reserve threshold. The Analyst will follow-up with Med-only Resolution Manager...the overall Risk Management objectives. This will be a hybrid position in Chicago, IL. The Analyst … more
- AIG (Atlanta, GA)
- …AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims Analyst TTPO Claims to play your part in that transformation. It's an ... claims handling aimed at the prompt and cost-effective resolution of claims through well-developed action plans....next level? We would love to hear from you. #LI-PA1#LI- Hybrid #TPA # Claims Enjoy benefits that take… more
- The Mount Sinai Health System (New York, NY)
- **JOB DESCRIPTION** Reimbursement (Supply) -Chargemaster Analyst Hybrid 150 East 42nd Stret The Reimbursement and Chargemaster Analyst is responsible for ... Analyzes charges and reimbursement to ensure compliance with Federal and State claims submission regulations + Ensures the existence of accurate charging processes +… more
- Henry Ford Health System (Troy, MI)
- …Medicare Advantage, Medicare-Medicaid Program (MMP), and Medicaid lines of business. Analyst must identify trending issues on an ongoing basis and provide ... root/cause analysis when required. The Analyst will work with HAP's medical directors, nurses, pharmacists, Legal department, and other subject matter experts to… more
- T. Rowe Price (Owings Mills, MD)
- …focus on advancing the firm ' s strategic initiatives. Role Summary The Benefits Analyst (Leave Administration) is a member of our tier 2 benefits service team, ... May interact with vendors directly to gather information or assist with issue resolution . With minimal supervision and depending on the area of focus, provides… more
- The Cigna Group (Bloomfield, CT)
- …utilization, coding, and STARs/quality performance. + Perform root cause analyses and resolution related to provider concerns, grievances, claims and care ... Gulf Coast Area** CareAllies Provider Engagement Representative (Network Operations Senior Analyst ) **Where You'll Work** Cigna Corporation (NYSE: CI) is a global… more
- The Cigna Group (Bloomfield, CT)
- Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager, Director, and Other ... Coordinated Care Organization (financial understanding, provider network building, conflict/issue resolution , contracting, claim payment, meetings, training, etc.). **RESPONSIBILITIES:** +… more
- Virtua Health (Mount Laurel, NJ)
- …optimize reimbursement within budget guidelines. Participate in ongoing coordination and resolution of revenue issues as they arise. Assists in troubleshooting and ... Financial Services staff for reporting problems and denials on individual claims . Assist in researching coding issues, provide guidance and recommend solution… more
- AIG (Atlanta, GA)
- …and professional service with empathy and efficiency. How you will create an impact The Claims Analyst III will handle and analyze general liability claims ... ensure proactive claims handling aimed at the prompt and cost-effective resolution of claims through well-developed action plans. Determine need for and… more
- University of Michigan (Ann Arbor, MI)
- HEALTH INFORMATION MANAGEMENT ANALYST II - COMPLIANCE AND AUDITING Apply Now **Job Summary** Utilize the EPIC Release Module to locate, analyze, and produce medical ... records required to substantiate Hospital and Professional Billing claims in response to payer, auditor, and government agency requests. Process medical record… more
- Zelis (FL)
- Position Overview : At Zelis, the Clinical Dispute Analyst role is responsible for the resolution of facility and provider disputes as they relate to DRG ... will be responsible for reviewing facility inpatient and outpatient claims for Health Plans and TPA's to ensure adherence...St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture and all of our… more
- Aflac (SC)
- Financial Systems Analyst I The Company: CAIC The Location: SC, US The Division: Financial Services Job Id: 6754 Salary Range: $42,000 - $98,000 Job Posting End ... you at Aflac. Worker Designation - This role is hybrid . This means you will be expected to report...system cycles for Wynsure, VUE and FSCD; ensures that claims benefits, premium refunds and commissions processed are paid… more
- Elevance Health (Plano, TX)
- …specialty pharmacies, our infusion centers, and the home setting._ **Title: Risk Management Analyst ** **Location:** This position will work a hybrid (remote and ... Acts as a liaison between contracting and internal departments coordinating claims denial interventions, tracking resolution , and implementing ongoing solutions.… more
- Medical Mutual of Ohio (Toledo, OH)
- **_The Operations Data Analyst II position allows you the_** **_flexibility to work a hybrid schedule (on-site and at home)_** **_as long as you reside within a ... and errors that involve internal and external systems, appeals, correspondence, claims and HIPAA data, and regulatory guidance; executes complex data-related… more
- State of Colorado (CO)
- …Manager / Administrator IV DPA State of CO - Hybrid Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4607330) Apply Deputy Risk Manager / ... Administrator IV DPA State of CO - Hybrid Salary $7,917.00 - $8,300.00 Monthly Location Statewide, CO...the state insurance broker + negotiates settlement of liability claims and lawsuits + manages outside counsel contracts +… more
- Zelis (Morristown, NJ)
- …into OnBase (in-house system). * Perform claim look up's and identify claims associated with incoming inquiries. * Extracting multiple inquiries; separating and ... to be forwarded for further review to a coding analyst . * Send correspondence to providers as needed regarding... is not required: (ETF, Non-Accepted, Attachment Missing, Corrected Claims , and other projects as assigned). * Entering requests… more
- Gilead Sciences, Inc. (Foster City, CA)
- …responsible for the following duties and tasks. This role will follow a hybrid working schedule on-site in Foster City, CA. **Job Responsibilities:** + Responsible ... the reconciliation process. + Coordinate dispute information with Chargeback Analyst and Distributor partners as needed to resolve contract...work with the team leaders and managers to find resolution + Serve as a business partner to account… more
- HUB International (San Diego, CA)
- …reports, renewal and marketing process, open enrollment and special projects. + Manages claims and coverage issue resolution for clients' employees when elevated ... **_This_** **_role_** **_can be Hybrid or Remote in Southern CA_** **THE OPPORTUNITY:**...provide critical support to our customers through account management, claims management, day-to-day client oversight, and underwriting services that… more
