- AdventHealth (Maitland, FL)
- …at the office (Altamonte Springs,FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial ... analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst must have attention to...of app provider types + Applies detailed understanding of medical coding systems affecting the adjudication of claims… more
- Robert Half Accountemps (Flint, MI)
- …We are a healthcare organization based in Flint, Michigan, United States, currently seeking a Medical Claims Analyst . In this role, you will be responsible ... years of experience in a similar role as a Medical Claims Analyst * Proficiency...a medical setting * Extensive knowledge in medical claim coding * Certification or relevant… more
- Henry Ford Health System (Troy, MI)
- …roadblocks and meet or exceed customer requirements and expectations. + Knowledge of medical claims data and managed care membership data. + Knowledge of ... GENERAL SUMMARY: As a Senior Medical Economics Analyst , your primary objective...associated with medical cost containment initiatives. Analyze medical and pharmacy claims to identify early… more
- CVS Health (Irving, TX)
- …of managed care and how provider reimbursement policies relate to the control of medical claims costs. + Full comprehension of provider reimbursement logic + ... care more personal, convenient and affordable. CVS Health is seeking a Sr. Analyst , Medical Economics to join our team! The Sr. Analyst participates on… more
- Baptist Memorial (Memphis, TN)
- Summary The Medical Health Economics Analyst conducts and interprets complex healthcare data analysis, including financial modeling and risk assessment. Supports ... for the full spectrum of app provider types. + Applies detailed understanding of medical coding systems affecting the adjudication of claims to include ICD-9/10… more
- Molina Healthcare (TX)
- …sources. **Preferred Qualifications:** + Experience with Medicaid + Experience with medical claims , authorization, and membership data + Advanced proficiency ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and...reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments… more
- Keystone Lab (Asheville, NC)
- …excellent interpersonal and customer relationship skills for interacting with patients regarding medical claims and payments. + Must possess a positive, open, ... Inc. - Asheville, NC An exciting and challenging opportunity awaits a highly qualified Medical Insurance Billing & Reimbursement Analyst I in one of the most… more
- Commonwealth Care Alliance (Boston, MA)
- …the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing ... experience, specific to Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims ,… more
- Chapa-De (Auburn, CA)
- …we are seeking a motivated person to join a growing organization and support the medical side of coding! The Coder/ Analyst must have the ability to perform ... once training is complete) Benefit Highlights: + Health Insurance ( medical , dental and vision). + 10 days PTO per...other documentation. + Reviews state and federal Medicare visit claims for completeness and accuracy before submission to minimize… more
- Crawford & Company (Boise, ID)
- …have been settled and the claim is only open for payment of medical benefits (ie maintenance claims not requiring actuarial reserves). + Contacts, by ... Everything We Touch Position Summary Under direct supervision, processes medical only claims within authority, processes other... claims , other than "M" cases, where all medical issues have been settled and the claim… more
- Trinity Health (Niskayuna, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Medical Billing Analyst - Cardiology Associates of Schenectady - Niskayuna, NY - Full ... to the efficient and service oriented operation of a medical practice. The Billing Analyst will perform...outstanding claims to contact to ensure all claims are billed timely + Review each claim… more
- CVS Health (Hartford, CT)
- …of managed care and how provider reimbursement policies relate to the control of medical claims costs. + Full comprehension of provider contracts and the ... differentiated non-participating (Out-Of-Network) provider determinations, and evaluate changes to medical policy to support the overarching Medical Economic… more
- Healthfirst (NY)
- …accurate estimates of program savings. + Provide data driven analysis to Finance, Claims , Medical Management, Network, and other departments to enable critical ... **Duties & Responsibilities:** + Value new medical cost initiatives, applying financial modeling expertise and using independent judgement to determine the best… more
- Healthfirst (NY)
- …accurate estimates of program savings.** **Provide data driven analysis to Finance, Claims , Medical Management, Network, and other departments to enable critical ... **Duties and Responsibilities** **Value new medical cost initiatives, applying financial modeling expertise and using independent judgement to determine the best… more
- Chenega Corporation (San Antonio, TX)
- …**Disability Review Analyst ** is responsible for conducting reviews of disability claims competed by Medical and Psychological consultants and assisting with ... to bring the claim into compliance. The Analyst will be responsible for training medical ...claim processing operations) to correct problems. + Review claims returned by federal components (Office of Disability Operations/Disability… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission ... documentation and queries, coding software tools and Insurance carrier medical and reimbursement policies during the claim ...with training new staff in all aspects of the Analyst role. PHYSICAL AND SE NSORY REQUIRE M ENTS:… more
- AIG (Dallas, TX)
- …and management of indemnity, medical and legal aspects of highest valued, complex claims . + Reviews and analyzes TPA claim financials to ensure payments are ... Management Analyst Join us as a Senior Claims Analyst to grow your experience in...settlement authority to TPAs and oversees negotiations to achieve claim settlements within authority limits. + Reviews claims… more
- Flynn Restaurant Group (Independence, OH)
- **Position Description** The Liability Claims Analyst / Bodily Injury Analyst is responsible for assuring the quality and cost-effectiveness of the general ... and damages, strategy development, analysis of risk and plans to move claims to closure. **General Liability Analyst ** **Essential responsibilities will… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Jan 6, 2025...to get Medicaid Summary invoice, summary data file and Claim Level Invoice each quarter and review to ensure ... us on our journey of growth! **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… more
- AON (Fort Wayne, IN)
- Claims Litigation Analyst K&K Insurance is a leading provider of specialty coverage in the exciting areas of sports, leisure, recreation, motorsports and events. ... succeed. What the day will look like As a Claims Litigation Analyst , you will report directly...involvement + Demonstrate an awareness of jurisdictional nuances impacting claim evaluation and keeps abreast of legislation and court… more