• Claims Recovery Analyst

    Dollar Tree (Chesapeake, VA)
    …of Position (Job Purpose)** - _Major purpose and functions of the position._ The Claims Recovery Analyst develops and submits requests for recovery on behalf of ... the claim; * Manage the claim process for subrogated claims from start to finish by analyzing notice of...carriers, third-party administrators, or insurance brokers or experience in analyst roles in similar operating environments. * Excellent oral… more
    Dollar Tree (11/02/24)
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  • Claims Analyst

    Insight Global (Glen Allen, VA)
    Job Description The Claims Vendor Operations Analyst , with limited supervision, is responsible for managing all channels of communication with Claims ... vendor issues, and other responsibilities as requested by management. The Claims Vendor Operations Analyst will assist the claims organization in achieving… more
    Insight Global (11/16/24)
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  • Senior Claims Operations Business…

    Prime Therapeutics (Richmond, VA)
    …our passion and drives every decision we make. **Job Posting Title** Senior Claims Operations Business Analyst - Remote **Job Description Summary** Serves as ... liaison between departmental team business owners, end users, IT, Claims and Clinical departments. Responds to ad hoc requests for support, reports and analysis.… more
    Prime Therapeutics (11/14/24)
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  • Risk Management Liability Analyst

    Windstream Communications (Richmond, VA)
    …involves managing Third-Party Auto and General Liability Physical Damage and Bodily Injury Claims . The analyst will assist in internal investigations and support ... of infinite possibilities! ** ** The Risk Management Liability Analyst will act as a crucial liaison between Windstream...the TPA in bringing Third-Party claims to resolution. This is a full-time remote position… more
    Windstream Communications (11/01/24)
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  • Sr. Risk Analyst , Cargo Claims

    Amazon (Arlington, VA)
    Description Amazon's Global Risk Management & Claims team is seeking a highly skilled and detail-oriented Senior Risk Analyst with a background in logistics, ... The ideal candidate will possess an in-depth understanding of insurance claims processes, global cargo regulations, and risk management in transportation. As… more
    Amazon (11/07/24)
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  • Analyst , Medicaid Rebates

    Sumitomo Pharma (Richmond, VA)
    …and to clean up historical utilization that is routinely submitted with Medicaid claims . In addition, the analyst will load Medicaid claim information into ... dynamic, highly motivated, and experienced individual for the position of ** Analyst , Medicaid Rebates.** This individual contributor role is responsible for… more
    Sumitomo Pharma (11/07/24)
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  • Lead Business Analyst

    Prime Therapeutics (Glen Allen, VA)
    …to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across the organization ... our passion and drives every decision we make. **Job Posting Title** Lead Business Analyst **Job Description** The Business Systems Analyst (BSA) Lead IT is… more
    Prime Therapeutics (09/15/24)
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  • Business Analyst , Business Assurance

    Amazon (Arlington, VA)
    Description Amazon's Global Risk Management & Claims team is seeking a highly skilled and detail-oriented Business Analyst with a robust background in economic ... theory, auto claims management, and data analytics. The ideal candidate will...and proficiency in dissecting complex datasets. As a Business Analyst , you will play a pivotal role in extracting… more
    Amazon (11/16/24)
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  • CDM Analyst RI Auditor

    Chesapeake Regional Healthcare (Chesapeake, VA)
    …the Patient Financial Services Director, the Nurse Auditor/ Revenue Integrity/ CDM Analyst is responsible for performing audits of itemized charges versus the ... record and other applicable hospital documentation, assigning modifiers to appropriate claims , researching edited claims for medical necessity, and advising… more
    Chesapeake Regional Healthcare (10/26/24)
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  • Grievance/Appeals Analyst I (US)

    Elevance Health (Norfolk, VA)
    **Title: Grievance/Appeals Analyst I** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of ... our PulsePoint locations. The **Grievance/Appeals Analyst I** is an entry level position in the...with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear,… more
    Elevance Health (11/12/24)
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  • RWD Business Analyst

    Norstella (Richmond, VA)
    RWD Business Analyst Company: MMIT Location: Remote, United States Date Posted: Nov 15, 2024 Employment Type: Full Time Job ID: R-687 **Description** **About us:** ... to join our RWD Engagement Team as a Business Analyst (Sr.) to support our delivery of RWD engagements...Norstella's unified Real World Data asset, a combination of claims , lab, SDOH and EMR data. You will be… more
    Norstella (11/16/24)
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  • Consumer Product Strategy Analyst III…

    Bank of America (Richmond, VA)
    Consumer Product Strategy Analyst III - Information Control Charlotte, North Carolina;Belfast, Maine; Plano, Texas; Richmond, Virginia; New York, New York; Boston, ... potential fraud risk and create mitigation strategies. The Client Protection data analyst will provide analytical and data support for Consumer fraud and non-fraud… more
    Bank of America (10/17/24)
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  • Senior Business Analyst

    ManpowerGroup (Salem, VA)
    **Senior Business Analyst /Product Owner** As a key member of the Agile Development team, the Senior Business Analyst /Product Owner plays a crucial role in ... with cross-functional teams to deliver effective solutions. The Senior Business Analyst /Product Owner leads discussions with stakeholders at all levels to gather… more
    ManpowerGroup (09/25/24)
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  • Sr Operations Coding Analyst

    Healthfirst (VA)
    …is Remote** **Duties & Responsibilities** : + Conducts independent assessments of current claims edits to ensure comprehensive and defensible claims editing is ... all Healthfirst product lines + Participate in special projects and advanced Claims Coding activities + Proactively identifies areas of opportunity with respect to… more
    Healthfirst (11/06/24)
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  • Senior Epic Resolute Hospital Billing…

    VHC Health (Alexandria, VA)
    Senior Epic Resolute Hospital Billing Analyst II Job Description Purpose & Scope: This position is responsible for leading, coordinating, and supporting the ... overall coordination of team activities. The Senior Resolute Hospital Billing Analyst provides deep application understanding and displays excellent verbal and… more
    VHC Health (10/08/24)
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  • Provider Payment Appeal Analyst I

    Elevance Health (Norfolk, VA)
    **Provider Payment Appeal Analyst I** **Must be located within 50 miles of Norfolk, VA, Tampa, FL, Houston, TX, Mason, OH, Costa Mesa, CA, Palo Alto, CA, Rancho ... CA, or Woodland Hills, CA.** The **Provider Payment Appeal Analyst I** is responsible for supporting the Payment Dispute...root cause and appropriate resolution. + Must work with Claims Operations to remediate impacted claims . **Minimum… more
    Elevance Health (11/08/24)
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  • Provider Contract Analyst Senior

    Elevance Health (Richmond, VA)
    **Provider Contract Analyst Senior** **Location:** This position will work a hybrid model (remote and in office one to two days per week). Ideal candidates will live ... OH, St. Louis, MO, Grand Prairie, TX or Iselin, NJ. The **Provider Contract Analyst Senior** is responsible for providing analytical support to the Cost of Care… more
    Elevance Health (11/05/24)
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  • Investigative Analyst

    Catholic Charities of Oregon (Alexandria, VA)
    Alexandria, VA, USA | Full Time SGI Global is seeking an Investigative Analyst to provide technical and programmatic support services for new and on-going projects ... (OI). **This position is contingent upon contract award** Responsibilities The Investigative Analyst must execute duties in support of the following: + Planning,… more
    Catholic Charities of Oregon (11/18/24)
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  • Program Analyst

    UIC Government Services and the Bowhead Family of Companies (Dahlgren, VA)
    **Overview** Program Analyst , (E30-2024-216271): Bowhead seeks a Program Analyst to join our team supporting Naval Surface Warfare Center Dahlgren Division ... first year of a five year contract. The Program Analyst will work directly with the client analyzing complex...characteristics EOE/AA/M/F/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
    UIC Government Services and the Bowhead Family of Companies (10/02/24)
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  • EDI Operations Analyst 1 (Electronic Data…

    Elevance Health (Norfolk, VA)
    …PulsePoint sites used for collaboration, community, and connection. The **EDI Ops Analyst ** is responsible for functioning as provider liaison for all electronic ... but are not limited to: + Assists in the development or modification of claims filing procedures, which includes the analysis of business and clients' needs and… more
    Elevance Health (11/13/24)
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