- Lyric (Newtown Square, PA)
- …medical coder, medical claims adjuster, medical claims processor, chart reviewer/auditor, denial management analyst , clinical editing analyst , ... health insurance payers including commercial, Medicare, Medicaid (FFS and MCOs), third-party claims processing (including paper & EDI processes), medical coding,… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …and making a meaningful difference in the lives of members? As a **Quality Specialist III** , you will play a pivotal role in ensuring every member experience ... rely on, every step of the way. The Quality Specialist III is responsible for conducting and overseeing Premera's...related to quality assurance. + Assist the Data Reporting Analyst in collecting data and providing analyses for various… more
- Panasonic North America (De Soto, KS)
- …join a team that's changing the world? Do you have a strong background as a Claims Analyst ? Then we're looking for you! Check out the job description and apply ... the future of energy and transportation. **Job Summary:** The Claims Analyst plays a key role in...stakeholders and external parties (eg, insurance carriers, TPAs, attorneys, medical providers) + Provide technical support and clarification to… more
- UTMB Health (Galveston, TX)
- Senior EHR Clin Apps Analyst (Epic Professional Claims ), Remote - ITS-Clin Revenue Cycle **Galveston, Texas, United States** **New** Information Technology UTMB ... position EHR Clinical Application Analyst , Lead EHR Solution Analyst EHR Solution Specialist **Knowledge/Skills/Abilities:** Experienced in maintaining and… more
- TEKsystems (Earth City, MO)
- …skilled mechanic looking to shift gears in your career? We are seeking a Mechanical Claims Specialist to join our expanding customer contact team. In this role, ... knowledge of vehicle mechanics to assess and process mechanical claims . This opportunity offers a refreshing change of pace,...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- TEKsystems (Earth City, MO)
- …skilled mechanic looking to shift gears in your career? We are seeking a Mechanical Claims Specialist to join our expanding customer contact team. In this role, ... knowledge of vehicle mechanics to assess and process mechanical claims . This opportunity offers a refreshing change of pace,...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- Sedgwick (Memphis, TN)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance IT Systems Analyst Specialist Sr **PRIMARY PURPOSE OF THE ROLE:** To lead the business ... combination of education and experience required. Experience in multi-line claims management processes and system requirements strongly preferred. Skills &… more
- Adecco US, Inc. (Philadelphia, PA)
- Adecco is assisting a local client recruiting General Liability Claims Analyst opportunities in Philadelphia, PA (Remote Role). This is an excellent opportunity ... people, restoring property, preserving brands and empowering performance. If General Liability Claims Analyst sounds like something you would be interested in,… more
- LA Care Health Plan (Los Angeles, CA)
- …(TM) ); NAMAS Certified HCC Coder (CHCC (TM) ); AHIMA Certified Coding Specialist (CCS(R)) Domain Focus: Medical Cost Driver Analytics Required: Experience ... types. Experience developing dashboards or analytic tools to monitor and optimize medical spend. Knowledge of claims , provider, and condition level analyses… more
- LA Care Health Plan (Los Angeles, CA)
- …(TM) ), NAMAS Certified HCC Coder (CHCC (TM) ), AHIMA Certified Coding Specialist (CCS(R)). Domain Focus: Medical Cost Driver Analytics Required: Experience ... types. Experience developing dashboards or analytic tools to monitor and optimize medical spend. Knowledge of claims , provider, and condition level analyses… more
- LA Care Health Plan (Los Angeles, CA)
- …types. Experience developing dashboards or analytic tools to monitor and optimize medical spend. Knowledge of claims , provider, and condition level analyses ... challenging deadlines. Licenses/Certifications Required Licenses/Certifications Preferred Tableau Certified Data Analyst or Tableau Desktop Specialist Microsoft Certified:… more
- Houston Methodist (Bellaire, TX)
- …and capture potential revenue opportunities. This position performs quality assurance, detailed claims analysis and medical record reviews of complex claims ... At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate billing and coding compliance with Medicare and third-party… more
- State of Colorado (Denver, CO)
- …matters, as well as other related claims duties assigned. The Claims Managers assist claimants, attorneys, medical providers, and employers in processing ... in claims adjusting: paying out lost wage benefits, authorizing medical treatment, investigating claims for compensability, etc. Conditions of Employment:… more
- AIG (Atlanta, GA)
- Claims Intake Department Manager At AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims Intake Department Manager to play your ... part in that transformation. You'll work with some of the best claims and underwriting minds in the industry addressing challenging claims and sophisticated… more
- MyFlorida (St. Petersburg, FL)
- …to be used for consistent application of criteria. + Liaisons with specialist providers requesting additional medical information as needed. INDIRECT SERVICES ... HUMAN SERVICES PROGRAM ANALYST - 64004525 1 Date: Jan 6, 2026...Specialty Care Program, whose primary functions are to generate medical referrals for specialists in the Pinellas County Health… more
- New York State Civil Service (Albany, NY)
- …include but are not limited to Administrative Analyst Trainee 1, Claims Services Representative Trainee 1, Contract Management Specialist Trainee 1, ... NY HELP Yes Agency Insurance Fund, State Title Business Systems Analyst 1 / Trainee 1/2 - (NY HELPS) Occupational Category Financial, Accounting, Auditing Salary… more
- The County of Los Angeles (Los Angeles, CA)
- …Supervises County employees providing disaster/emergency services, when required. Regional Disaster Medical and Health Specialist Program (RDMHS) Assists in the ... DISASTER SERVICES ANALYST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4684863) Apply DISASTER SERVICES ANALYST Salary $87,086.16 -… more
- Adecco US, Inc. (Fort Washington, PA)
- …is assisting a local client recruiting for a Broker Agent Service Senior Analyst opportunity located onsite in Fort Washington, PA. This is an excellent opportunity ... outcomes and advance health equity on a global scale. If the Broker Agent Service Analyst role sounds like something you would be interested in, and you meet the… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …of Group Benefits has a vacancy. This position serves as the Group Benefits Analyst in the Medical /Pharmacy Section of the Office of Group Benefits (OGB) ... Group Benefits Analyst 1, 2, or 3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5193148) Apply Group Benefits Analyst 1, 2, or 3 Salary… more
- University of Michigan (Ann Arbor, MI)
- …**Job Detail** **Job Opening ID** 267243 **Working Title** Managed Care Payer/Operations Analyst **Job Title** Admin Specialist Inter Health **Work Location** ... Managed Care Payer/Operations Analyst Apply Now **How to Apply** A cover...data related to managed care programs, including reimbursement rates, claims data, and provider performance metrics. + Collect and… more
