- Fortegra (Jacksonville, FL)
- The Claims Business Analyst is responsible for evaluating claims workflows, identifying and recommending process improvements, and translating ... are clearly defined and that outputs are aligned with strategic goals. The Claims Business Analyst is further responsible for the creation and maintenance of… more
- Molina Healthcare (Long Beach, CA)
- …or equivalent combination of education and experience Required Experience 5-7 years of business analysis experience with an emphasis in claims payment accuracy ... the Nebraska Health plan SLT by providing subject matter expertise on complex claims related issues and service recovery efforts. Analyzes complex business … more
- CCG Business Solutions, LLC (Los Angeles, CA)
- …in a quantitative role as a Business Analyst , Data Analyst , Programming Analyst , Claims processing, encounter processing is required. Bachelor's ... of connecting purpose to business . We are currently recruiting for a Business Analyst III. Job Description The Business Analyst III facilitates … more
- University Health (San Antonio, TX)
- …that are beyond the scope of claim examiners and senior claim examiners that affect claims payment. Act as consultant to claims staff on complex claim issue ... Work cooperatively with configuration in testing of contracts used in business operations and reporting assuring auto adjudication. Perform in accordance with… more
- Berkley (Trenton, NJ)
- …company is an equal employment opportunity employer. Responsibilities As a Stop Loss Claims Analyst , you'll perform quality review and evaluation of all claim ... of the candidate; and other conditions of employment. Sponsorship Details Sponsorship not Offered for this Role Job Description BAH - Stop Loss Claims Analyst more
- Medline (Northbrook, IL)
- Job Summary Medline has an exciting opportunity for an experienced SAP SD/Vistex Business Analyst to join our SAP Pricing & Rebates team. We're seeking a highly ... motivated functional analyst to support critical pricing and chargeback processes. In...processes. In this role, you will collaborate with both business and technical teams to design, enhance, and implement… more
- Windward Risk Managers (Boca Raton, FL)
- …Salary/year Job Shift Day Description Position Summary: The Quality Assurance (QA) Analyst is responsible for performing completing tasks in support of FPM CQA ... conduct systematic quality file reviews of first-party property / third-party casualty claims from internal and external claim operations, in accordance with FPM… more
- Magellan Health, Inc. (Frisco, TX)
- …years of experience working in Medicare Operations. General Job Information Title Senior Business Analyst - Encounter Operations Grade 26 Work Experience - ... EDIFECs experience preferred. Serves as liaison between departmental team business owners, end users, IT, Claims and...departmental team business owners, end users, IT, Claims and Clinical departments. Responds to ad hoc requests… more
- ApTask (New York, NY)
- …Information Systems, Insurance, or a related field. 10+ years of experience as a Business Analyst , with a strong focus on insurance systems. Hands-on experience ... of services including digital transformation, application development, infrastructure management, and business process outsourcing. The company has a strong focus on… more
- EmblemHealth (New York, NY)
- …containment initiatives. Provide consultative subject matter expertise to aligned business areas to demonstrate analytics rooted in data. Responsibilities: Ensure ... the department. Implement automation of manual reporting and analysis of business implications and trends. Lead efforts to continually improve data capabilities… more
- Allianz (Chicago, IL)
- We are looking for a Senior Actuarial Analyst , based in New York, Alpharetta, or Chicago. Your Team The Global Property Pricing team is part of the Chief ... drives the global implementation of costing and pricing excellence for all commercial business . To advance with this approach, Allianz Commercial is seeking a Senior… more
- Tory Burch LLC (Jersey City, NJ)
- …of trade laws and customs regulations as well as global standards At the Sr. Analyst level, you understand the business of global trade and its regulatory ... resolving customs entry issues with customs brokers *Preparing duty drawback claims ; maintaining reporting *Managing Carnet/Hand Carry's for PR and Creative Asset… more
- Trillium Staffing (Quincy, MA)
- Trillium Professional is now seeking a Quality Assurance Analyst in Quincy, MA for a Hybrid position! The QA Analyst will design and develop test cases utilizing ... The individual must be able to analyze and understand business and technical requirements to support enterprise and web...the QA Team Lead. Job Duties: *The QA Assurance Analyst is responsible for executing robust system and user… more
- EPIC Brokers (Alpharetta, GA)
- …service when the clients are acquiring another entity. JOB OVERVIEW: The Risk Analyst - Mergers & Acquisitions will be responsible for executing merger and ... with clients regarding the due diligence process, reports, and other activities. The analyst will dig into the work to write reports, review policies, and other… more
- Welltower, Inc. (Dallas, TX)
- …we want you on our best-in-class team. ABOUT THE ROLE The Risk Management Analyst provides key risk management services in the areas of insurance, claims ... general liability, workers compensation, auto, with primary focus on property damage claims . This role will coordinate with adjusters and attorneys and provide… more
- Chubb (Philadelphia, PA)
- Job Description Overview: This Senior Actuarial Analyst position is responsible for supporting the Accident & Health pricing unit of Commercial Insurance (CI) ... and concise verbal and written communications regarding analyses and observations to non-actuarial business partners and leaders About Us Chubb is a world leader in… more
- Wolters Kluwer NV (Philadelphia, PA)
- …days a month in the office OVERVIEW The Legal Invoice Review Quality Assurance Analyst ("QA Analyst " ) for Wolters Kluwer, Fulfillment Center of Excellence will ... audit team and appeals team members as part of critical legal expert QA Analyst "task force" that resolves ambiguities or "close judgment calls" in interpretation of… more
- VetJobs (Pittsburgh, PA)
- …Healthcare related field required. 5+ years relevant experience as a Systems or Claims Analyst in a Healthcare organization required. 5+ years experience writing ... a leading healthcare technology company, committed to simplifying the business of care. Over 30 years of experience, dedicated...immigration support are not available for this position. The Claims System Analyst is integral to the… more
- UnitedHealth Group (Shelton, CT)
- …Economics Consultant, you will perform critical research and investigation of key business problems. Using phenomenal analytical skills, you will develop and improve ... a subject matter expert, you will interpret and analyze claims and non claims data from various...function will be responsible for researching and investigating key business problems through quantitative analyses of utilization and healthcare… more
- Elevance Health (Atlanta, GA)
- Anticipated End Date: 2025-08-25 Position Title: Business Information Analyst Senior - Provider Economics Job Description: Business Information Analyst ... an accommodation is granted as required by law. The Business Information Analyst Senior is responsible for...and summarizes using summary statistical procedures. Develops and analyzes business performance reports (eg for claims data,… more
