- City and County of San Francisco (San Francisco, CA)
- …City Attorney's Office is looking for a qualified and motivated individual to join its Claims Team as a Claims Investigator . About the Office The San ... in small claims court to defend against claims and pursue collections. Claims Investigator...online application was not submitted or received. Human Resources Analyst Information: If you have any questions regarding this… more
- Allied Solutions (Plano, TX)
- …and exceed all established recovery and claim service standards and benchmarks for a Claims Investigator . + Promptly and effectively respond to both carrier and ... coverage to certain claim types prior to the assignment to a Claims Adjuster or Analyst . The key responsibilities of this job are both administrative and… more
- City and County of San Francisco (San Francisco, CA)
- …status and disposition. 4. Assist in the preparation, verification, and submission of claims to the California Victim Compensation and Government Claims Board, ... ongoing basis to fill vacancies. Contact: Shavaun Tolliver, Principal Human Resources Analyst ### The City and County of San Francisco encourages women, minorities… more
- Mount Sinai Health System (New York, NY)
- …Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be responsible for tracking, trending, and analyzing ... to Directors for potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or legal entities. The… more
- Travelers Insurance Company (Richardson, TX)
- …Services Team provides industry-first resources designed to detect and deter fraudulent claims . Using some of the most comprehensive technology available, we have ... risks and combat fraudulent practices. As the Major Case Unit Investigative Analyst , you will proactively analyze data to determine fraud schemes, trends and… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III serves as a senior member of the Pharmacy Analytics team, advancing Mount Sinai's mission through high-impact data ... deliver data products that inform strategic decisions across the Health System. The Analyst plays a key role in developing interactive dashboards and optimizing SQL… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the organization to develop sophisticated analytics to ... goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more advanced understanding...care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- Mount Sinai Health System (New York, NY)
- …occasionally at 150 E 42nd Street Corporate Offices** The Data Science Analyst II collaborates with stakeholders from across the organization to develop ... goal setting, and effective performance measurement. The Data Science Analyst II demonstrates sound and a more advanced understanding...care EMR such as Epic/Clarity, eCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Financial Analyst Underpayment II- Patient Accounts Corporate 42nd Street (100% on site) -Full-Time Days** The Financial Analyst ... the Assistant Vice President or Director. Does data mining, analyses of underpaid claims and detail report reviews. Prepare standard monthly reporting for the AVP. +… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst II collaborates with stakeholders from across the organization to develop sophisticated analytics to provide ... goal setting, and effective performance measurement. The Data Science Analyst II demonstrates sound and a more advanced understanding...care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …activities as well as provide program-wide trend analysis. The Senior Data Analyst will use advanced analytics, predictive modeling, and proactive data analysis to ... analytic problems through communication and collaboration. + Knowledge of BCBSMA claims processing system is preferred. + Proficient analytical and report… more
- Mount Sinai Health System (New York, NY)
- …across the Mount Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst ** will play a critical role in testing, coding, modeling, and reporting on ... + In-depth knowledge of healthcare revenue cycle processes, including billing, claims management, and payment reconciliation. + Familiarity with **Stratajazz** ,… more
- CVS Health (Hartford, CT)
- …Investigates to prevent payment of fraudulent, abusive, or otherwise improperly billed claims submitted by providers, members, and others - Facilitates the recovery ... behaviors outlined in Employee Competencies - Exhibits behaviors outlined in SIU Investigator Competencies - May include travel to testify in court proceedings or… more
- CVS Health (Albany, NY)
- …**Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team within Aetna's Special ... abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants and customers. + Researches and… more
- CVS Health (Harrisburg, PA)
- …each and every day. **Position Summary** **Position Summary** TThe SIU Investigator conducts investigations to effectively pursue the prevention, investigation and ... in a prepayment environment - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, etc. - Researches and prepares cases… more
- The County of Los Angeles (Los Angeles, CA)
- …please include that with your application or email it to the exam analyst at ###@lasd.orgwithin seven (7) calendar days from applying. ELIGIBILITY AND VACANCY ... steps to view correspondence, and we will not consider claims of missing notice to be a valid reason...about a specific job posting should contact the exam analyst listed on the posting. Equal Employment Opportunity/Non-Discrimination Statement:… more
- The County of Los Angeles (Los Angeles, CA)
- …applicant's responsibility to take steps to view correspondence, and we will not consider claims of missing notices to be a valid reason for re-scheduling an exam ... questions about a specific job posting should contact the exam analyst listed on the posting. Equal Employment Opportunity/Non-Discrimination Statement: The County… more
- The County of Los Angeles (Los Angeles, CA)
- …applicant's responsibility to take steps to view correspondence, and we will not consider claims of missing notice to be a valid reason for re-scheduling an exam ... questions about a specific job posting should contact the exam analyst listed on the posting. Equal Employment Opportunity/Non-Discrimination Statement: The County… more
- UIC Government Services and the Bowhead Family of Companies (Washington, DC)
- …Positions available may include: + Program Manager + Principle Investigator + Meeting Facilitator/Coordinator + Clerical Support + Technology Transfer ... (T2) Specialist + Data Analyst + Sr. Writer/Editor + Jr. Writer/Editor + Sr....characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- The County of Los Angeles (Los Angeles, CA)
- …questions about a specific job posting should contact the exam analyst listed on the posting. Equal Employment Opportunity/Non-Discrimination Statement: The County ... to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be...information will only be disclosed to an assigned background investigator if he/she is deemed suitable for the job… more