- 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 ... and other immigration support are not available for this position. The Claims System Analyst is integral to the success of the policy and business development… 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 ... the United States. This position can either be fully remote (if not within commutable distance to the office)...employment. Sponsorship Details Sponsorship not Offered for this Role Job Description BAH - Stop Loss Claims Analyst… more
- Windward Risk Managers (Boca Raton, FL)
- Job Details Job Location Corporate Office - Boca Raton, FL Remote Type Fully Remote Position Type Full Time Salary Range $95000.00 - $105000.00 Salary/year Job ... Shift Day Description Position Summary: The Quality Assurance (QA) Analyst is responsible for performing completing tasks in support of FPM CQA objectives. This… more
- UnitedHealth Group (Shelton, CT)
- …for the enterprise. As a subject matter expert, you will interpret and analyze claims and non claims data from various sources and recommend best approaches ... you take on some tough challenges. Primary Responsibilities: Interpret and analyze claims data from various sources and recommend best approaches Create and update… more
- Fox Point Recruitment (Los Angeles, CA)
- …: Remote , Los Angeles CA Job Summary The Business Analyst III facilitates business process improvement via the methodical investigation, analysis, review ... in a quantitative role as a Business Analyst , Data Analyst , Programming Analyst , Claims processing, encounter processing. Skills Required: Competent to… 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 ... To advance with this approach, Allianz Commercial is seeking a Senior Actuarial Analyst to actively shape and reposition the Group's pricing capabilities. In this… more
- Iconma LLC (Detroit, MI)
- Our Client, a Health Insurance company, is looking for a Business Analyst for their Detroit, MI/ Remote location. Responsibilities: Create and present reports and ... for the ongoing improvement of the updated process The Support analyst assists in the planning, coordinating, developing, and implementing of approved… more
- Lumen Solutions Group, Inc. (Reston, VA)
- Now Hiring: Senior Financial Analyst - PBM Financial Modeling & Analysis SME Location: Remote (USA) Contract-to-Hire | Opportunity to Transition to Permanent ... the Role: We are looking for a Senior Financial Analyst - Pharmacy SME to lead strategic financial modeling,...financial forecasts to evaluate overall contract value. Analyze pharmacy claims data, utilization trends , and pricing shifts to… more
- Tailored Management (Hartford, CT)
- …up period onsite for 1-2 weeks, followed by flex model (MTW Onsite, ThF remote ) - Annual extensions based on budget and performance - Interview Process: 45 minute ... Team. Knowledge with how to read and interpret medical claims , medical claim forms and Explanation of Benefits is...Explanation of Benefits is required. Aka - Medical Claim Analyst . Knowledge and understanding of Medical coding is a… more
- Allianz (Chicago, IL)
- …A new opportunity has just become available and we're looking for a HR Analyst -Payroll Specialist specializing in ADP Global view, to join our team in HR. This ... recognizes the value of striking a balance between in-person collaboration and remote working. Please feel free to discuss flexible working arrangements with us.… more
- Molina Healthcare (Covington, KY)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... successful implementation of provider engagement programs. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze claims from compliance against contracts, billing, and processing guidelines… more
- Cognizant (St. Louis, MO)
- **QA Analyst Healthcare Domain - Payer & Claims Testing** This is a remote position open to any qualified applicant in the United States. We are seeking a ... highly skilled and motivated **QA Analyst Healthcare Domain - Payer & Claims ...**Location: Saint Louis, MO - Position is open for Remote working** **Required Skills** Bachelor's degree in computer science,… more
- Cognizant (St. Louis, MO)
- **QA Analyst in Healthcare Domain with Payer & Claims Testing experience ( Remote )** This is a remote position open to any qualified applicant in the ... We are seeking a highly skilled and motivated **QA Analyst in Healthcare Domain with Payer & Claims Testing experience** to join our dynamic team. This role… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not be considered at this ... time._** Position Summary: Working under the direction of the SVP Claims , the Senior Data Analyst - Payment Integrity & Claims will provide routine and ad… more
- Alight (IN)
- …through effective solutions and personal service. **Responsibilities** + Handling claims related to FMLA, disability (STD/LTD), parental leave, personal leave, ... of the leaves. + Managing and processing employee leave claims in compliance with federal, state, and company policies.... and Backend Operations (International Voice /Non-Voice/Blended process) + Analyst Level hires: **5 - 8 years** of work… more
- TEKsystems (Earth City, MO)
- …expertise in a professional setting, helping customers and dealerships navigate vehicle repair claims . As a Mechanical Claims Analyst , you'll use your ... of engines, transmissions, and electrical systems to evaluate mechanical claims , communicate with customers and repair facilities, and ensure...Schedule: After initial period, 2 days in-office, 3 days remote (Mondays & Fridays always remote ) +… more
- TEKsystems (Earth City, MO)
- …and part of the larger JM Family Enterprises Inc., is seeking a Mechanical Claims Specialist to join our expanding customer contact team. In this role, you'll ... knowledge of vehicle mechanics to assess and process mechanical claims . This opportunity offers a refreshing change of pace,...connection and a quiet at-home workspace is required for remote and hybrid schedules. Experience with Labor guides -… more
- TEKsystems (Ewing, NJ)
- …of the servicer and/or client + Files respective investor/insurer initial and final claims based on the respective guidelines for allowable limits + Reviews MI claim ... reasons for potential rebuttal + Files Appeal or Supplemental Claims ensuring all allowable advances and interest are recovered...or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to… more
- TEKsystems (Omaha, NE)
- …of the servicer and/or client * Files respective investor/insurer initial and final claims based on the respective guidelines for allowable limits * Reviews MI claim ... reasons for potential rebuttal * Files Appeal or Supplemental Claims ensuring all allowable advances and interest are recovered...or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to… more
- AmeriHealth Caritas (Newtown Square, PA)
- …at www.amerihealthcaritas.com. **Work Arrangement** ; ; ;.; This is a remote position; **Responsibilities:** + Research, analyze, and process projects or ... technical resolution.; + Consistently meets or exceeds production standards for Claims Recovery maintaining 99% financial and procedural accuracy.; + Identify and… more
