- Molina Healthcare (IA)
- …review of production support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains understanding of solution ... functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received on … more
- Molina Healthcare (Rochester, NY)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...have strong experience with Benefits and contracts configuration in QNXT + Must have claims processing experience… more
- Molina Healthcare (Fort Worth, TX)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits,… more
- TEKsystems (Menasha, WI)
- Description As a Claims Analyst II you will be tasked with the following: - Examine and process paper claims and/or electronic claims . - The person in ... subrogation. PLUS: - Coding experience - Past experience using QNXT (TM) Claims Workflow a plus Experience...and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business … more
- TEKsystems (Madison, WI)
- This position is remote to Wisconsin residents only! Description As a Claims Analyst II you will be tasked with the following: - Examine and process paper ... PLUS: - Coding experience preferred. - Past experience using QNXT (TM) Claims Workflow a plus Hours...and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business … more
- TEKsystems (Menasha, WI)
- …is 100% work from home, but candidates MUST reside in Wisconsin ONLY. Description As a Claims Analyst II you will be tasked with the following: + Examine and ... Skills: + Coding experience preferred. + Past experience using QNXT (TM) Claims Workflow a plus Hours:...and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business … more
- CVS Health (Tallahassee, FL)
- …every day. **Position Summary** The Sr. Analyst Informatics (Encounter Technical Analyst ) is responsible to analyze and document business data and processes, ... + Strong collaboration skills within and across teams. **Preferred Qualifications** + Claims /Encounters experience. + QNXT or Edifecs experience. + Experience… more
- CVS Health (Harrisburg, PA)
- …and abuse + Proficiency in Python coding + Knowledge of Medicaid healthcare claims adjudication ( QNXT ) & regulatory reporting + Experience with data ... We are seeking a highly analytical and detail-oriented Data Analyst to join our Special Investigation Unit within a...investigations of potential fraud, waste, and abuse in Medicaid claims and provider activity. + Prepare timely and accurate… more