- The Hanover Insurance Group, Inc. (Itasca, IL)
- …and inclusive corporate culture. The Claims team is currently seeking a Senior Business Analyst . This is a full-time, exempt position with a remote ... or hybrid work schedule seated in one of our Claims offices . POSITION OVERVIEW: Business Analysts...issues and implications of proposed system and hardware solutions. BUSINESS ANALYST II PROJECT COMPLEXITY: Performs work… more
- Assurant, Inc. (New York, NY)
- Title Senior Claims Analyst Overview of Position Manages a...with a high degree of accuracy. This is a remote / work from home position. What will be my ... losses and/or complex claim activity. Investigates, adjusts and settles claims of the highest complexity. Represents the Company on...Handle other duties and projects as requested based on business needs. Assist with peer training and guidance as… more
- Corvel (Portland, OR)
- …become a subject matter expert in this area of our support model. The Jr. Business Analyst /User Subject Matter Expert performs diverse user and user setup ... CorVel has proprietary software to provide claims , bill review and case management services to...their time on User operation tasks, and 30% on business analyst tasks. Qualified candidates must have… more
- Serve You Rx (Milwaukee, WI)
- …compilation of data. This is a remote position. What You'll Do: As the Business Analyst II , you will: Predict emerging customer needs and develop innovative ... Open Date 5/16/2025 Full-Time/Part-Time Full-Time Description Serve You Rx is in search of a Business Analyst II . The Business Analyst is responsible… more
- State Of California (Sacramento, CA)
- …This position is eligible for a hybrid work schedule, with up to two days of remote work and three days or more onsite, per week. Sponsorship This position is not ... and performing financial data analysis, validation, reconciliation, and collaborating with business partners? If you answered yes, then this opportunity might be… more
- SureWerx (Portland, OR)
- …grow and succeed. We are looking for a full-time Senior Credit and Collections Analyst . This position reports to the Credit Supervisor. This role is responsible for ... hybrid with a minimum of 2 days per week in office OR fully remote depending upon location of successful candidate . Responsibilities: *Collection action on overdue… 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 ...activities ensuring efficient workflow and communication. Conduct manual end-to-end business process assurance testing focusing on the Claims… 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
- 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 (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 ... and research curtailment reasons for potential rebuttal * Files Appeal or Supplemental Claims ensuring all allowable advances and interest are recovered from the MI… 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 ... and research curtailment reasons for potential rebuttal + Files Appeal or Supplemental Claims ensuring all allowable advances and interest are recovered from the MI… more
- Prime Therapeutics (Indianapolis, IN)
- …and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - ScriptMed - Remote **Job Description** The IT Business Systems ... (SDLC) methodology employed by Prime and partnering with the business , IT, and other project stakeholders to elicit, define,...of security implications of domain + Experience in Prime claims systems + Proficiency in Visio, Microsoft Word, Excel,… more
- Providence (Portland, OR)
- …within the PHP claims editing system. In addition, the Coding Policy Analyst will be responsible for replying to provider and member appeals and providing ... **Description** **Coding Policy Analyst ** **_Remote_** The Coding Policy Analyst ...and assists with implementation of such changes to the claims adjudication and editing software. **Providence Health Plan** caregivers… more
- Molina Healthcare (Provo, UT)
- **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims ... and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in… more
- Prime Therapeutics (Eagan, MN)
- …fuels our passion and drives every decision we make. **Job Posting Title** Pricing Analyst - REMOTE **Job Description** The Pricing Analyst maintains, ... with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness &… more
- Cedars-Sinai (Torrance, CA)
- …innovation. **Req ID** : 6403 **Working Title** : Revenue Cycle Analyst ( Remote ) **Department** : CSRC PB - Group ** Business Entity** : Cedars-Sinai Medical ... minimum of 1 year of proven experience as an analyst (revenue cycle, data, financial, business , or...systems with knowledge of CPT/HCPC, ICD-10 coding, clearinghouse, EDI claims and remittance advice processing, and Epic Revenue Cycle… more
- Molina Healthcare (Omaha, NE)
- …for administering complex provider reimbursement methodologies timely and accurately. The analyst will support existing lines of business and expansion ... IT, the pricing software vendor, operations, health plan representatives, and other business teams involved in claim processing. Maintains expertise in all forms of… more
- Prime Therapeutics (Montgomery, AL)
- …every decision we make. **Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst - Remote **Job Description** The Senior Health Data Analyst ... the consulting and analytic methodology for designated line of business ; may provide work direction, serve as a mentor...Experience conducting complex analysis on large sets of pharmacy, claims , medical, and/or financial data + Intermediate SAS or… more
