- Molina Healthcare (Long Beach, CA)
- …Nebraska Health plan SLT by providing subject matter expertise on complex claims related issues and service recovery efforts. Analyzes complex business problems and ... with multiple types of business data. May be internal operations -focused or external client-focused. KNOWLEDGE/SKILLS/ABILITIES Elicit requirements using interviews,… 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 ... cooperatively with configuration in testing of contracts used in business operations and reporting assuring auto adjudication. Perform in accordance with company… more
- Windward Risk Managers (Boca Raton, FL)
- …to conduct systematic quality file reviews of first-party property / third-party casualty claims from internal and external claim operations , in accordance with ... Salary/year Job Shift Day Description Position Summary: The Quality Assurance (QA) Analyst is responsible for performing completing tasks in support of FPM CQA… more
- Magellan Health, Inc. (Frisco, TX)
- …healthcare, Medicaid or other health insurance industries. Experience in Healthcare claims operations and/or encounter submissions preferred. Expertise in ... positions supporting Medicare, requires 3+ years of experience working in Medicare Operations . General Job Information Title Senior Business Analyst - Encounter… more
- ApTask (New York, NY)
- … claims , accounting, and policy servicing teams to streamline operations using Vertafore IMS features. Coordinate and conduct user acceptance testing ... Systems, Insurance, or a related field. 10+ years of experience as a Business Analyst , with a strong focus on insurance systems. Hands-on experience with Vertafore… more
- Chubb (Philadelphia, PA)
- …broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. At ... Job Description Overview: This Senior Actuarial Analyst position is responsible for supporting the Accident...Us Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal… 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 ... as follows: Receive and organize law firm requests for reconsideration from Operations Support Specialists or management and/or work the intake queue for requests… more
- Manhattan District Attorney (New York, NY)
- … Operations Division Civil Service Title: Community Associate Position Title: Operations Analyst Salary: $64,680 - $64,680 Job Description: The New ... York County District Attorney's Office (DANY) has an immediate opening for an Operations Analyst in its Operations Division. In this position the … more
- Dentaquest (Grafton, WI)
- …using existing system functionality and provides excellent support to UM, Claims Operations , Underwriting, and Dental Management and other operational ... them to best serve our customers. JOB RESPONSIBILITIES: Works with UM, Claims Operations , Underwriting, and Dental Management and/or other operational teams… more
- iCare Health Solutions Enterprise (Miami, FL)
- …dates, carve-outs, and inclusions/exclusions Test contract builds using simulated claims to confirm accurate payment logic and resolve discrepancies Document ... KPIs such as net revenue realization, gross-to-net adjustments, clean claim rates, and claims lag variance Perform ad hoc data analyses to assist the Revenue Cycle… more
- Gerdau (Tampa, FL)
- …payroll tax compliance processes regarding all payroll tax matters. The Payroll Tax Analyst must be a subject matter expert for federal, state and local regulations ... and payroll withholding procedures, and in preparing special reports for field operations and management. This position should have a thorough knowledge of payroll… more
- Experis (Berkeley Heights, NJ)
- Our client, a leader in the financial services industry, is seeking a Business Operations Analyst to join their team. As a Business Operations Analyst , ... abilities, which will align successfully in the organization. Job Title: Business Operations Analyst Location: Berkeley Heights, NJ Pay Range: $37 -… more
- Tekfortune (Atlanta, GA)
- JD - Data Center Operations Analyst Client Spares Readiness team (part of Data Center Central Operations ) is seeking Ops Analyst to support their data ... (PLM) software for replacements ? New case intake for end of life claims ? Support the new product BOM (Bill-of-Materials) completion with manufacturers ? Weekly… more
- Diverse Lynx (Louisville, KY)
- …validate system and functional requirements from business stakeholders across healthcare operations such as claims , enrollment, billing, provider management, and ... Role name: Healthcare Business Data Analyst Experience (Years): 8-10 Location: Louisville, KY Duration: 12+ Months Role Description: Elicit, document, and… more
- Insight Global (New Brunswick, NJ)
- …seeking an Operations /Transportation Analyst to sit in New Brunswick. As the Operations Analyst , you will act as a liaison to the Global Transportation & ... Trade Operations Organization and your supported Operating Company (OPCO). You will oversee and manage the OPCOs transportation network to ensure optimal service… more
- Amazon (Seattle, WA)
- Amazon A-to-z Guarantee Business Analyst A-to-z Guarantee is Amazon's primary mechanism for protecting customers when they encounter a negative order experience with ... points upstream, parallel, and downstream this is an exciting opportunity for a Business Analyst to enter the team, take ownership of the problem space, simplify and… more
- New York City Economic Development Corporation (New York, NY)
- …: Advise on all corporate wide insurance matters including reviewing operations , identifying gaps, and recommending new coverages as needed Manage NYCEDC's ... occasionally, discuss with external parties and/or their insurance brokers Manage firm-wide claims process, working closely with the Legal Department on all … more
- County of Los Angeles, CA (Los Angeles, CA)
- …Prepares detailed policy and procedural guidelines, inspects prototype installations or operations in the field, and provides advice and consultation to regional ... attaching to your application or sending to the exam analyst . DESIRABLE QUALIFICATION: Additional points will be awarded for...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be… more
- StateJobsNY (Syracuse, NY)
- …engineering and mobility; safety program management; transportation systems management and operations . Specific assignment for this position may be made to the ... this position will work under the direction of the Regional Director of Operations (RDO) and will perform professional engineering duties related to the operation… more
- Wells Enterprise (Le Mars, IA)
- …functions to ensure effective, efficient and accurate financial and administrative operations while complying with established policies and procedures. Invoicing - ... needed within the corporate policy approved limits. Create deduction claims and assign to appropriate claims coordinator....additional set ups as needed. May assist the credit analyst and/or credit manager as needed when gathering bank,… more
