- buyer (New York, NY)
- …degree required; Bachelor's degree preferredMinimum of 4 years of experience performing claims quality audits in a managed care settingExpertise in both ... to building strong relationships with its members and providers.Position OverviewClaims Quality Auditor is responsible for reviewing claims to determine… more
- Independent Living Systems (Miami, FL)
- We are seeking a Senior Business Analyst to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community ... Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable...all vulnerable populations. About the Role: The Senior Business Analyst in Health Care Services plays a pivotal role… more
- Perfected Claims (Pasadena, CA)
- Perfected Claims is looking for three Case Management Analysts to join our team in Pasadena, CA. If that sounds like you, and your qualifications are a good match, ... we look forward to hearing from you! The Case Management Analyst is responsible for a docket of cases that need to be moved through different milestones of the… more
- JS Perkins Consulting (Falls Church, VA)
- …Here is the Role: JS Perkins Consulting (JSPC) is seeking to hire a Budget Analyst to support the Defense Health Agency (DHA) Office of General Counsel (OGC) in its ... improve financial oversight and increase collections through the Medical Affirmative Claims (MAC) and Third-Party Collections (TPC) programs. This role will provide… more
- SR International, Inc. (Phoenix, AZ)
- …- Posting ID # 5343 -AZDCS - Finance and Administration - SSA Review Analyst (Hybrid) Description DCS SSA Benefits Unit is seeking a temporary position to assist ... payee audit reports Complete and assist with SSA Initial Claims Screening of potential SSA candidates Required Skills Customer...and our reputation have been built and maintained by quality resources working onboard, so it's important for us… more
- ELECTRICAL COMPONENTS INTERNATIONALHOLDINGS COMPANY (Southfield, MI)
- …opportunity and ways to improve and streamline processes. The Collections and Reporting Analyst will develop daily, weekly, and monthly past due AR reporting. This ... consignment inventory issues, delivery schedules, technical specifications, or warranty claims affecting payments. Support Continuous Improvement: Participate in process… more
- Cognizant (Pierre, SD)
- About the role As a ** Quality Analyst with Healthcare - Claims & Membership experience** . You will make an impact by designing and executing end-to-end test ... strategies that ensure the quality and reliability of healthcare claims and membership applications. You will be a valued member of the Quality Engineering… more
- Commonwealth Care Alliance (Boston, MA)
- …at this time._** **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role ... Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role...reimbursement issues - including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject… more
- NJM Insurance (Trenton, NJ)
- NJM Insurance Group's Claims & Medical Services Analytics group is seeking a Claims Insights Analyst . The Claims Insights Analyst applies a strong ... through presentations, dashboards and visualizations to drive strategic decision making. The Claims Insights Analyst is a highly motivated, creative self-thinker… more
- TEKsystems (St. Louis, MO)
- Now Hiring: Claims Technical Analyst (Remote) Contract Duration: Through June 2026 (with potential for extension) Pay Rate: $23-$24/hour Schedule: Monday-Friday, ... mindset and a passion for problem-solving? We're seeking a Claims Technical Analyst to join a dynamic...and reporting needs + Identifying trends and contributing to quality assurance initiatives What You Bring + Strong math… more
- Axis (Short Hills, NJ)
- …is available upon request for candidates taking part in the selection process. ** Claims Business Analyst ** **How does this role contribute to our collective ... success?** We are seeking a Claims Business Analyst to join our Business...+ Analytical and detail-oriented with a focus on delivering high- quality outcomes. + Strong facilitation skills and the ability… more
- AIG (Boston, MA)
- Job Description Join us as a Claims Analyst IV to take on key responsibilities within a world-class claims function. Make your mark in Claims As a Claim ... + You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit processes, ensuring mitigation of indemnity… more
- ManpowerGroup (El Segundo, CA)
- …in the legal and corporate restructuring industry, is seeking a dedicated and detail-oriented Hybrid Claims Analyst to join their team. As a Hybrid Claims ... approach, which will align successfully within the organization. **Job Title:** Hybrid Claims Analyst **Location:** El Segundo, CA **Pay Range:** **Shift:**… more
- UPMC (Pittsburgh, PA)
- UPMC is hiring a Systems Analyst -Senior (Epic PB Claims and Remittance) who had healthcare experience. If you are looking to join a highly accomplished team with ... and providing services to meet client IT and business needs. Responsibilities: + PB claims IT analyst . Ability to quickly diagnose claims issues, apply… more
- Highmark Health (Olympia, WA)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards.… more
- Levi, Ray & Shoup, Inc. (Chicago, IL)
- …Login (http://www2.lrs.com) File Transfer Filters Careers Added Jul 21, 2025 Business Analyst - Claims Systems (26971) Chicago, IL | Contract Apply ... to talk! LRS Consulting Services is seeking a Business Analyst for a long-term, hybrid onsite contract opportunity with...IL! LRS Consulting Services has been delivering the highest quality consultants to our clients since 1979. We've built… more
- Robert Half Accountemps (Raleigh, NC)
- Description We are looking for a detail-oriented Medical Claims Analyst to join our team in Raleigh, North Carolina. This long-term contract position is ideal ... high- quality results. Responsibilities: * Process and reconcile medical claims efficiently, ensuring all records are accurate and up-to-date. * Resubmit… 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....meeting client SLA's. + Maintain internal & client defined quality scores. + Consistently meet or exceed KPIs. +… more
- CVS Health (AZ)
- …help people get well, but help them stay well in body, mind and spirit. The Claims Analyst is responsible for reviewing pharmacy claims submitted through the ... pioneering a bold new approach to total health. Making quality care more affordable, accessible, simply and seamless, to...CVS Health claims processing systems. The Claims Analyst will identify and rectify claim… more
- Citigroup (San Antonio, TX)
- The Assoc Ops Sup Analyst is an entry level position responsible for providing operations support services, including but not limited to; record/documentation ... Operations - Core Team. Additionally, the Assoc Ops Sup Analyst serves as the liaison between operations staff, relationship...project requirements to ensure timelines are met and the quality meets and exceeds customer expectations + Build and… more
