- 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 ... product meets the intended functional and operational requirements. Provide Level II claims support to internal teams and directly with providers as needed Monitor… more
- University Health (San Antonio, TX)
- …transplants and system issues that are beyond the scope of claim examiners and senior claim examiners that affect claims payment. Act as consultant to ... A high school diploma or GED equivalent is required. Five years HMO/PPO claims experience are required. Amisys claims processing system experience is preferred.… more
- Fortegra (Jacksonville, FL)
- The Claims Business Analyst is responsible for evaluating claims workflows, identifying and recommending process improvements, and translating business needs ... are clearly defined and that outputs are aligned with strategic goals. The Claims Business Analyst is further responsible for the creation and maintenance… 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 ... of the candidate; and other conditions of employment. Sponsorship Details Sponsorship not Offered for this Role Job Description BAH - Stop Loss Claims Analyst 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 ... advance with this approach, Allianz Commercial is seeking a Senior Actuarial Analyst to actively shape and...risk consulting and Multinational services as well as seamless claims handling. As a key strategic player in the… more
- Magellan Health, Inc. (Frisco, TX)
- …3+ years of experience working in Medicare Operations. General Job Information Title Senior Business Analyst - Encounter Operations Grade 26 Work Experience - ... Medicaid or other health insurance industries. Experience in Healthcare claims operations and/or encounter submissions preferred. Expertise in database management,… more
- Chubb (Philadelphia, PA)
- Job Description Overview: This Senior Actuarial Analyst position is responsible for supporting the Accident & Health pricing unit of Commercial Insurance (CI) ... The role is based in our Philadelphia, PA office and reports to a Senior Assistant Actuary within the A&H pricing actuarial team. Duties and Responsibilities related… more
- EmblemHealth (New York, NY)
- …and analytic processes to review financial data to draw conclusions for senior leadership. Represent the department to internal and external partners with ... required Experience working with healthcare data including but not limited to claims , testing results and pharmacy data required Strong communication skills (verbal,… more
- Elevance Health (Atlanta, GA)
- Anticipated End Date: 2025-08-25 Position Title: Business Information Analyst Senior - Provider Economics Job Description: Business Information Analyst ... an accommodation is granted as required by law. The Business Information Analyst Senior is responsible for analyzing, reporting and developing recommendations… more
- DASNY (Dormitory Authority (Albany, NY)
- Position Title: Senior Cost Control Analyst (2 positions) Grade/Classification: 6 (D1) - Senior Professional Salary Range: $102,177 - $128,220 - Albany, ... DASNY office or Field location Last Revised: April 11, 2016 Primary Purpose Senior Cost Control Analyst reviews and recommends approval of construction change… more
- Welltower, Inc. (Dallas, TX)
- …ESTATE WITH US At Welltower, we're transforming how the world thinks about senior living and wellness-focused real estate. As a global leader in residential wellness ... our best-in-class team. ABOUT THE ROLE The Risk Management Analyst provides key risk management services in the areas...key risk management services in the areas of insurance, claims management, and loss control. The role requires application… 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 ... Analytics About the Role: We are looking for a Senior Financial Analyst - Pharmacy SME to...financial forecasts to evaluate overall contract value. Analyze pharmacy claims data, utilization trends , and pricing shifts to… 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
- County of Los Angeles, CA (Los Angeles, CA)
- …systems and applications at the level of Los Angeles County's class of Senior Application Developer** or Senior Network Systems Administrator . Option 2: ... critical thinking, resourcefulness, and conceptualization required to perform the task. ** Senior Application Developer is defined as: Under direction, performs a… more
- Ventas, Inc. (Chicago, IL)
- …Information System : Utilize RMIS for management of tasks and workflow. Collaborate with Risk Analyst and Senior Risk Analyst to ensure accuracy of data in ... company in their day-to-day work and on special projects and initiatives. Responsibilities: Claims Management : Work closely with the Director of Corporate Risk to… more
- New York City Economic Development Corporation (New York, NY)
- …and execute on requests for insurance modifications and waivers Guide and manage Senior Analyst in all facets of assigned tasks Build strong cross-functional ... 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)
- …provision of reasonable accommodations to applicants. Department Contact Name: Exam Analyst Department Contact Phone: ### Department Contact E-mail: Exam Number: ... about a specific job posting should contact the exam analyst listed on the posting. Equal Employment Opportunity/Non-Discrimination Statement:...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
- County of Los Angeles, CA (Los Angeles, CA)
- …communityresources or treatmentservices available to help prevent or cope withrelapses Assists senior - level counselors in complex areas of social and psychological ... HR Examinations Unit: ### HR Examinations Unit Email: ###@dmh.lacounty.gov Analyst Contact Phone: Nicholas Jordan, ### Analyst ...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be… more
- County of Los Angeles, CA (Los Angeles, CA)
- …-OR- Option II: One (1) year of experience at the level of Senior Orthopedic Technician** providing technical oversight to other Orthopedic Technicians and planning, ... (7) calendar days of online application to the exam analyst , Christina Tadeo , at ###@dhs.lacounty.gov . The document...range of orthopedic devices. **Experience at the level of Senior Orthopedic Technician is defined as: work with patients… more
- County of Los Angeles, CA (Los Angeles, CA)
- …Chief, Helicopter Maintenance. Technical guidance may be received from Senior Helicopter Mechanics. Incumbents perform journey-level technical maintenance, repairs, ... questions about a specific job posting should contact the exam analyst listed on the posting. Equal Employment Opportunity/Non-Discrimination Statement: The County… more
