- 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)
- …transplants and system issues that are beyond the scope of claim examiners and senior claim examiners that affect claims payment. Act as consultant to ... cooperatively with configuration in testing of contracts used in business operations and reporting assuring auto adjudication. Perform in accordance with company… more
- Magellan Health, Inc. (Frisco, TX)
- …years of experience working in Medicare Operations . General Job Information Title Senior Business Analyst - Encounter Operations Grade 26 Work Experience ... healthcare, Medicaid or other health insurance industries. Experience in Healthcare claims operations and/or encounter submissions preferred. Expertise in… 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) ... broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. At… 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
- 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 ... : Advise on all corporate wide insurance matters including reviewing operations , identifying gaps, and recommending new coverages as needed Manage NYCEDC's… 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, ... and/or turbine-powered aircraft in either Sheriff's or Fire Department's air operations . Incumbents must possess working knowledge of the methods of locating… more
- AIG (Dallas, TX)
- Senior Claims Management Analyst Join us as a Senior Claims Analyst to grow your experience in handling complex claims . Make your mark in ... Claims . Our Claims teams are the proven problem solvers of choice...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
- AIG (Atlanta, GA)
- …AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Claims Law Firm Analyst to play your part in that transformation. It's ... will create an impact Full Time US-based employment, the Claims Law Firm Analyst shall be responsible...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
- USAA (Chesapeake, VA)
- …candidate selected for this position will be joining the Service Team within the Claims Actuary and Analytic community, which is part of P&C Data Science. They be ... responsible for delivering insights to the Claims organization related to all things Service to better...The essence of work performed by the Decision Science Analyst involves gathering, manipulating and synthesizing data (eg, attributes,… more
- Molina Healthcare (Grand Island, NE)
- …Nebraska Health plan SLT by providing subject matter expertise on complex claims related issues and service recovery efforts.** Analyzes complex business problems ... with multiple types of business data. May be internal operations -focused or external client-focused. **KNOWLEDGE/SKILLS/ABILITIES** + Elicit requirements using… 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
- Molina Healthcare (Omaha, NE)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex claims business problems and issues using data from internal and external sources to provide insight to ... with multiple types of business data. May be internal operations -focused or external client-focused. **KNOWLEDGE/SKILLS/ABILITIES** + Elicit requirements using… more
- CVS Health (Woonsocket, RI)
- …and key performance metrics for reconciliation, revenue cycle, and adjudication/ claims processes analysis. Facilitate effective solutions related to adjudication and ... processing of pharmacy and vaccine/medical claims , maintaining current services, support optimalization of existing vendor product portfolio, provide continual… more
- Commonwealth Care Alliance (Boston, MA)
- …not be considered at this time._** Position Summary: Working under the direction of the SVP Claims , the Senior Data Analyst - Payment Integrity & Claims ... 011250 CCA- Claims **_This position is available to remote employees...decision making to support overall payment integrity and claim operations discussions and strategic partnerships. This role will develop… more
- CVS Health (Woonsocket, RI)
- …Hartford, CT., Irving, TX., Scottsdale, AZ., or Northbrook, IL **Position Summary** As a Senior Financial Analyst , Financial Operations , put your skills to ... candidate to join and to grow with our finance operations team. This Senior Financial Analyst...newly defined process. With respect to analytical research, this Claims Analyst would work with service requesters… more
- CVS Health (Northbrook, IL)
- …it all with heart, each and every day. **Position Summary** The Senior Analyst , Financial Operations role performs claims reverse and reprocessing (R&R) ... financial impacts to members, clients, and pharmacies. This activity touches millions of claims a year and has wide organizational impacts. This role is required to… more
- UIC Government Services and the Bowhead Family of Companies (Washington, DC)
- **Overview** Senior Acquisition Program Cost Analyst /Estimator(SIOP-2025-23096): Bowhead seeks an experienced Senior Cost Analyst /Estimator to join our ... prioritize action, and escalate issues to achieve program objectives. **Responsibilities** The Senior Cost Analyst /Estimator will develop, review, and comment on… more
- City of New York (New York, NY)
- …the HHS-PASSPort Payment Services Unit total more than $319 million annually. The Senior Data Analyst for HHS-PASSPort Payments is responsible for running data ... on payments to contracted Human Services-directed vendors through the PASSPort portal. The Senior Data Analyst will report directly to the HHS-PASSPort Payment… more
