- Optum (San Juan, PR)
- …be escalated to senior leadership or internal partners, for resolution Conduct data entry and re-work for adjudication of claims Work on multiple ... and Standard Operating Procedures Review and research insurance follow-up, and denied claims by navigating multiple systems simultaneously, such as payer… more
- AdaptHealth LLC (Kalamazoo, MI)
- …learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction General knowledge of ... when required Must be able to navigate through multiple online EMR systems to obtain applicable documentation Enter and review all pertinent information in… more
- Molina Healthcare (Ann Arbor, MI)
- …functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received ... support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains...claims to identify billing issues that will impact claims processing and payment. Monitor new solutions implemented to… more
- Amazon (Tempe, AZ)
- …The Program, Project, Product, and Vendor Management Team within Amazon's Logistics Claims Management and Operations group is seeking a motivated and experienced ... Senior Risk Manager. The ideal candidate will be familiar with insurance and claims programs, and insurance policies, have a history of success in procurement,… more
- AIG (Jeffersonville, IN)
- Sr . Global Data Analyst Join us as a ...Sr . Product Strategy Manager and work closely with the Sr Systems & Process Manager to and ensure complete ... Sr . Global Data Analyst to take your career to the next...well as our counterparts in other departments at AIG ( claims , IT, finance, controller, reinsurance, etc.), posturing self as… more
- State of Minnesota (St. Paul, MN)
- …working in health services research or health care policy. + Experience working with health care data systems , such as claims data or electronic health ... **Working Title: Sr Healthcare Quality Improvement Analyst** **Job Class: Agency...primary work location to be eligible for telework.** The Senior Health Care Quality Improvement Analyst serves as a… more
- The Hartford (Columbus, OH)
- Sr Data Scientist - GD07AE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... Step into the future with The Hartford as a Data Scientist / Sr Data ...Join a team that's pioneering AI-driven solutions in underwriting, claims processing, and customer service, transforming how we operate… more
- The Hartford (Chicago, IL)
- Sr Data Scientist - GD07AEData Scientist - GD08AE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages ... Step into the future with The Hartford as a Data Scientist / Sr Data ...Join a team that's pioneering AI-driven solutions in underwriting, claims processing, and customer service, transforming how we operate… more
- Lilly (Indianapolis, IN)
- …around the world. Associate/ Sr . Assoc./Mgr. - Lilly Patient Services Platform & Data Enablement Lilly Patient Services (LPS) is a center of excellence for US ... with call centers capabilities (CRM, telephony/IVR, omni-channel communications) or healthcare systems ( claims processing, EMR, patient applications) + Qualified… more
- Capital One (New York, NY)
- Sr . Distinguished Engineer - Fraud Technology As a Sr . Distinguished Engineer at Capital One, you will be a part of a community of technical experts working to ... on our customers' lives. We are looking for a Senior Distinguished Engineer to define, architect and drive the...Define and drive technical strategy and roadmap for our systems and platforms that power Fraud defenses and Fraud… more
- University of Michigan (Ann Arbor, MI)
- …supervision, the Business Analyst plays a critical role within Hospital Billing to pull data from disparate systems , analyzing data and improving process and ... outcomes. The primary responsibility is to assess data and develop strategies to enhance operational efficiency and...challenge policy and procedure for how they are processing claims . The role will involve working with many different… more
- Envista Holdings Corporation (Pomona, CA)
- …management systems , regulatory requirements, and risk management principles. The Sr . Quality Engineer will report directly to the Quality Engineering Manager. ... **Job Description:** The ** Sr . Quality Engineer** plans and conducts activities concerned...RESPONSIBILITIES:** + Actively participates in defining customer requirement, product claims and target markets early in the product development… more
- Terumo Medical Corporation (Somerset, NJ)
- Sr . Manager, Market Intelligence Date: Jul 19, 2025 Req ID: 4800 Location: Somerset, NJ, US, 08873 Company: Terumo Medical Corporation Department: TIS Strategic ... Medical Corporation is comprised of two strategic business divisions: Terumo Interventional Systems and Terumo Medical Products. We believe that the future is bright… more
- Boehringer Ingelheim (Ridgefield, CT)
- …corrections. + Ensures relevant documentation is available in internal and external systems . **Requirements** ** Sr AD level Education Requirements:** + Master's ... Experience developing and conducting epidemiology/RWE studies. + Experience with secondary data analysis, including studies using healthcare claims and/or… more
- University of Michigan (Ann Arbor, MI)
- Research Compliance Spec Sr Apply Now **Job Summary** Revenue Cycle Research Billing Compliance Sr . representative for comprehensive review, analysis, ... status, payment history, rejection analysis, frequency, and status of unpaid claims via strict communication and on-going updates to department administration,… more
- UIC Government Services and the Bowhead Family of Companies (Wright Patterson AFB, OH)
- **Overview** SR . ENTERPRISE ARCHITECT (EAS): Bowhead is seeking an experienced Sr . Enterprise Architect to join our team at Wright-Patterson AFB, OH for a ... (DoDAF), Unified Architecture Framework (UAF), Unified Modeling Language (UML), and Systems Modeling Language (SysML) experience are highly encouraged to apply. This… more
- Two95 International Inc. (New York, NY)
- …SOW will meet their needs * Lead the discovery of the client's EMR/EHR and/or claims data environment so we can efficiently and effectively navigate and do the ... Job Title: Sr . Analytics Consultant Job type : Remote Work...analyses * Lead the analytical-interrogation of their EMR/EHR and/or claims data to perform data … more
- Southern California Edison (Rosemead, CA)
- …Energy Revolution** Become a **Finance Integration, Business Transformation and Readiness, Sr Specialist** at Southern California Edison (SCE) and build a better ... activities. As a **Finance Integration, Business Transformation and Readiness, Sr Specialist** , your work will help power our...looking at an approach that not only upgrades the systems but also transforms our business processes to enhance… more
- Warner Music Group (New York, NY)
- …company that retains the creative spirit of a** **nimble independent.** **Job Title: Sr . Analyst, Financial** **A little bit about our team:** Warner Music Group's ... development opportunities. We're excited to share this new opportunity for a Sr . Analyst, Participations with strong analytical & financial capabilities, to join our… more
- CGI Technologies and Solutions, Inc. (Lafayette, LA)
- ** Sr . IBMi QA Analyst** **Category:** Testing/Quality Assurance **Main location:** United States, Louisiana, Lafayette **Position ID:** J0725-0967 **Employment ... playing this video you consent to Google/YouTube processing your data and using cookies -Learn more (xweb.asp?clid=21001&page=cookiespolicy#integrationofyoutube) . **Position… more
