- TriNet (Dublin, CA)
- …the right candidate for this or other roles. A Brief Overview The Sr. Claims Analyst is responsible for oversight & monitoring activities for assigned Workers' ... Systems and SalesForce Licenses and Certifications AIC, SCLA claims certification Upon Hire preferred Travel Requirements Minimal Work Environment Working… more
- Elevance Health (Latham, NY)
- …of systems capabilities and business operations highly preferred. Strong claims background highly preferred. Experience with EDI files (837, 277, 999, 835), ... Anticipated End Date: 2025-07-25 Position Title: Business Analyst II MBHP EDI Encounters Job Description: Business...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- CoSourcing Partners (Chicago, IL)
- …1 month contract with possibility of extension We are seeking a seasoned Business Analyst with deep expertise in Optum Claims Editing System (CES) and ... to ensure benefit structures and payment policies align with claims editing logic. Lead and support functional...cycle. Experience with Epic Tapestry strongly preferred. Proficiency in claims editing systems , claims adjudication… more
- US LawShield (Houston, TX)
- …Ability to work independently as well as collaboratively in a fast-paced environment. Knowledge of CRM, claims management systems , or member services analytics. ... 2 million people in their self-defense journey. US LawShield is seeking a Senior Data Analyst to join our data and analytics team. This role will be pivotal in… more
- SCOR (Charlotte, NC)
- …affiliate retrocession. This includes overseeing the processing of volumes, premiums, and claims , while maintaining a high standard of data integrity. The position ... and promoting a culture of continuous improvement by leveraging robust systems and operational best practices. Responsibilities Defining and documenting policies and… more
- State of Georgia (Atlanta, GA)
- …and statewide rules.) GENERAL DESCRIPTION: Join the State of Georgia and help lead agencies through a transformation in adopting best practices in Risk Management. ... The Loss Control and Safety Support Analyst will assist and support the Loss Control Officer position to monitor and evaluate comprehensive safety and loss control… more
- EnableComp (Franklin, TN)
- …automation platform to improve financial sustainability for hospitals, health systems , and ambulatory surgery centers (ASCs) nationwide. Powered by proprietary ... algorithms, iterative intelligence from 10M+ processed claims , and expert human-in-the-loop integration, EnableComp provides solutions across the revenue lifecycle… more
- Ducommun (Huntsville, AR)
- Project Manager Analyst The Program Management Analyst , under the supervision of the Program Manager, supports the Program Manager and oversees assigned programs ... defense and industrial markets. We specialize in electronic and structural systems , producing complex products and components for commercial aircraft platforms,… more
- Levi, Ray & Shoup, Inc. (Chicago, IL)
- …NavigationEmployee Login (http://www2.lrs.com) File Transfer Filters Careers Added Jul 21, 2025 Business Analyst - Claims Systems (26971) Chicago, IL | ... for you! The Business Analyst will: + Lead efforts to analyze and optimize healthcare claims...Experience in the Healthcare industry domain, including and especially Claims systems experience. + Experience writing clear… more
- AIG (Atlanta, GA)
- …Senior Claims Business Analyst partners with NAM Claims , NAM Claims Operations, and other functional areas to lead initiatives with diverse scope and ... customers to manage risk. Join us as a Senior Claims Business Analyst to play your part...in the functionality, operation, and integration points of the Claims systems . + Work with NAM Claim… more
- Axis (Chicago, IL)
- …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...claims operations. + 5+ years of experience with Claims Admin systems , preferably Duck Creek or… more
- Molina Healthcare (Buffalo, NY)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee schedules, and other business requirements.… more
- Cognizant (St. Louis, MO)
- **QA Analyst Healthcare Domain - Payer & Claims Testing** This is a remote position open to any qualified applicant in the United States. We are seeking a highly ... skilled and motivated **QA Analyst Healthcare Domain - Payer & Claims ...Skills** Bachelor's degree in computer science, Business Administration, Information Systems , or a related field. 5 - 8 years… more
- The Hartford (Hartford, CT)
- …Join our team as we help shape the future. This role is responsible for assessing Claims data needs and working with the TM1 team to build TM1 based reporting cubes ... within TM1. The Consultant will partner with multiple teams including Claims Finance, Workforce Management, Segment FP&A, Actuarial, Performance and Analytics, TM1… more
- Tucson Electric Power (Tucson, AZ)
- **Benefits Analyst - I, II, Senior or Lead ** Company **Tucson Electric Power** Location **Tucson, AZ** Requisition ID **6015** **About Us** UNS Energy ... employees,here (https://youtu.be/hpknvJPLuoc) andhere (https://youtu.be/7BECywu-Re4) . **Job Description - Benefits Analyst - I, II, Senior or Lead ** **Position… more
- Prime Therapeutics (Eagan, MN)
- …predecessors, priorities, and assumptions to define additional resource needs; collaborate with Business Systems Analyst Resource Lead or Resource Manager to ... Provide work plan and detailed estimate based on scope; lead scope management, prioritization and drive scope trade off...work assignments within project + Educate and advance business systems analyst practice within the Claims… more
- AIG (Jersey City, NJ)
- …the way we help customers to manage risk. Join us as Assistant Vice President Claims Application Technical Lead , Global Claims Technology to play your part ... valued member of the team. Make your make in Claims Technology At AIG, technology is at the heart...excellence. The team is responsible for shielding the company's systems from security risks, while designing technology strategies that… more
- CGI Technologies and Solutions, Inc. (Fairfax, VA)
- …and Medicaid Services (CMS) Next Generation Desktop platform initiative. The Business Analyst Lead is responsible for gathering, managing, and prioritizing the ... ** Lead Business Analyst ** **Category:** Business Analysis...call center environments. * Strong understanding of Medicare policies, claims processing, and customer service operations. * Proficiency elaborating… more
- Target (Minneapolis, MN)
- …create value, mitigate risk, influence and enable the business while ensuring compliance. As Lead Data and Technology Analyst , you will play a critical role in ... balance proactive protection and real-time mitigation of risks. Our team, including Claims , Insurance, Finance, and Safety, allows for a well-rounded approach to… more
- Highmark Health (Albany, NY)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
