- Novant Health (NC)
- … Analyst II. The Pharmacy Business Analyst II use data to improve claims reconciliation, billing processes and inventory management processes for ... practices are considered during solution review. Understand management structure in Pharmacy and business architect of analyst teams at Novant Health. Develop … more
- HUB International (Brentwood, TN)
- …The result is a one-stop source for insurance solutions **Job Summary** The Sr. Claims Assistant and Data Analyst -primary objective is to take ... leading-edge specialty expertise backed by transformative digital capabilities and sophisticated data and analytics. **About Avant:** Avant is a risk management… more
- The Cigna Group (Bloomfield, CT)
- …our business solutions? Do you have a high degree of technical expertise in claims systems? EviCore, a line of business within the Cigna Group, is hiring a ... Claim Systems, Business Solutions Lead Analyst to provide focused...work closely with external clients, internal stakeholders, project managers, claims systems, claims product and planning and… more
- JBS USA (Greeley, CO)
- **Description** Claims Analyst Purpose and Scope/General Summary: We are looking for a Claims Analyst to join our JBS Pork team at the Corporate office ... will be responsible for reporting on deductions and claims data , including past due invoices, DSO...claims losses. It is the role of the Analyst to identify customer trends and suggest methods of… more
- Amazon (Austin, TX)
- …technologies and services. This Business Analyst role will help business leaders make sense of complicated insurance data by building reports, analyzing ... degree or equivalent - Experience defining requirements and using data and metrics to draw business insights...recommendations and influencing stakeholders - 3+ years experience in data reporting and analytics for auto insurance claims… more
- Providence (Renton, WA)
- …insurance codes, regulations, and our department's policies and procedures + Secure monthly claims data reports and provide quality assurance recommendations to ... Employment Practices, Fiduciary, Property, Cyber, Managed Care, and Auto Claims . The Senior Quality Analyst assists the...files for quality assurance purposes + Experience working with claims data analytics + Experience in project… more
- Guardian Life (Bethlehem, PA)
- … processing, product configuration, claims workflow and integration activities. + Support claims data and Analytics teams by navigating complex data ... **Overview** As Claims Technical Analyst in Individual Markets...will offer a depth and breadth of knowledge of claims processing systems including integration points, data … more
- Amazon (Seattle, WA)
- …for cargo claims . You'll develop and validate metrics, review benchmarking data , and communicate with internal stakeholders through business reviews. In this ... is seeking a highly skilled and detail-oriented Senior Risk Analyst with a background in logistics, supply chain, and...KPIs, and benchmarking that will track the global cargo claims program - Reporting business metrics to… more
- Brink's (Atlanta, GA)
- …equal opportunity to participate and grow. Job Description Job Summary: The Claims Analyst will investigate reconciliation discrepancies to reduce claim ... . This role will be responsible for ensuring that business operating procedures are followed and work with branch...VA team for support + Escalate to assigned Variance Analyst any claims not resolved within 25… more
- Commonwealth Care Alliance (Boston, MA)
- …+ Analyze, measure, manage, and report outcome results on edits implemented. + Utilize data to examine large claims data sets to provide analysis ... TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible...small to large Operations Management + Collaborate system and data configuration into CES ( Claims Editing System)… more
- CDPHP (Albany, NY)
- …and invites you to be a part of that experience. The Risk Adjustment Claims Analyst will be responsible for identifying, interpreting, auditing and analyzing ... various encounter data and identifying areas of opportunity as it relates...assist with explanation of the findings. The Risk Adjustment Claims Analyst will interpret the needs of… more
- Highmark Health (Frankfort, KY)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards....behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Apr 19, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 60414 **Who we are** Teva ... us on our journey of growth! **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… more
- USAA (Phoenix, AZ)
- …. Relocation assistance is not available for this position. **Several new positions within the Claims Data and Analytics team to support the build out of omni ... service opportunities. Individuals selected will be responsible for building the Claims omni channel strategy, establishing business and technical requirements,… more
- Netflix (Los Angeles, CA)
- …corrective actions to mitigate them. Data Analysis and Reporting + Analyze claims data to identify trends, performance metrics, and areas for improvement in ... We are seeking a Senior Analyst to assist our growing Risk Management team....you will support our Global Corporate and Production Casualty Claims , including workers' compensation, return to work, auto liability,… more
- Lowe's (Mooresville, NC)
- **Your Impact** The primary purpose of this role is to serve as a high-risk claims analyst for the Legal department, handling high risks/high value cases and ... claims examiners + Develops and delivers training to business units on claims processing process and...expertise in subject area; leveraging an understanding of policies, data , and resources to support projects or initiatives; collaborating… more
- Axis (Red Bank, NJ)
- …in the selection process. Part of AXIS Claims Shared Services, the Claims Operations Analyst is responsible for the performance, oversight, and ongoing ... improvement of Claims support activities performed within our North America ...expectations on Service Levels and Quality of work. + Business and IT project work opportunities as initiatives and… more
- Centene Corporation (Austin, TX)
- …set up, benefit creation, and authorization qualifier set up. + Support business initiatives through data analysis, identification of implementation barriers and ... Bachelor's degree in related field or equivalent experience. 4-6 years of business process or data analysis experience, preferably in healthcare. Project… more
- The Cigna Group (Bloomfield, CT)
- Ready to work with a team that improves our business solutions? Do you have a high degree of technical and analytical expertise? EviCore a line of business ... within the Cigna group, is hiring Claim Systems, Technical Lead Analyst . For this highly technical and analytical role. You'll gather requirements across several… more
- TEKsystems (Deerfield Beach, FL)
- …a leading North American provider of auto-dealership services, is looking to add Mechanical Claims Analyst to their Deerfield Beach, FL team. Description Are you ... shift gears in your career? We are seeking Mechanical Claims Analysts to join our expanding customer contact team....remote and hybrid schedules Experience with Labor guides -All Data or Mitchell Experience with Scan Tools (plus not… more
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