- Prime Therapeutics (Washington, DC)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Treasury Claims Analyst Senior - Remote **Job Description** The Senior Treasury ... for providing guidance to the Accounting, Finance, Information Technology and Claims operation functions, as well as Pharmacy Networks and Government Programs.… more
- TEKsystems (Ewing, NJ)
- …of the servicer and/or client + Files respective investor/insurer initial and final claims based on the respective guidelines for allowable limits + Reviews MI claim ... and research curtailment reasons for potential rebuttal + Files Appeal or Supplemental Claims ensuring all allowable advances and interest are recovered from the MI… more
- Cognizant (Santa Fe, NM)
- …IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge of the business ... understanding in both Medicare, dual and Mass Medicaid required **Location: Fully Remote ** **Salary and Other Compensation:** The hourly rate for this position is… more
- Molina Healthcare (Long Beach, CA)
- …**Job Summary** _Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and ... predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments… more
- The Cigna Group (Bloomfield, CT)
- …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 ... sponsors/requestors in understanding the impact of requested changes to end-to-end claims adjudication processes + Use your technical proficiency to provide training… more
- The Cigna Group (Bloomfield, CT)
- …improves 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 support on implementations, expansions, and...work closely with external clients, internal stakeholders, project managers, claims systems, claims product and planning and… more
- UTMB Health (Galveston, TX)
- Senior EHR Clin Apps Analyst (Resolute Hospital and Professional Claims ), Remote - ITS-Clin Revenue Cycle **Galveston, Texas, United States** **New** ... Qualifications:** + Certified or Accredited in Epic Resolute Hospital Billing Claims and Remittance Administration and Epic Resolute Professional Billing Claims… 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 ... issues. The role will also serve as an escalation point for the Claims Management department to transfer cases that, through development, meet specific triggers,… more
- Commonwealth Care Alliance (Boston, MA)
- …of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective ... **Essential Duties & Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and necessary… 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....connection and a quiet at-home workspace is required for remote and hybrid schedules Experience with Labor guides -All… more
- TEKsystems (New Orleans, LA)
- 100% remote Must be certified within Epic Professional Billing and...- They are looking for a PB and PB Claims certified analyst for a 3 month+ contract ... Claims Must be willing to mentor newer analysts on...or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to… more
- TEKsystems (Earth City, MO)
- Mechanical Claims Specialist Are you a skilled mechanic looking to shift gears in your career? About the Role: In this role, you'll transition from the physical ... knowledge of vehicle mechanics to assess and process mechanical claims . This opportunity offers a refreshing change of pace,...Availability: Must be willing to work Saturdays occasionally. + Remote Work: A high-speed home internet connection and a… more
- System One (Baltimore, MD)
- ALTA IT Services is staffing a remote contract opportunity for a Claims Analyst to support a leading health insurance customer. The individual will provide ... facts; analyzing problems; conducting and documenting data. Pay: $30/HR 100% Remote Job Functions: + Supports operations systems by providing operating information… more
- Ascension Health (Austin, TX)
- …Accounting + **Schedule:** Full-Time, 8-hour, Day Shift, Monday-Friday, Partially Remote + **Facility:** Ascension Care Management Insurance + **Location:** Austin, ... the time of the offer._ **Responsibilities** Oversee medical professional liability claims and litigation for the Ascension Health Alliance Professional Liability… more
- Adecco US, Inc. (Phoenix, AZ)
- **Position Summary** The Claims Analyst III works on the full range of claims , correspondence, quality assurance and escalations to ensure the satisfaction ... with respect to claim handling and Service Level Agreements. **Location:** AZ, Remote **Compensation:** $21/hr **Top 5 Required Skills** * Strong Basic Math Skills… more
- Centene Corporation (Austin, TX)
- …business needs and objectives for assigned function. Role is focused on claims configuration, pricing, fee schedule set up, benefit creation, and authorization ... Project management experience preferred. **Ideal candidates have experience with claims configuration, pricing, fee schedule set up, benefit creation, and… more
- Ally (Phoenix, AZ)
- **General information** **Ref #** 19699 ** Remote ?** Yes **Ally and Your Career** * Ally Financial only succeeds when its people do - and that's more than some cliche ... be, too? **The Opportunity** Appraise and/or adjust physical damage and mechanical claims within an assigned territory and key point or other assigned location… more
- Motion Recruitment Partners (Memphis, TN)
- Lead Software Quality Analyst - Remote Memphis, TN **Open to Remote ** Contract $61.29/hr - $61.29/hr Our client is looking for a IT Software QA Advisor on a ... TN. Join over 20,000 employees at this global company specializing in technology-enabled claims and risk management solutions. You will be part of a culture that… more
- Morley (Lansing, MI)
- …comfort of your home? This could be a great opportunity for you! As a remote Customer Service Case Analyst in Morley's reacquired vehicle management (RVM) group, ... **About the Role** **_Location: Remote - Michigan residents_** Are you good at...isn't necessary in order to be a great case analyst . We'll train you on everything you need to… more
- Cedars-Sinai (Torrance, CA)
- …environment that fuels innovation. **Req ID** : 6403 **Working Title** : Revenue Cycle Analyst ( Remote ) **Department** : CSRC PB - Group **Business Entity** : ... Hospitals. **What will I be doing in this role?** The Revenue Cycle Analyst is responsible for the development, assessment and quantification of trends. This will… more