- WelbeHealth (Phoenix, AZ)
- ** Claims Audit Analyst ** At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option (PACE) to the most ... Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and accurate… more
- Providence (Renton, WA)
- …Directors and Officers, Employment Practices, Fiduciary, Property, Cyber, Managed Care, and Auto Claims . The Senior Quality Analyst assists the Claims ... and regulations pertaining to self-insured health care organizations. The Senior Quality Analyst is also responsible for maintaining a claims quality assurance… more
- AIG (Atlanta, GA)
- …reimagining the way we help customers to manage risk. Join us as a Senior Claims Business Analyst to play your part in that transformation. It's an opportunity ... with empathy and efficiency. About the role: The Senior Claims Business Analyst partners with NAM ...while monitoring SLA's and quality. + Partner with Compliance, Audit , Claims , and IT providing direction and… more
- Panasonic North America (De Soto, KS)
- …join a team that's changing the world? Do you have a strong background as a Claims Analyst ? Then we're looking for you! Check out the job description and apply ... the future of energy and transportation. **Job Summary:** The Claims Analyst plays a key role in...compliance, reviewing reportable vs. recordable classifications + Enter and audit injury and illness records and assist with annual… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate billing and coding compliance with Medicare and third-party ... potential risk areas and revenue potential. The Sr Compliance Coding Analyst position partners with stakeholders to provide feedback regarding documentation and… more
- Amazon (New York, NY)
- Description Amazon's Global Risk Management & Claims team is seeking a highly skilled and detail-oriented Senior Risk Analyst with a background in logistics, ... The ideal candidate will possess an in-depth understanding of insurance claims processes, global cargo regulations, and risk management in transportation. As… more
- UMB Bank (Kansas City, MO)
- **Duties & Responsibilities :** Open to hybrid or remote working schedule The Sr Card Fraud Claims Analyst will be a member of the UMB Card Operations team and ... proper resolution, and weekly reporting. Assisting with ongoing monthly audit and reporting of vendor claims processing to ensure compliance with Reg E and Reg… more
- New York State Civil Service (Albany, NY)
- …DASNY - Dormitory Authority of the State of New York Title Senior Construction Claims Analyst (Cost Control) - Albany, NY or NYC Office Occupational Category ... State NY Zip Code 12208 Duties Description Primary PurposeSenior Cost Control Analyst reviews and recommends approval of construction change orders, analyzes … more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims Position Summary: Working under the direction of the SVP Claims , the Senior Data Analyst - Payment Integrity & Claims will provide ... claim query requests, claim retraction valuation and viability, support payment policies, support audit requests, assist in the development of a claim audit … more
- HCA Healthcare (Asheville, NC)
- …Submit your application for the opportunity below:PACE Health Plan Compliance Analyst at CarePartners **Benefits** CarePartners, offers a total rewards package that ... location._** We are seeking a PACE Health Plan Compliance Analyst for our team to ensure that we continue...Manager and Third-Party Administrator to maintain compliance with the claims processing and authorization processes + Works with TPA,… more
- DXC Technology (Richmond, VA)
- …seeking a **Quality Analyst ** with experience in **Life and Annuity Death Claims ** to join our growing team. This role will be responsible for performing quality ... + Conduct quality control reviews of Life and Annuity Death Claims payments and correspondence to ensure compliance with regulatory requirements and… more
- Penske (Reading, PA)
- **Position Summary:** The Tax Analyst is an integral member of the Fleet Services Organization. This dynamic position will be responsible for providing analysis and ... with auditors and interfacing with taxing jurisdictions. -Perfect appeals and refund claims . -The position will require the ability to design, develop, implement,… more
- LogixHealth (Dania, FL)
- Location: On-Site in Dania, FL $500 Signing Bonus This Role: As a Reimbursement Analyst at LogixHealth, you will work with the department management teams to provide ... issues and appeal if necessary, using software or other resource tools + Prepare audit results and keep department manager current of all findings and audits and… more
- CVS Health (Tallahassee, FL)
- …a Regional Pharmacy Onsite Auditor, you will be an essential part to the Pharmacy Audit Department at CVS/Caremark. In this role, you will be based from your home ... and travel onsite to conduct claims audits at pharmacies throughout multiple states by reviewing...audits at pharmacies throughout multiple states by reviewing prescription claims billed and educating pharmacies on the findings. You… more
- LogixHealth (Dania, FL)
- …services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for clients ... in 40 states. Since our first day, we have had a clear vision of a better healthcare system and have continually evolved to get there. In addition to providing expert revenue cycle services, we utilize proprietary software to provide valuable financial,… more
- Exelon (Oakbrook Terrace, IL)
- …of performance analysis (trending, root cause and gap analysis) benchmarking and audit compliance. Ability to analyze organizational data and problems, interpret and ... recommend alternative courses of action, and implement intervention strategies to attain performance targets. **Preferred Qualifications** **PREFERRED QUALIFICATIONS** Bachelor's degree in Business or Engineering AND 2 - 4 years related business experience, or… 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 Corporation ... employees,here (https://youtu.be/hpknvJPLuoc) andhere (https://youtu.be/7BECywu-Re4) . **Job Description - Benefits Analyst - I, II, Senior or Lead** **Position Overview**… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …preferred or equivalent experience or training + Minimum of 5 years claims audit /quality assurance experience in healthcare required + Strong understanding ... hoc invoice reconciliation QA audits for BCBSMA's payment integrity programs. + Audit vendor claims data and invoices against plan enterprise warehouse… more
- New York State Civil Service (Albany, NY)
- …HELP Yes Agency Mental Health, Office of Title Senior Health Care Fiscal Analyst / Health Care Fiscal Analyst Trainee, Central Office; Occupational Category ... is recruiting to fill a Senior Health Care Fiscal Analyst /Health Care Fiscal Analyst Trainee, position. The...and case notes to document changes in the desk audit process; develop and test new audit … more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring accurate, compliant, ... resolution of complex reimbursement issues - including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject matter expert on… more