- Cognizant (Columbus, OH)
- …and IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge ... you on our team. **Purpose:** This position is responsible for working with business partners within one business function to align technology solutions with… 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
- 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
- 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 (Jacksonville, FL)
- …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
- 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
- AIG (Atlanta, GA)
- …office only. It is 4 days in office and one day from home. About the role: The Claims Business Analyst partners with North America Claims , North America ... business problems. It is critical for the Business Analyst to understand the challenges stakeholders...* Establish strong and collaborative relationships with North America Claims and functional support teams. * Engage with key… more
- AmeriHealth Caritas (Newtown Square, PA)
- …(8) to ten (10) years of relevant Healthcare Claims experience as a Business Systems Analyst in a fast-paced environment. + HealthCare Claims experience ... and other administrative services. Discover more about us at www.amerihealthcaritas.com. The ** Business Systems Analyst Lead** is critical to helping businesses… 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
- Centene Corporation (Austin, TX)
- … business process analysis, preferably in healthcare (ie documenting business process, gathering requirements) or claims payment/analysis experience. ... flexibility. **Position Purpose:** Perform various analysis and interpretation to link business needs and objectives for assigned function. Role is focused on… more
- Adecco US, Inc. (Las Vegas, NV)
- We are looking for a Compensation Claims Analyst For a company that supports and administers claims adjustments for self-insured companies that do not have ... department. **We Offer:** Rate: $45.00 p/h On-site or remote M-F: 8 - 4:30 Short-term growth and development...degree preferred. Professional certification relevant to the line of business preferred. **Experience:** Five years of claims … 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
- Centene Corporation (Raleigh, NC)
- …flexibility. **Position Purpose:** Perform various analysis and interpretation to link business needs and objectives for assigned function. **Please note: a ... hybrid schedule (1-2 times per week) is highly preferred.** + Support business initiatives through data analysis, identification of implementation barriers and user… more
- AmeriHealth Caritas (Washington, DC)
- …Network Resolution Analyst is responsible for configuration updates, resolution of claims inquiries, and all other system changes needed to facilitate timely and ... accurate payment of claims for par and non-par providers in our network.;...in our network.; The Managed Care Provider Network Resolution Analyst ensures that each provider's status with the health… more
- TEKsystems (Raleigh, NC)
- Our client is looking for a Senior Hospital Billing Claims Analyst to join the team! This will be a 6 month contract to hire opportunity. This person must be ... eligible to work W2 in the United States. Required: + Must be Epic Hospital Billing Claims Certified + Must have 5+ years of Epic Hospital Billing Claims build… 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 ... **The Opportunity** Appraise and/or adjust physical damage and mechanical claims within an assigned territory and key point or...You Bring** * Entry Level. * Bachelor's degree in business related discipline preferred. * Education may be used… more
- Molina Healthcare (Columbus, OH)
- **Molina Healthcare is hiring a Sr Business Analyst , Appeals & Grievances** and experience in data reporting. **Highly Qualified Candidates Will Have The ... full Appeals & Grievances process + Experience working with claims and claims processing + High level...Payment Integrity, Excel, Power User, Power BI, Enrollment, Enrollment Analyst , Analyst , Business Analyst… more
- Prime Therapeutics (Columbus, OH)
- …and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - ScriptMed - Remote **Job Description** The IT Business Systems ... (SDLC) methodology employed by Prime and partnering with the business , IT, and other project stakeholders to elicit, define,...of security implications of domain + Experience in Prime claims systems + Proficiency in Visio, Microsoft Word, Excel,… 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 ... familiar with all aspects of the application including reports, parameters, claims management, intake services, carrier/client interfaces and vendor/ business … 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
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