- LA Care Health Plan (Los Angeles, CA)
- Claims Compliance Data Validation Analyst II Job Category: Claims Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 ... support the safety net required to achieve that purpose. Job Summary The Claims Compliance Data Validation Analyst II supports the collection and validation… more
- Commonwealth Care Alliance (Boston, MA)
- …experience Experience Required: + At least three (3) years of related investigative, claims , compliance or analyst experience in healthcare, data reporting ... + Utilize data mining and visualization programs to design queries and analyze claims data to detect outliers or suspicious patterns for further investigation. +… more
- Randstad US (Dublin, OH)
- claims analyst . + dublin , ohio...been met + Utilizes documented team processes to ensure compliance with departmental standards + Data entry verification + ... and administrative support occupations + referenceAB_4522959 job details Exciting Job Opportunity: Claims Analyst Are you ready to take your claims analysis… more
- Randstad US (Tampa, FL)
- claims analyst . + tampa , florida + posted 1 day ago **job details** summary + $16.99 - $17 per hour + temp to perm + associate degree + category legal ... occupations + referenceAB_4523203 job details Exciting Job Opportunity: Claims Analyst Are you ready to take...been met. + Utilizes documented team processes to ensure compliance with departmental standards + Data entry verification +… more
- Randstad US (Phoenix, AZ)
- claims analyst iii. + phoenix , arizona + posted 2 days ago **job details** summary + $18 - $19 per hour + temporary + high school + category office and ... support occupations + referenceAB_4522121 job details Exciting Job Opportunity: Claims Analyst Are you ready to take...been met * Utilizes documented team processes to ensure compliance with departmental standards * Data entry and verification… more
- World Insurance Associates, LLC. (Syosset, NY)
- …the importance of professionalism and trust. Job Description: The Workers' Compensation Claims Analyst is responsible for providing superior customer service to ... of New York Workers Compensation Law. The Workers' Compensation Claims Analyst is responsible for the handling...seek out claim incurred mitigation, subrogation, proper handling, and compliance for all claims . Requirements: + Bachelor's… more
- WestRock Company (West Point, VA)
- …Customer Service group within WestRock Global Paper has an opportunity for a Board Claims Analyst who has the overall responsibility for processing claims ... member training on various topics as well as ensuring the responsibilities of Claims Analyst are understood throughout the department. * Monitoring of… more
- Randstad US (Dublin, OH)
- claims analyst . + dublin , ohio + posted 8 days ago **job details** summary + $17.99 - $18 per hour + temp to perm + high school + category office and ... administrative support occupations + referenceAB_4518331 job details The Claims Analyst III (Security Claims ) works on the full range of claims ,… more
- Apex Health Solutions (Houston, TX)
- Summary Claims Analyst is responsible for accurate and timely research of all providers claim inquiries according to policies, process instructions and system ... reporting, and acts as a liaison between internal stakeholders for associated claims processes. Candidate will respond to all incoming inquiries and coordinate with… more
- Elevance Health (Atlanta, GA)
- …check, or ask you for payment as part of consideration for employment. **Business Analyst III (Pharmaceutical Claims Audit)** + Job Family: BSP > Business ... Will Make an Impact:** + Reviews and Audits Pharmaceutical claims processed by vendors to ensure proper compliance... claims processed by vendors to ensure proper compliance + Conducting Data analysis and issue resolution regularly… more
- Amazon (New York, NY)
- …Global Risk Management and Claims team is seeking a Sr. Risk Analyst to assist with the development and management of Amazon's global insurance programs, ... techniques for new and existing business initiatives. Additionally, the Sr. Risk Analyst will manage the insurance programs for some Amazon owned subsidiaries. The… more
- Walmart (Bentonville, AR)
- …in the claim/image management system. + Handles monetary aspects of assigned claims by establishing reserves within approval level; notifying store managers of ... significant reserve increases; monitoring reserves for all open claims ; authorizing payment for approval or facilitating denial of the claim; and reserving file for… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …help us transform healthcare? Bring your true colors to blue. The Senior Claims Testing Analyst is responsible for reviewing business requirements, developing, ... and executing comprehensive test plans, analysis of reporting, performing claims quality review, mentoring associates and ensuring department goals are met in a… more
- Health Plans, Inc. (Dallas, TX)
- …care. Role and Responsibilities This role will be responsible for claims administration, roster management, and appeal resolution within the Network Operations ... Department. + Maintain and review all inbound claims for network and pricing accuracy. + Implement Quality...by another, you must report the violation to the Compliance Officer and/or Human Resources. + Attend, complete, and… more
- Vanderbilt University Medical Center (Nashville, TN)
- …preeminent programs in patient care, education, and research. **Organization:** HB Claims & Billing **Job Summary:** JOB SUMMARY Continually evaluates and assesses ... focusing on quality, customer satisfaction, and stewardship. * Regulatory Compliance (Advanced): Demonstrates knowledge of the appropriate rules and regulations… more
- Peak Vista (Colorado Springs, CO)
- Risk Manager (RN) and Compliance Analyst Summary Title:Risk Manager (RN) and Compliance Analyst ID:1229-4507 Department Location:3205/3207 N. Academy, ... of Compliance & Risk Management the Risk Manager/ Compliance Analyst works to ensure that Peak...identified. + Act as a resource to support the Compliance department with subpoenas, depositions, Federal Tort Claims… more
- HUB International (Chicago, IL)
- …our industry leading success in mergers and acquisitions. HUB is currently seeking a ** Compliance Analyst ** in Governance, Risk and Compliance (GRC) for our ... continental United States! About the Position Reporting to the Compliance Manager, the Compliance Analyst ...will help you reach your goals through risk services, claims management, and compliance support. And this… more
- State of Colorado (Lakewood, CO)
- Analyst III - Sales Tax Accounting Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4456138) Apply Analyst III - Sales Tax Accounting ... not eligible for overtime compensation. Department Contact Information Lakisha Boggs HR Analyst ###@state.co.us How To Apply Please submit an online application for… more
- Bausch + Lomb (Bridgewater, NJ)
- …continue leading the advancement of eye health in the future. We are seeking a **Data Analyst , Compliance ** who is proficient in Power BI, to join our team. The ... that the company is adhering to all relevant laws and regulations. The Data Analyst will also be responsible for developing and implementing data analysis tools and… more
- Ventura County (Ventura, CA)
- Risk Analyst - Generalist Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4423773) Apply Risk Analyst - Generalist Salary $84,564.81 - ... or injury. This is accomplished through effective Loss Prevention programs, Claims Management, and Financing methods such as insurance and self-funding. There… more