- CVS Health (Woonsocket, RI)
- …transactions, initiatives, and to support our store colleagues. The Retail Adjudication Products Sr Analyst will work cross functionally with both and external ... processes analysis. Facilitate effective solutions related to adjudication and processing of pharmacy and vaccine/medical claims , maintaining current services,… more
- Axis (Alpharetta, GA)
- …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 ...inefficiencies in process through reporting, feedback, or hands on processing , and working through potential process and/or technology solutions… more
- TXNM Energy (Albuquerque, NM)
- Sr Risk Analyst Location: Albuquerque, NM,...utility industry codes or rules as they apply to claims processing Strong accounting and finance skills ... This position is posted until filled. **DEPARTMENT** Department: Insurance **JOB DESCRIPTION** ** Sr Risk Analyst ** Salary Grade: G06 Minimum Midpoint Maximum… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The User Experience Analyst Sr . plays a critical role in leveraging data to drive strategic decision-making. This individual will be responsible ... communicate findings to both technical and non-technical audiences. The User Experience Analyst Sr . will work independently on complex projects and mentor… more
- CGI Technologies and Solutions, Inc. (Lafayette, LA)
- …with Healthcare IT, familiarity with Healthcare IT terminology and Healthcare claims processing , business functions and processes. Extensive QA/Software testing ... ** Sr . IBMi QA Analyst ** **Category:** Testing/Quality Assurance...of us starts with You! CGI is seeking a Senior IBMi QA Analyst resource who will work… more
- Norstella (Montgomery, AL)
- Sr . Medical Analyst Company: MMIT Location: Remote,...and support patients in need. We are seeking a Senior Medical Analyst to join our team and ... to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records (EHRs). You… more
- Elevance Health (Woodbridge, NJ)
- **Clinical Quality Management Analyst Sr . Behavioral Health** **Location:** 111 Wood Ave. S, Iselin, NJ 08830 **Office Requirement:** This role requires ... workplace. Alternate locations may be considered. The **Behavioral Health Clinical Quality Analyst Sr .** is responsible for developing and conducting more… more
- CVS Health (Phoenix, AZ)
- …execution of network and mail pricing for CVS Health, a Fortune Company. The Sr . Analyst , you will ensure quality assurance for all client pricing ... role covers all delivery systems and adjudication platforms related to pharmacy claims adjudication. You will inspect the correct application of business rules,… more
- Parkview Health (Fort Wayne, IN)
- …co-workers. Working knowledge of clinical medical management, coding, billing, and claims processing . Strong verbal and written communication skills with ... variety of duties associated with payor contracting analytics. Acts as the senior lead analyst mentoring and guiding junior analyst co-workers. Develops and… more
- PRGX (Grand Rapids, MI)
- …analyze the client's business operations. + Finds, supports, and documents audit and claims operations. + Produces claims using appropriate audit concepts for ... writing claims , updating claims management system, and billing claims to...with experience in retail or grocery procurement, and A/P processing . WORKING CONDITIONS The physical demands described here are… more
- AIG (Atlanta, GA)
- …AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Claims Law Firm Analyst to play your part in that transformation. It's ... will create an impact Full Time US-based employment, the Claims Law Firm Analyst shall be responsible...an annual spend of less than $500K for Insurance Claims processing and adjudication commodities. This shall… more
- 3M (IN)
- …reports. **Key Areas of Operations** 1. Customer relationship management 2. Order Processing 3. Order Management and Fulfillment 4. Upselling and obtaining regular ... general guidance within customer service areas, such as customer inquiries, claims and complaints, customer training, Portal Management, invoicing and order… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency DASNY - Dormitory Authority of the State of New York Title Senior Construction Claims Analyst (Cost Control) - Albany, NY or NYC Office ... and/or construction complexity, environmental issues and other non-traditional project variables. Senior Cost Control Analyst also reviews and provides comments… more
- NTT America, Inc. (Plano, TX)
- …when executed as part of an overall sourcing strategy. NTT DATA currently seeks a ** Claims Processing Associate** to join our team for a remote position. **Role ... methodology/ fee schedule **Required Skills/Experience** + 1+ years hands-on experience in Healthcare Claims Processing + 2+ years using a computer with Windows… more
- Molina Healthcare (Grand Island, NE)
- …Monitor and resolve HP work queues related to timely and accurately claims payments and encounters processing . **JOB QUALIFICATIONS** **Required Education** ... Nebraska Health plan SLT by providing subject matter expertise on complex claims related issues and service recovery efforts.** Analyzes complex business problems… more
- Molina Healthcare (Covington, KY)
- …knowledge of provider data/processes/requirements related to provider contracting, credentialing, claims processing and state/federal regulations + Ability to ... data systems and models + Complex database and data management responsibilities + Claims processing background + Configuration background To all current Molina… more
- NTT America, Inc. (Plano, TX)
- …**Required Skills/Experience** + High school Diploma or equivalent. + 3+ years of medical claims processing experience + 5+ years of experience using a computer ... potential of dual coverage and determining which Insurance is primary. + Update Claims System according to Member insurance + Making outbound call to other Insurance… more
- Tucson Electric Power (Tucson, AZ)
- …innovation skills. **_Lead Analyst Minimum Qualifications:_** . Minimum qualifications of Senior Analyst plus: . Minimum of 4 years of supervisory/leadership ... **Benefits Analyst - I, II, Senior or...Employee Wellness Program: Plan design, communications, education, and incentives processing . o Established Trust(s): Gathers data and performs monthly,… more
- Point32Health (Canton, MA)
- …members, partners, colleagues and communities. **Job Summary** The Sr Provider Audit Analyst is responsible for review of claims for accuracy of coding, ... benefit, payment, and contract interpretation in accordance to claims processing guidelines, Point32Health Medical and Payment Policies and established audit… more
- City of New York (New York, NY)
- …and Procurement Policy Board rules requiring timely processing of invoices. The Senior Data Analyst will perform enhanced payment reviews and track analytic ... DFS includes managing the ACS budget; submission of monthly claims for revenue; processing of payments to...Services Unit total more than $319 million annually. The Senior Data Analyst for HHS-PASSPort Payments is… more
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