- Commonwealth Care Alliance (Boston, MA)
- …the Sr . Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr . Analyst will be responsible for developing prospective ... Integrity, Payment Integrity, and Analytics + 5+ years of Facets Claims Processing System **Required Knowledge, Skills & Abilities (must have):** + Knowledge… more
- Axis (Red Bank, NJ)
- …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
- Molina Healthcare (Columbus, OH)
- …+ Solid understanding of the full Appeals & Grievances process + Experience working with claims and claims processing + High level of knowledge working with ... **Molina Healthcare is hiring a Sr Business Analyst , Appeals & Grievances**...Key Words: Appeals & Grievances, A & G, Adjudication, Claims , Claims Processing , Bundling, Code… more
- AdventHealth (Maitland, FL)
- …strongly preferred. + Managed Care, Patient Financial services, health insurance claims processing , contract management, or medical economics required + ... days at the office (Altamonte Springs, FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating… more
- Sedgwick (St. Paul, MN)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr . Data Analyst **PRIMARY PURPOSE** : To create comprehensive reporting ... and analysis of statistical data; to monitor data for processing and procedures issues; and to support performance initiative by providing technical support and… more
- DXC Technology (Madison, WI)
- **Job Description:** ** Sr . Analyst Data Center Support - On site Milwaukee, WI** **Data Center Support Duties** + Consists of site-specific tasks necessary to ... Equipment Manufacturer (OEM) Third Party Supplier. Process warranty repair claims through OEM Third Party Supplier 's warranty ...claims through OEM Third Party Supplier 's warranty processing system if applicable, in DXC's discretion. Test for… more
- Dart Container (Mason, MI)
- Sr Procurement Business Process & Systems Analyst Apply now " Date: May 1, 2025 Location: Mason, MI, US Company: Dart Container Are you a procurement pro with a ... bills of lading, contracts, invoices + Provide occasional assistance in processing requisitions and purchase orders. Follow requirements provided by planning group… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, ... of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare data, including… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare financial terms… more
- Molina Healthcare (Columbus, OH)
- …payment methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule knowledge is ... experience **Required Experience** 5-7 years in SQL, Medicare, Networx, QNXT, claims processing and hospital claims payment method. **Preferred Education**… more
- Techtronic Industries North America, Inc. (Milwaukee, WI)
- **Job Description:** The purpose of the EDI Analyst is to analyze, support and maintain all EDI activities between internal users, customers, distributors, software ... and Marketing, Finance, and internal support users to assure the seamless processing of all EDI transactions within Milwaukee Tool **Duties and Responsibilities** :… more
- Highmark Health (Frankfort, KY)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... + 5 years of relevant, progressive experience in health insurance claims + 3 years of prior experience processing 1st dollar health insurance claims + 3… more
- Ascension Health (Indianapolis, IN)
- …transaction processing for incoming premium collections and outgoing benefit claims . + Review, maintenance and implementation of accounting policy and procedure ... and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision and Values encompass everything… 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
- 3M (IN)
- …reports. Key Areas of Operations Customer relationship management Order Processing Order Management and Fulfillment Collaboration with internal stakeholders (SCM, ... general guidance within customer service areas, such as customer inquiries, claims and complaints, customer training, call center(s), invoicing and order management,… 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
- Axis (Princeton, NJ)
- …bordereau's when processed, including preparation of payment requests and cash calls from Claims processing , broker & service fee payment and analysis of ... This role is a highly analytical and detail-oriented position within our Claims Operations team, with a specialized focus on Bordereaux Management. The ideal… more
- New York State Civil Service (Albany, NY)
- …and per DASNY procedures. Communicate the client's response to the Director, Insurance, Senior Risk Management Claims Analyst , Counsel's Office, outside ... regarding new developments, analysis and/or recommendations to the Director, Insurance and Senior Risk Management Claims Analyst for discussion. *… more
- Ascension Health (Austin, TX)
- …preferred. **Additional Preferences** Additional preferences: + 3-5 years of Texas Medicaid Claims processing experience, required. + 3-5 years of Claims ... the time of the offer._ **Responsibilities** Oversee medical professional liability claims and litigation for the Ascension Health Alliance Professional Liability… more
- AdventHealth (Maitland, FL)
- …+ 5 in Managed Care, Managed Care finance, contract management, or health insurance claims processing **Our people are passionate about what they do, the product ... - Hybrid - Altamonte Springs, FL** **The role you'll contribute:** The Senior Compliance Analyst applies technical, analytical, and problem-solving skills to… more
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