- Cognizant (Pierre, SD)
- About the role As a ** Quality Analyst with Healthcare - Claims & Membership experience** . You will make an impact by designing and executing end-to-end test ... strategies that ensure the quality and reliability of healthcare claims and membership applications. You will be a valued member of the Quality Engineering… more
- Commonwealth Care Alliance (Boston, MA)
- …at this time._** **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role ... Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role...reimbursement issues - including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject… more
- NJM Insurance (Trenton, NJ)
- NJM Insurance Group's Claims & Medical Services Analytics group is seeking a Claims Insights Analyst . The Claims Insights Analyst applies a strong ... through presentations, dashboards and visualizations to drive strategic decision making. The Claims Insights Analyst is a highly motivated, creative self-thinker… more
- Axis (Short Hills, NJ)
- …is available upon request for candidates taking part in the selection process. ** Claims Business Analyst ** **How does this role contribute to our collective ... success?** We are seeking a Claims Business Analyst to join our Business...+ Analytical and detail-oriented with a focus on delivering high- quality outcomes. + Strong facilitation skills and the ability… more
- AIG (Boston, MA)
- Job Description Join us as a Claims Analyst IV to take on key responsibilities within a world-class claims function. Make your mark in Claims As a Claim ... + You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit processes, ensuring mitigation of indemnity… more
- ManpowerGroup (El Segundo, CA)
- …in the legal and corporate restructuring industry, is seeking a dedicated and detail-oriented Hybrid Claims Analyst to join their team. As a Hybrid Claims ... approach, which will align successfully within the organization. **Job Title:** Hybrid Claims Analyst **Location:** El Segundo, CA **Pay Range:** **Shift:**… more
- UPMC (Pittsburgh, PA)
- UPMC is hiring a Systems Analyst -Senior (Epic PB Claims and Remittance) who had healthcare experience. If you are looking to join a highly accomplished team with ... and providing services to meet client IT and business needs. Responsibilities: + PB claims IT analyst . Ability to quickly diagnose claims issues, apply… more
- UPMC (Pittsburgh, PA)
- UPMC is hiring a Systems Analyst -Technical Lead (Epic PB Claims and Remittance) who had healthcare experience. If you are looking to join a highly accomplished ... within a client group. Serves as a mentor for other analysts. Responsibilities: + PB claims IT analyst . Ability to quickly diagnose claims issues, apply… more
- Levi, Ray & Shoup, Inc. (Chicago, IL)
- …Login (http://www2.lrs.com) File Transfer Filters Careers Added Jul 21, 2025 Business Analyst - Claims Systems (26971) Chicago, IL | Contract Apply ... to talk! LRS Consulting Services is seeking a Business Analyst for a long-term, hybrid onsite contract opportunity with...IL! LRS Consulting Services has been delivering the highest quality consultants to our clients since 1979. We've built… more
- Highmark Health (Olympia, WA)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards.… more
- Robert Half Accountemps (Raleigh, NC)
- Description We are looking for a detail-oriented Medical Claims Analyst to join our team in Raleigh, North Carolina. This long-term contract position is ideal ... high- quality results. Responsibilities: * Process and reconcile medical claims efficiently, ensuring all records are accurate and up-to-date. * Resubmit… more
- Alight (IN)
- …through effective solutions and personal service. **Responsibilities** + Handling claims related to FMLA, disability (STD/LTD), parental leave, personal leave, ... of the leaves. + Managing and processing employee leave claims in compliance with federal, state, and company policies....meeting client SLA's. + Maintain internal & client defined quality scores. + Consistently meet or exceed KPIs. +… more
- CVS Health (AZ)
- …help people get well, but help them stay well in body, mind and spirit. The Claims Analyst is responsible for reviewing pharmacy claims submitted through the ... pioneering a bold new approach to total health. Making quality care more affordable, accessible, simply and seamless, to...CVS Health claims processing systems. The Claims Analyst will identify and rectify claim… more
- Centene Corporation (Jefferson City, MO)
- …and documentation as appropriate + Meet and maintain department production and quality standards + Successfully complete additional progressive claims training ... on workplace flexibility. **Position Purpose:** Ensure timely processing of pending medical claims . Verify and update information on the submitted claims . Review… more
- Citigroup (San Antonio, TX)
- The Assoc Ops Sup Analyst is an entry level position responsible for providing operations support services, including but not limited to; record/documentation ... Operations - Core Team. Additionally, the Assoc Ops Sup Analyst serves as the liaison between operations staff, relationship...project requirements to ensure timelines are met and the quality meets and exceeds customer expectations + Build and… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role Brighton Health Plan Solutions is seeking a Senior Quality Analyst , who will oversee contract and benefit configuration to ensure accurate ... claims processing and network compliance. This is a remote...services to our partners. Company Vision Redefine health care quality and value by aligning the incentives of our… more
- CGI Technologies and Solutions, Inc. (Indianapolis, IN)
- ** Quality Analyst ** **Category:** Testing/ Quality Assurance **Main location:** United States, Indiana, Indianapolis **Position ID:** J0825-0830 **Employment ... . **Position Description:** CGI is looking for a skilled Quality Analyst for data testing across insurance...requirements and downstream impacts. * Serve as the data quality advocate across the personal lines business-underwriting, claims… more
- Coca-Cola Bottling Company High Country (Billings, MT)
- Beverage Quality & Safety Program Analyst Billings, MT (http://maps.google.com/maps?q=1830+Harnish+Blvd+Billings+MT+USA+59101) Job Type Full-time Description ... located in Billings, MT + Salary for the Beverage Quality & Safety Program Analyst role is...ensure measures have been implemented. + Monitor management of claims to ensure claim expenses are mitigated. + Organize… more
- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. **Business Analyst - Data Quality in Albany, NY** **Item 1302** The **Business ... the Division of Data Services & Analytics (DDSA) Data Quality team. The position is multi-role in nature and...and business context of various elements related to Medicaid claims . Related efforts will include the production of reports… more
- Medical Mutual of Ohio (OH)
- …public health, or arelated field. + 2 years experience as a HEDIS Quality Improvement Analyst or equivalent HEDIS analytical project experience. **Technical ... related field. + 3 years experience as a HEDIS Quality Improvement Analyst or equivalent HEDIS analytical...utilize certified HEDIS software. + Ability to analyze clinical, claims , pharmacy, encounter, and quality measurement data.… more
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