- Commonwealth Care Alliance (Boston, MA)
- …**Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance , the Claims Sr. Analyst plays a critical role in ensuring ... Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance ,...reimbursement issues - including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject… more
- AIG (Boston, MA)
- …decisions on the portfolio. + You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit processes, ... 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 … more
- Sedgwick (Minneapolis, MN)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Performance Assurance Analyst **PRIMARY PURPOSE** **:** Performs comprehensive reviews on ... personal and commercial lines claims of varying degree of severity (up to approximately...that exist. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Executes the quality assurance program by completing quality… more
- Highmark Health (Buffalo, NY)
- …This position will serve as the SME for a team that performs non-clinical quality audits and tasks in compliance with all regulatory guidelines. This role will ... support. **ESSENTIAL RESPONSIBILITIES** + Serve as primary escalation point for all quality production team members, ensuring compliance and quality standards… more
- CGI Technologies and Solutions, Inc. (Indianapolis, IN)
- ** Quality Analyst ** **Category:** Testing/ Quality Assurance **Main location:** United States, Indiana, Indianapolis **Position ID:** J0825-0830 ... . **Position Description:** CGI is looking for a skilled Quality Analyst for data testing across insurance...Expectations, Soda, or custom Python/SQL test harnesses to automate quality assurance processes. * Validate data migration… more
- Prime Therapeutics (Baton Rouge, LA)
- …requestors to resolve questions regarding requested software changes, and participate with Quality Assurance and UAT resources to review related test cases ... assignments within project + Educate and advance business systems analyst practice within the Claims IT team...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- Bank of America (Addison, TX)
- Quality Analyst - 3rd Shift Addison,...and Testing + Policies, Procedures, and Guidelines Management + Quality Assurance + Adaptability + Attention to ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Addison/ Quality - Analyst 3rd-Shift\_25037192-1) **Job Description:** At Bank of… more
- Center For Health Information And Analysis (Boston, MA)
- …Data Integrity: Participate in advancing comprehensive practices in documentation, data quality assurance , and management. Your meticulous attention to detail ... in health policy impact! We seek a Health Policy Analyst to support projects, share content expertise, and provide...with an extensive range of health care enrollment, spending, quality , and claims data. You will be… more
- The County of Los Angeles (Los Angeles, CA)
- …and systems implementation tools, techniques and methodologies, as needed. Establishes quality assurance procedures, as needed. Supervises lower level technical ... PRINCIPAL INFORMATION SYSTEMS ANALYST / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4678895) Apply … more
- Prime Therapeutics (Pierre, SD)
- …year of work experience in claims processing in an operations, audit or quality assurance environment, and 1 year of work experience in insurance, billing, ... passion and drives every decision we make. **Job Posting Title** Recovery & Resolution Analyst - Remote **Job Description** The Recovery & Resolution Analyst is… more
- Elevance Health (Wilmington, DE)
- …Participate in complete project lifecycle: requirements gathering, programming, testing/troubleshooting, quality assurance , and creation of final deliverables. + ... **Research Programmer/ Analyst ** **Location:** Wilmington, DE (preferred). This role requires associates to be in-office 1 - 2 days per week, fostering collaboration… more
- MyFlorida (Largo, FL)
- …changes to those regulations/laws. + General familiarity with the concepts of Quality Assurance and Performance Improvement. + Training experience. POSITION ... HEALTH DATA ANALYST - 50000056 Date: Oct 2, 2025 The...+ Enter and track health data information in the Quality Assurance and Performance Improvement tracking system… more
- Terumo Medical Corporation (Somerset, NJ)
- …forwarding of customer complaints (ie adverse events, product performance reports, etc.) to Quality Assurance (QA), and by ensuring all promotional messaging (ie ... Contract Analyst Date: Sep 22, 2025 Req ID: 5174...involve the sale of Terumo product, to ensure high quality contracts that are effective, equitable and compliant. The… more
- The Cigna Group (Bloomfield, CT)
- …review + Cross-functional Collaboration: Work closely with pharmacy personel, internal drugfile analyst , IT specialists, and quality assurance personnel to ... **Summary** The Drugfile Analyst plays a crucial role in the healthcare...to ensure completeness and accuracy + Data Cleaning and Quality Assurance : Identify inconsistencies, missing values, and… more
- Travelers Insurance Company (Hartford, CT)
- …and/or provide mentoring to less experienced staff members. + May conduct reinsurer and quality assurance audits. + Perform other duties as assigned. **What Will ... to join a world class organization handling Ceded Reinsurance Claims ? The Travelers Ceded Reinsurance team is critical to...managing risk and ensuring enterprise growth. As a Sr. Analyst , you will review, analyze, process and collect moderately… more
- SAIC (Sterling, VA)
- …complex spatial databases to be used in analyses and cartographic end products; perform quality assurance and quality control of topology, attributes, and ... **Description** SAIC seeks a highly skilled Geospatial Intelligence Analyst /Engineer. As a Geospatial Intelligence Analyst , you will be responsible for analyzing… more
- City of New York (New York, NY)
- …Services (DHS). DSS-AO maintains the operation of the Office of Audit and Quality Assurance (OAQA), Office of Compliance & Support (OAS), Investigation, Revenue ... Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTATIVE STAFF ANALYST CIVIL SERVICE TITLE OR BE PERMANENT IN A...to function as a(n) Executive Director, Financial Review & Claims Processing who will: - Manage, plan and develop… more
- Genesis Healthcare (Roosevelt, NY)
- …and audit functions and investigations. 5. Participates, as requested, in quality assurance and process improvement activities. Responsibilities A Licensed ... and possible career growth opportunities. POSITION SUMMARY: The Licensed Behavior Analyst will provide services designed to facilitate improved behavior and skill… more
- Molina Healthcare (Tacoma, WA)
- …+ Creating and executing comprehensive test plans + Ongoing pricer maintenance, quality assurance , and compliance with deployment activities. + Interpret release ... **Job Description** **Job Summary** The Lead Analyst , Reimbursement is responsible for administering complex provider reimbursement methodologies timely and… more
- Cambridge Savings Bank (Waltham, MA)
- …cross functional initiatives, managing internal relationships, system enhancements, quality assurance audits, process improvement reviews, training ... POSITION: Fraud Operations Analyst Summary: At Cambridge Savings Bank, our purpose...activity reviews and trends, during Department meetings, and during quality control assessments. Exercise judgment within defined procedures and… more
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