- Elevance Health (Norfolk, VA)
- **Rating/ Claims Systems Analyst Senior** ** Hybrid 1:** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and ... office** + Please note that per our policy on hybrid /virtual work, candidates not within a reasonable commuting distance...an accommodation is granted as required by law. The **Rating/ Claims Systems Analyst Senior** is responsible for… more
- UPMC (Pittsburgh, PA)
- UPMC is hiring an Expert Senior Systems Analyst to join their highly accomplished team. This position is specifically for the Hospital Billing Claims Bridges EHR ... this opportunity is for you. APPLY NOW!! Work Location: Hybrid : This position is predominately 'remote work' with the...Act as a mentor for all level staff in resolution of Level 2 and Level 3 issues. Manage… more
- Corewell Health (Grand Rapids, MI)
- Job Summary We are seeking a Senior Epic Application Analyst to join our Resolute Revenue Cycle Billing team. This role is ideal for someone passionate about ... program development, logic, coding, and corrections. + Takes ownership of resolution for product and/or implementation issues. + Participates in risk assessment… more
- Deloitte (Jacksonville, FL)
- …work in a collaborative environment. As an experienced Epic Resolute Hospital Billing Analyst Project Delivery Specialist, you will have the ability to share new ... Conduct Epic Hospital Billing application build, testing, refinement, and issue resolution , as well as coordination with operational stakeholders to ensure… more
- CareFirst (Baltimore, MD)
- …and payment requests. This includes the maintenance of the NSA tracking database and claims resolution from start to finish. Monitors claims , identify ... areas, and prioritizes initiatives for performance improvement. Tracks outcomes of payment resolution and negotiated claims to ensure goals are met. +… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations Analyst assumes a pro-active approach in ensuring the accuracy and integrity of ... methodologies, risk score calculations, enrollment, submissions, medical and pharmacy claims , and provider data. Incumbent is responsible for performing analyses… more
- UCLA Health (Los Angeles, CA)
- …a member of the Medicare Advantage Operations team, Business Data Analyst is instrumental in independently developing the detailed requirements specifications ... are understood and implemented consistent with the Business Data Analyst 's vision + perform testing, design and delivery requirements...to support operations team as needed This is a flex- hybrid role which will require you to be onsite… more
- The Cigna Group (Bloomfield, CT)
- **_This is a HYBRID position that requires on-site presence at times in our Bloomfield, CT location._** **_Only local applicants will be considered._** **POSITION ... Owned Life Insurance (COLI) organization is looking for a Life Insurance Account Analyst to support our collaborative team as you learn our life insurance products.… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior ACA Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and integrity of key ... risk score calculation, enrollment, submissions, premiums, medical and pharmacy claims , and provider data. Incumbent is responsible for performing complex… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …works with other team members to prioritize and plan fixes/enhancements + Provides resolution of incidents and ad hoc requests per established SLAs + Provides ... the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an… more
- AON (IL)
- …for benefits is governed by the applicable plan documents and policies. #LI-RW1 #LI- HYBRID 2025-91619 Reinsurance Business Analyst Aon are looking to recruit an ... Reinsurance Business Analyst Aon are looking to recruit an experienced...join our team in the US. This is a Hybrid position and can be based anywhere in the… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Healthcare Analyst Senior Location: Hybrid | Eagan, Minnesota Career Area: Data ... make a difference, join us. The Impact You Will Have The Senior Healthcare Analyst is responsible for contributing to and supporting the strategic needs of the… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Healthcare Coding Analyst Location: Hybrid | Eagan, Minnesota Career Area: Customer Service/Operations ... considered. * 3 years of relevant health plan or provider office medical coding/ claims and/or Business Analyst experience in a healthcare setting applicable to… more
- AIG (Atlanta, GA)
- …AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims Analyst TTPO Claims to play your part in that transformation. It's an ... claims handling aimed at the prompt and cost-effective resolution of claims through well-developed action plans....connected environment for our team and clients alike. #LI-PA1 #LI- Hybrid #TPA # Claims At AIG, we value… more
- BrightView (Blue Bell, PA)
- …where you can grow to be your brightest. We're looking for a Quality Assurance Analyst . Can you picture yourself here? ** Hybrid Schedule:** 4 Days Onsite in Blue ... Agency Resumes At This Time **Job Summary** + The Claims Manager is a key leader in the Risk...brokers, operations, HR, and external vendors to support claim resolution and risk mitigation strategies + Ensure reserve adequacy… more
- CVS Health (Hartford, CT)
- …to respond, manage, and resolve escalated and complex global issues for Claims /Calls, PSS, and health plan back-office operations. The PSL role has responsibility ... to respond, manage, and resolve escalated and complex global issues for Claims /Calls, PSS, and health plan back-office operations. The Plan Sponsor Liaisons serve… more
- NYU Rory Meyers College of Nursing (New York, NY)
- Position Summary Manage claims adjudication by identifying contractual variances between posted and expected reimbursement for Article 28, Managed Care, Commercial ... and be part of the team that works towards resolution and improvement of the revenue cycle processes. Directly...Contact payer to resolve appeals and final solution to claims . Collaborate with the Director of Insurance Strategy in… more
- Deloitte (Tempe, AZ)
- …wants to work in a collaborative environment? As an experienced Epic Professional Billing Analyst you will have the ability to share new ideas and collaborate on ... East Coast working Eastern Time zone hours. + Provide support for incident resolution + Provide support for service requests + Provide support for enhancement build… more
- General Motors (Warren, MI)
- …Execution: Lead daily logistics quality operations by assigning, tracking, and closing claims -related tasks to ensure timely and accurate resolution ** + ... Care and Aftersales (CC&A) Logistics** team as a Sr. Process Analyst driving quality improvements across the **Global Logistics and Containers Organization**… more
- The County of Los Angeles (Los Angeles, CA)
- …S Vermont Ave 11th Fl Los Angeles CA 90020 Economic Opportunity offers a hybrid telework schedule subject to the needs of the department. ABOUT THE DEPARTMENT: The ... to identify a problem or reach a workable decision, resolution , or recommendation. + Information Ordering - The ability...must have been at the level of a *journey-level analyst or higher, within economic development or workforce development.… more
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