- Acosta Group (Tampa, FL)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be ... responsible for analyzing claims and making decisions about their validity. The position..., assesses the reason for the escalation, and provides resolution in priority order as directed by the Supervisor.… more
- AmeriHealth Caritas (Washington, DC)
- …Provider Network Resolution Analyst is responsible for configuration updates, resolution of claims inquiries, and all other system changes needed to ... the DC / ;DMV region. ;This position incorporates a hybrid work schedule working 1 day remotely and 4...providers in our network.; The Managed Care Provider Network Resolution Analyst ensures that each provider's status… more
- Axis (Princeton, NJ)
- …This role is a highly analytical and detail-oriented position within our Claims Operations team, with a specialized focus on Bordereaux Management. The ideal ... with cross-functional teams to drive process improvements and enhance claims management efficiency. *Preferred candidates will be able to...to commute to an AXIS office, we are a hybrid work environment 3 days a week. Responsibilities: *… more
- CVS Health (Scottsdale, AZ)
- …do it all with heart, each and every day. This position is classified as hybrid and will be filled in either Scottsdale, AZ., Irving, TX., Northbrook, IL., Hartford, ... is responsible for the implementation and ongoing support of Claims Experience Transmission (CET Files) on behalf of our...behalf of our Clients and their vendors. The Senior Analyst will have primary responsibility and ownership of the… more
- AdventHealth (Maitland, FL)
- …we are even better. **Job Location** : **Monday-Friday - 8:00am to 5:00pm - Hybrid - Altamonte Springs, FL** **The role you'll contribute:** The Senior Compliance ... Analyst applies technical, analytical, and problem-solving skills to identify,...state and federal regulations, and payor practices to facilitate resolution of contract non-compliance. This person demonstrates attention to… more
- State of Colorado (Denver, CO)
- Claims Processor - Hybrid working arrangements Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4922602) Apply Claims Processor - ... Treasury, Unclaimed Property Division, This position is responsible for processing owner claims according to the Revised Uniform Unclaimed Property Act (RUUPA) and… 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
- Indiana Farm Bureau Insurance (Indianapolis, IN)
- …and/or system testing for defects and enhancements; provides recommendations and resolution for production problems. + Leads and/or participates on project teams ... degree. + Three (3) years' experience in a Business Analyst role. + Requires experience with one or more...functions within a Property & Casualty insurance company - claims , policy administration, underwriting, billing. + Must have or… more
- BD (Becton, Dickinson and Company) (Franklin Lakes, NJ)
- …will deliver sustainable results + Coordinate dispute information with Chargeback Analyst and Distributor partners as needed to resolve contract error discrepancies. ... procedures and work with the team leaders and managers to find resolution **_Qualifications_** + Bachelor's degree required + 3+ years experience preferred in… more
- Virtua Health (Mount Laurel, NJ)
- …optimize reimbursement within budget guidelines. Participate in ongoing coordination and resolution of revenue issues as they arise. Assists in troubleshooting and ... Financial Services staff for reporting problems and denials on individual claims . Assist in researching coding issues, provide guidance and recommend solution… more
- State of Massachusetts (Quincy, MA)
- …Business/Systems Analyst role, preferably with a focus on Pharmacy/Healthcare claims processing, is required. Five (5) plus years of experience is preferred.** ... Team (EOHHS IT) supporting the MassHealth program is seeking a*Pharmacy Systems Analyst *responsible for supporting the pharmacy system, MassRx. MassRx is a claims… 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
- Elevance Health (Norfolk, VA)
- …Health Plan Operations leadership when necessary, to determine root cause and appropriate resolution . + Must work with Claims Operations to remediate impacted ... **Provider Payment Appeal Analyst I** **Location:** Virtual Role, Must be located...or GED and a minimum of 3 years of claims research and/or issue resolution or analysis… more
- University of Michigan (Ann Arbor, MI)
- Health Information Analyst II - Compliance & Auditing Apply Now **Job Summary** Use the EPIC EHR Release Module within specified timeframes to find, review, and ... produce medical records needed for Hospital and Professional Billing claims when requested by payers, auditors, or governmental agencies. Prepare medical records for… more
- Stanford University (Stanford, CA)
- Benefits Analyst **Human Resources Services, Redwood City, California, United States** Human Resources Post Date Mar 17, 2025 Requisition # 106122 **Stanford ... **Stanford University Human Resources (UHR) is seeking a highly skilled Benefits Analyst within the University Human Resources Benefits Department. Reporting to the… more
- Point32Health (Canton, MA)
- …of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal regulations for the professional and ... and have the judgment to seek out guidance as needed. The Analyst is responsible for the accurate coordination, efficient administration and resolution… more
- BayCare Health System (Clearwater, FL)
- …negotiation process. + Serves as Primary Contact for contract/managed care payer claims and operational issues resolution for assigned payers. + Performs ... responsibility and clinical excellence. **Responsibilities:** + The Managed Care Financial Analyst Sr. performs financial analyses of patient data for BayCare… more
- Aflac (SC)
- Financial Systems Analyst I The Company: CAIC The Location: SC, US The Division: Financial Services Job Id: 6754 Salary Range: $42,000 - $98,000 Job Posting End ... you at Aflac. Worker Designation - This role is hybrid . This means you will be expected to report...system cycles for Wynsure, VUE and FSCD; ensures that claims benefits, premium refunds and commissions processed are paid… more
- Centene Corporation (Queens, NY)
- …processed accurately. + Answer CSI inquiries on daily basis. + Supply information to Claims Department and follow-up to ensure resolution . + Interpret and enter ... provider information from the Claims department. + Work collaboratively with the accounting unit...holidays, and a flexible approach to work with remote, hybrid , field or office work schedules. Actual pay will… more
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