- 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 ... diverse backgrounds and great chemistry, APPLY NOW! Hybrid work environment, but predominately remote. One week per...meet client IT and business needs. Responsibilities: + PB claims IT analyst . Ability to quickly diagnose… 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 ... team with diverse backgrounds and great chemistry, APPLY NOW! Hybrid , but predominately remote. One week per month we...as a mentor for other analysts. Responsibilities: + PB claims IT analyst . Ability to quickly diagnose… 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...will: + Lead efforts to analyze and optimize healthcare claims processes to improve accuracy and first-pass resolution… 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
- 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)
- …triaging production issues, advocating for business users, and managing defect resolution through deployment + Identify, evaluate, and recommend potential solution ... options. Support the resolution via projects and enhancements through production deployment. +...Preferred Qualifications: + 1+ years' experience as a Business Analyst + 1+ years' experience supporting underwriting functions in… more
- Virtua Health (Mount Laurel, NJ)
- …for pediatrics. Location: PACCT - 2000 Crawford Place Remote Type: Hybrid Employment Type: Employee Employment Classification: Regular Time Type: Full time ... optimize reimbursement within budget guidelines. Participate in ongoing coordination and resolution of revenue issues as they arise. Assists in troubleshooting and… more
- RTX Corporation (Phoenix, AZ)
- …1007 E. University Drive, Phoenix, AZ, 85034 USA **Position Role Type:** Hybrid **U.S. Citizen, US Person, or Immigration Status Requirements:** US citizenship is ... requirements, ensuring adherence to terms and conditions. + Process and adjudicate warranty claims in a fair and timely manner. + Partner with internal operations… more
- Grant PUD (Ephrata, WA)
- **Description** **Closing Date to Apply:** October 9th, 2025 **Salary:** **Risk Analyst :** $81,723.20 - $131,580.80 **Senior Risk Analyst :** $97,323.20 - ... Enterprise Risk Management (ERM) program, including responsibilities in enterprise risk, claims management, and insurance program support. It also contributes to the… 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
- Bank of America (Phoenix, AZ)
- …escalated customer situations that were unable to be resolved by the initial claims analyst . Provides coaching and training to other associates. Ensures ... Senior Claim Analyst Phoenix, Arizona **To proceed with your application,...us! **Job Description:** Responsible for the day to day resolution of complex problems/ claims including in depth… more
- University of Michigan (Ann Arbor, MI)
- Managed Care Payer/Operations Analyst Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as the first ... patient specific most often involving Out of State Payers. The Managed Care Payer Analyst will report to the Manager, Managed Care Operations and will assist in… more
- Elevance Health (Denver, CO)
- …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 ** **Virtual:** This role enables associates to work...or GED and a minimum of 3 years of claims research and/or issue resolution or analysis… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Senior Healthcare Analyst Location: Hybrid | Eagan, Minnesota Career Area: Data Analytics ... The Impact You Will Have As a Senior Healthcare Analyst , you will be responsible for contributing to and...affected areas, estimating the impact and contributing to the resolution . * Implements improvements to process, analysis, and research… more
- ChenMed (Miami, FL)
- …we need great people to join our team. The Senior Health Economics Analyst is responsible for identifying and delivering data-driven insights and analytical support ... recommendations in the Medicare Advantage and healthcare industry. This senior-level analyst position has the opportunity for impact and advancement within the… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …and external audits (SOX, PWC, functional audits) with data investigation, documentation, and resolution of claims . + Collaborate with the Rebates team to ... Chargeback Analyst Date: Oct 3, 2025 Location: Parsippany, United...reconcile discrepancies between rebate claims and chargeback indirect sales. + Identify and escalate… more
- Cambridge Savings Bank (Waltham, MA)
- POSITION: Fraud Operations Analyst Summary: At Cambridge Savings Bank, our purpose is to have a positive impact on our customers, employees, and community's ... having a strong commitment to diversity and inclusion. The Fraud Operations Analyst is responsible for supporting operational fraud functions involved in identifying… more
- ICW Group (Lisle, IL)
- …Builds strong relationship with external vendors and serves as liaison between the claims department and vendors. + Acts as a gatekeeper for referrals between ... in-house telephonic nurse case managers, claims examiners and vendors. Reviews open referrals and ensures...+ Collaborates closely with Cost Management Manager in tracking, resolution gathering, and trending of cost management issues related… more
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