- Molina Healthcare (Covington, KY)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... successful implementation of provider engagement programs. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze claims from compliance against contracts, billing, and processing guidelines… more
- CVS Health (Woonsocket, RI)
- …transactions, initiatives, and to support our store colleagues. The Retail Adjudication Products Sr Analyst will work cross functionally with both and external ... and key performance metrics for reconciliation, revenue cycle, and adjudication/ claims processes analysis. Facilitate effective solutions related to adjudication and… more
- Bank of America (Newark, DE)
- …18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Newark/Wealth-Management-Fraud Claims Sr -Fraud- Analyst \_25028343) **Job ... Wealth Management Fraud & Claims - Sr . Fraud Analyst...Job expectations include performing functions related to research and resolution of fraudulent activity, service support, and delivering practical,… more
- Axis (Alpharetta, GA)
- …in the selection process. Part of AXIS Claims Shared Services, the Claims Operations Analyst is responsible for the performance, oversight, and ongoing ... improvement of Claims support activities performed within our North America ...Claims ' offshore team to convey process changes, query resolution , feedback, and other important updates critical to ongoing… more
- Prime Therapeutics (Eagan, MN)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Sr . Business Systems Analyst **Job Description** The Sr . Business Systems ... project team and various levels of management. With consistent Senior Leadership visibility, the Sr . BSA is...assignments within project + Educate and advance business systems analyst practice within the Claims IT team… more
- Lowe's (Mooresville, NC)
- **Your Impact** The Sr Analyst -Workers Compensation Claims will provide insight and support to drive the operational excellence of the Workers Compensation ... Will Do** + Evaluates monthly, quarterly, and annual performance of claims administrator and subcontracted vendors through analyses such as cost-benefit,… more
- Elevance Health (Woodbridge, NJ)
- **Clinical Quality Management Analyst Sr . Behavioral Health** **Location:** 111 Wood Ave. S, Iselin, NJ 08830 **Clinical Quality Management Analyst Sr . ... accommodation is granted as required by law. The **Behavioral Health Clinical Quality Analyst Sr .** is responsible for developing and conducting more complex… more
- University of Miami (Miami, FL)
- …of Miami Health System, "UHealth", IT Department has an exciting opportunity for a Full-time Epic Sr . Analyst - Quality and Population Health. The Epic Sr . ... them. + Supports junior staff members in the evaluation and resolution of service tickets, identification and implementation of application changes, retrieval… more
- Fairview Health Services (Minneapolis, MN)
- **Job Overview** The Epic Professional Billing Sr Application Analyst role will provide technical expertise and leadership, including configuring, documenting, ... resolves escalated issues. Interacts with vendors on problem determination, resolution , issue tracking, upgrades and fixes. + Participates in...role + Epic Certification in Hospital Billing / PB Claims / HB Claims would be ideal.… more
- Honeywell (Charlotte, NC)
- We are looking for an experienced, data-driven Sr . Benefits Analyst to manage our defined contribution (DC) administration and oversight for the Honeywell ... educate them on plan design and benefits. Manages cases supporting the resolution of inquiries, escalations, errors, and requests from participants, such as hourly… more
- J&J Family of Companies (Raritan, NJ)
- …a member of Johnson & Johnson's Family of Companies, is recruiting for a ** Senior Analyst , Contract Validation & Analytics (CVA)** to support our Enterprise ... for humanity. Learn more at https://www.jnj.com/. As a Validata Analyst , within the US ECM organization, you will support...with external customers and internal business partners in the resolution of day to day operations or process exceptions… more
- Bank of America (Newark, DE)
- Sr Fraud Analyst II Newark, Delaware **To proceed with your application, you must be at least 18 years of age.** Acknowledge Refer a friend **To proceed with ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Newark/ Sr -Fraud- Analyst -II\_25027091) **Job Description:** **Work Schedule: Monday -… more
- FREEMAN (Dallas, TX)
- …and regulatory filings. + Report potential compliance issues to the Benefits Compliance Senior Analyst . **Education & Experience** + Bachelor's degree in Human ... new technologies to deliver moments that matter. **Summary** The Senior Benefits Analyst is responsible for the...due to qualifying life events. + Resolve escalated vendor claims issues and ensure timely resolution . +… more
- Honeywell (Charlotte, NC)
- As a ** Senior Benefits Analyst ** here at Honeywell, you will play a crucial role in managing and enhancing our employee benefits programs. Your expertise will ... might be leading to increased volume of escalations or issues. + Manage the claims and appeals process ensuring timely and accurate responses back to participants. +… more
- AIG (Dallas, TX)
- Senior Claims Management Analyst Join us as a Senior Claims Analyst to grow your experience in handling complex claims . Make your mark in ... Claims . Our Claims teams are the proven problem solvers of choice...on establishing appropriate reserves within assigned authority and in recognition AIG's of exposure above the deductible. Continually evaluates… more
- Molina Healthcare (Milwaukee, WI)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... claim payment system and other applicable systems. + Participates in defect resolution for assigned component + Assists with development of configuration standards… more
- CommonSpirit Health (Englewood, CO)
- …Professional Billing Admin experience required** + **Resolute Professional Billing Claims experience required** + **Cogito Certification experience preferred** + ... difficult situations. Acts as the group resources for complex issues needing resolution . Mentors other analysts on troubleshooting issues of intermediate to advanced… more
- 3M (IN)
- …general guidance within customer service areas, such as customer inquiries, claims and complaints, customer training, Portal Management, invoicing and order ... experience to improve his/her own performance as CSR 5. **Customer Issues Resolution ** : Accountable for ensuring Customer queries and complaints are resolved… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency DASNY - Dormitory Authority of the State of New York Title Senior Construction Claims Analyst (Cost Control) - Albany, NY or NYC Office ... and/or construction complexity, environmental issues and other non-traditional project variables. Senior Cost Control Analyst also reviews and provides comments… more
- Capital One (Mclean, VA)
- …Record (CSOR) and Fraud Reporting Service (FRS), core data products associated with the resolution of credit card Fraud and Dispute claims . This Product Manager ... Sr . Associate, Product Management - Customer Services & Strategy...will partner closely with the Business Analyst team that utilizes CSOR data and the Tech teams… more
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