- Advocate Aurora Health (Charlotte, NC)
- …Monday-Friday position offering some remote, work from home opportunity. The Workers Compensation Claims Analyst Assoc is a critical thinker who manages ... best practices. They are responsible for the adjudication of medical only claims and provides superior customer...teammates, leaders, and others with an interest in the claim . Must be able to report appropriate claims… more
- Berkley (Trenton, NJ)
- …contractual provisions to the medical facts and specifications of the claim Review and adjudicate claims within approved authority limits Maintain assigned ... Responsibilities We have an opportunity for a Stop Loss Claims Analyst to join our Berkley Accident...You will perform quality review and evaluation of all claim submissions received and logged into our claims… more
- Pyramid Consulting, Inc. (Dallas, TX)
- Immediate need for a talented Claims Analyst /Data Analyst . This is a 06+months contract opportunity with long-term potential and is located in TX(Remote; ... - $21/hour. Employee benefits include, but are not limited to, health insurance ( medical , dental, vision), 401(k) plan, and paid sick leave (depending on work… more
- TEKsystems (Dallas, TX)
- …accountability with those who fail to maintain these standards Skills Default Servicing, Loan Claim Filing, Private Investor Claims , Default Claims , MSP, ms ... foreclosure, bankruptcy, and loss mitigation relevant documents based on a specific claim type in a timely and efficient manner. This position is responsible… more
- Peapod Digital Labs (Salisbury, NC)
- …responsible, specialized technical work investigating and processing claims for self-insured claims programs. This role is the primary claim interface to ... . This role has direct responsibility for managing the claim in its entirety while maintaining service and quality...and procedures pertaining to workers' compensation and general liability claims . Knowledge of medical terminology involved in… more
- Pennsylvania Health Care Cost Containment Council (PHC4) (Harrisburg, PA)
- …data, is seeking to fill two positions in its Harrisburg office: a statistical analyst and a business analyst . Both positions require considerable experience ... analysis of variance. Knowledge of SQL, health care, payer claims data, and experience with technical reporting is a...offers a competitive salary with state benefits that include medical , dental, vision, and prescription coverage. To Apply :… more
- Matheson Tri-Gas, Inc. (Irving, TX)
- …COMPENSATION CLAIMS MANAGEMENT: Manages the entire workers' compensation claims process, including claim filing, investigation, and resolution. Communicate ... JOB SUMMARY - SAFETY COMPLIANCE ANALYST Provides safety compliance analysis and administrativesupport for...claims and monitor costs. Ensure timely and accurate claim processing and payment of benefits. Maintains the return-to-work… more
- Cambia Health Solutions (Portland, OR)
- APM Operations Analyst Hybrid opportunity within Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and ... As a member of the Planning and Implementation team, our APM Operations Analyst drives data quality and business operations through data analysis and reporting,… more
- TEKsystems (Avon, CT)
- We are seeking a detail-oriented, self-starting Revenue Cycle Business Analyst to join our Business Systems team. This role is ideal for someone with experience in ... in a fast-paced environment and is eager to learn and grow. The analyst will support the implementation and ongoing maintenance of multiple practice management… more
- City of Riverside, CA (Riverside, CA)
- …City of Riverside Police Department is accepting applications for the position of Crime Analyst The department is looking to fill (1) position at this time and the ... any time after without prior notice. Under general supervision, the Crime Analyst performs a wide variety of professional level analytical, statistical and research… more
- County of Los Angeles, CA (Los Angeles, CA)
- …(CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In ... its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency...moving through the process. DEPARTMENT CONTACT: Tanisha Buggs, Exam Analyst ### CALIFORNIA RELAY SERVICES PHONE: ### COUNTY OF… more
- Apex Systems (Okemos, MI)
- Role: Data Analyst Location: Hybrid - 2 days/week onsite in Greater Lansing, MI area Duration: Long-term contract Job Summary: We are seeking a highly skilled data ... automation, and model development in support of utilization-based scoring, claims optimization, and policy evaluation initiatives. Primary Job Responsibilities:… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- The Healthcare Quality Analyst - Population Health plays a key role in driving improvements in patient outcomes, quality performance, and operational effectiveness ... initiatives, track performance, and support population health strategies. The analyst ensures data accuracy, provides actionable insights, and supports compliance… more
- State Of California (Sacramento, CA)
- …a strong and stable option for employers and injured employees with fast, reliable claims service and medical and indemnity benefits. Our culture centers on our ... Department has an opening for a 2-year Limited Term Credit and Collections Analyst with the possibility of a permanent appointment. This position will ensure policy… more
- Data Intelligence LLC (Dahlgren, VA)
- Data Intelligence is looking for a Senior Data Analyst to support the Naval Surface Warfare Center Dahlgren Division (NSWCDD) in Dahlgren,VA. This is an onsite ... detailed analysis of large datasets, including administrative data, insurance, billing claims , and other relevant data. Develop and maintain analytical models to… more
- County of Los Angeles, CA (Los Angeles, CA)
- …(CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In ... its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency...of filing or email a copy to the exam analyst at within 7 calendar days from the date… more
- Blue Cross and Blue Shield of Minnesota (St. Paul, MN)
- …policies and procedures to determine clinical appropriateness. Completes review of both medical documentation and claims data to assure appropriate resource ... also evaluate appropriateness of code submission on facility and professional claims and complete unspecified code and modifier code reviews. Your Responsibilities… more
- County of Los Angeles, CA (Los Angeles, CA)
- …(CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In ... its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency...filing or email the required evidence to the exam analyst at within 7 calendar days from the date… more
- County of Los Angeles, CA (Los Angeles, CA)
- …letters, letters regarding extensions, notifications of depositions, agreed medical examiner letters, and appointment verifications. Contacts judges, court ... other County departments to obtain and confirm information or to arrange medical appointments, depositions, hearings, etc. Maintains case status records and files by… more
- Torrance Memorial Medical Center (Torrance, CA)
- …of the Director, Revenue Cycle and guidance from the Denials Management Senior Analyst , the Denials Patient Account Rep is responsible for reviewing denied claims ... to contracts and to the appeals process. Assists the Denials Management Senior Analyst with reports and provides ongoing support and maintenance to the Revenue Cycle… more
