- Commonwealth Care Alliance (Boston, MA)
- …to maximize productivity and to ensure regulatory compliance. The Senior Business Analyst , Clinical Operations reports to the Director, Clinical Operations ... 011330 CCA-Clin Operations & Implementation **_This position is available to...a senior individual contributor on the team, the Senior Analyst is expected to successfully lead projects of any… more
- Somatus (Mclean, VA)
- …Somatus, the leader in value-based kidney care, has an immediate opening for an Analyst , Operations & Client Analytics to create impact among Somatus' clients ... and leadership by analyzing Somatus' healthcare claims and care management data. This position will work...management data. This position will work collaboratively with the Operations , Customer Success, and Analytics teams to support our… more
- PRGX (Bentonville, AR)
- …the client's business operations . + Finds, supports, and documents audit and claims operations . + Produces claims using appropriate audit concepts for ... About PRGX Global, Inc Job Description Job Title Analyst I Employment Type Full-time Work Authorization Requirements...writing claims , updating claims management system, and billing claims to… more
- Sun Pharmaceuticals, Inc (Princeton, NJ)
- …our global workforce is bound by our common values: **Job Summary:** The Rebate Analyst will work closely with Contract Strategy to ensure all payer agreements are ... invoices and other assigned accounts. As an integral member of the Sun Operations team that processes, evaluates, and analyzes sales contracts for US markets. The… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …make a measurable impact at the heart of our organization's success? As a **Forecast Analyst ** , you'll be the driving force behind our claims center's strategic ... business, this is the opportunity for you! The Forecast Analyst position is responsible for facilitating the development of...hoc reports to include trend analysis as requested by operations management. + Provide budgeting figures to project skill… more
- Seattle Children's (Seattle, WA)
- The Audit Management Analyst will serve as an organizational expert on current payer audit processes and principles and will complete and communicate the status of ... hospital facility claims audits by third parties conducted to reduce payment...than the medical necessity of care. The Audit Management Analyst will coordinate with internal and external resources to… more
- NorthMark Strategies (New York, NY)
- …Position: We are seeking a highly analytical and detail-oriented Senior Risk Analyst to join our Insurance Management & Advisory department, operating within a ... retention and financial outcomes. Collaborate with internal teams-Investment, Legal, Operations , Procurement Real Estate, And Project Management-to assess risks and… more
- PRGX (Grand Rapids, MI)
- About PRGX Global, Inc Job Description Job Summary As aSenior Analyst , you will play a key role in identifying and recovering lost revenue for our clients by ... methodologies, you'll investigate payment processes, detect discrepancies, and prepare claims with clear documentation. This role requires strong analytical skills,… more
- MVP Health Care (Rochester, NY)
- …improvement. To achieve this, we're looking for an Overpayment Recovery and Monitoring Analyst to join #TeamMVP. If you have a passion for managing audits, medical ... the reporting of monthly metrics and participate in cross-functional audit operations . Handle department projects, participate in committees relevant to payment… more
- Sun Pharmaceuticals, Inc (Princeton, NJ)
- **Job purpose** The Senior Analyst , Pricing and Contracts is responsible for supporting OTC Sales, Marketing, operations and other functions of the business ... signed are accurately reflected in Vistex agreement management platform 1. **Open Claims /Chargeback Team Lead:** _Manage end-end review and co-ordination of open … more
- Warner Music Group (Miami, FL)
- …retains the creative spirit of a nimble independent. **Job Title: Legal Analyst ** **Reports To: SVP, Business & Legal Affairs, Latin America** **Department: Business ... latitude for independent judgment and decision, you will participate in the legal operations of the Company and work with other departments within the Company. This… more
- Warner Music Group (New York, NY)
- …reconciliations, update cash forecasts and budgets, investigate audit issues and claims + Follow department financial controls and policies, communicate deficiencies ... WMG operational & accounting systems, develop expertise in participations accounting & operations + Represent and contribute to the culture of the Participations… more
- Sun Pharmaceuticals, Inc (Princeton, NJ)
- …Sales Operations : Order Management Manager Manager, Customer Service Marketing Analyst The presently-anticipated base compensation pay range for this position is ... The ideal candidate will bring a strong background in pharma operations , strategic thinking, and data-driven decision-making. This role reports directly to… more
- AIG (Jeffersonville, IN)
- …building customer retention and customer satisfaction, they turn to us. Position Overview: The Operations Claims Analyst will work closely with the Service ... extended service programs, customer service support, service network management, claims processing services and service contract underwriting. With over 25+… more
- NTT DATA North America (Oklahoma City, OK)
- …apply now. We are currently seeking a HC and Insurance Operations Analyst to join our team. **Posisition:** ** Claims Case Manager** **This position is ... or legally required benefits.** **Role Overview:** We are seeking a dedicated Claims Case Manager to provide comprehensive claim servicing to our insurance… more
- Immigration and Customs Enforcement (Washington, DC)
- Summary The Claims Management Program Analyst supports the Health Plan Management Unit by managing claims , provider recruitment, and compliance with ... candidates Responsibilities DUTIES AND RESPONSIBILITIES: Serves in the capacity as a Claims Management Program Analyst ; handles and assists program activities… more
- Axis (Short Hills, NJ)
- … Analyst to join our Business Technology Services (BTS) division, focusing on supporting claims operations and our claims value stream in a fast-paced ... user stories and acceptance criteria for Agile teams. + Identify inefficiencies within claims operations through gap analyses, recommend solutions, and work with… more
- Brink's (Coppell, TX)
- …and grow. Job Description JOB SUMMARY The Brink's Company is looking for a Claims Analyst to support the development, implementation, and oversight of its risk ... requires cross-functional collaboration and availability across time zones. ROLE RESPONSIBILITIES The Claims Analyst will be expected to perform various duties… more
- AIG (Atlanta, GA)
- … Analyst program will start on July 27, 2026 . Locations Early Career Claims JD Analyst positions are in-person opportunities and are available in USA . ... Make your mark in Claims Our Claims teams are the...projects and programs. + Providing support to data and operations to analyze key metrics that balance the need… more
- Brink's (Philadelphia, PA)
- …we provide equal opportunity to participate and grow. Job Description The Claims Analyst will investigate reconciliation discrepancies to reduce claim ... institutions, retailers, government agencies, mints, jewelers, and other commercial operations . Our network of operations in 52...VA team for support + Escalate to assigned Variance Analyst any claims not resolved within 25… more
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