- Commonwealth Care Alliance (Boston, MA)
- … Sr . Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr . Analyst will be responsible for developing prospective ... specific to Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims , settlement, claims… more
- Lowe's (Mooresville, NC)
- **Your Impact** The primary purpose of this role is to serve as a high-risk claims analyst for the Legal department, handling high risks/high value cases and ... for issues which cannot be satisfactorily resolved by the Claims Examiner or Sr . Claims ...age, ancestry, national origin, mental or physical disability or medical condition, sexual orientation, gender identity or expression, marital… more
- Amazon (Seattle, WA)
- …Risk Management & Claims team is seeking a highly skilled and detail-oriented Senior Risk Analyst with a background in logistics, supply chain, and data ... ideal candidate will possess an in-depth understanding of insurance claims processes, global cargo regulations, and risk management in...cargo regulations, and risk management in transportation. As a Senior Risk Analyst , you will partner with… more
- CVS Health (Scottsdale, AZ)
- …Transmission (CET Files) on behalf of our Clients and their vendors. The Senior Analyst will have primary responsibility and ownership of the administration ... the creation of ongoing and ad hoc files. The Senior Analyst position will also be responsible...our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company… more
- Deloitte (Columbus, OH)
- …technology who wants to work in a collaborative environment? As an experienced Epic Billing and Claims Senior Analyst you will have the ability to share new ... * Certified in Epic Hospital Billing Administration/Professional Billing Administration and Claims * Experience in performing configuration changes and system builds… more
- Healthfirst (NY)
- …and interpret health insurance benefits and coverage details to apply appropriate medical codes. + Accurately assign procedure (CPT, HCPCS) and diagnosis codes ... and prevent claim denials and accurate claim adjudication + Collaborate with clinical, claims and benefits teams to clarify appropriate claim coverage and denials as… more
- NextEra Energy (North Palm Beach, FL)
- ** Sr Insurance Operations Analyst ** **Date:** May 8, 2025 **Location(s):** North Palm Beach, FL, US, 33408 **Company:** NextEra Energy At PALMS Insurance, a ... subsidiary and provides coverage to both affiliated and non-affiliated risks. As the Operations Analyst for Claims & Finance, you will be assisting the Claims… more
- Terumo Medical Corporation (Somerset, NJ)
- Sr . Tax Analyst , Indirect Date: Apr...go next!** **_Advancing healthcare with heart_** **Job Summary** The Senior Tax Analyst , Indirect Tax will work ... 08873 Company: Terumo Americas Holding, Inc. Department: TAH Tax Terumo Medical Corporation (TMC) develops, manufactures, and markets a complete, solutions-based… more
- AdventHealth (Maitland, FL)
- …3 days at the office (Altamonte Springs, FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating ... proposals, analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst must...of app provider types + Applies detailed understanding of medical coding systems affecting the adjudication of claims… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Clinical Center of Excellence, Health ... tools to monitor trend drivers and provide recommendations to senior leaders on UM and CM improvements. Responsible for...+ Provide data driven analytics to Clinical COE, Finance, Claims , Medical Management, Network, and other departments… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** This Sr . Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical… more
- Techtronic Industries North America, Inc. (Anderson, SC)
- **Job Description:** Techtronic Industries North America, Inc. ("TTI") is seeking a ** Sr .** **Trade Compliance Analyst ** with a minimum of 5 years relevant ... wages and a comprehensive benefits package -- tuition assistance, 401(k), medical /dental/vision coverage, vacation and holidays. **Job Purpose:** This position is… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …member of Ward's Top 50 and rated A++ by AM Best. We are looking for a Sr . Reporting Analyst I to join our team! Summary: Ensure accuracy and timeliness of ... the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an… more
- Dart Container (Mason, MI)
- Sr Procurement Business Process & Systems Analyst Apply now " Date: May 1, 2025 Location: Mason, MI, US Company: Dart Container Are you a procurement pro with a ... the maintenance and communication of goods discrepancies, resolution, returns, claims , insurance certificates, lead-times, acknowledgements, shipping schedules, past dues,… more
- Evolent (Columbus, OH)
- …to positively contribute to Evolent's broader mission. **Collaboration Opportunities:** The Senior Analyst , Performance Suite Analytics utilizes and develops ... impact on the organization and patient health. This role supports both Medical Cost Management activities as well as Business Development efforts. Working in… more
- UIC Government Services and the Bowhead Family of Companies (Quantico, VA)
- **Overview** SENIOR DATA ANALYST ENGINEER | TIER III (MIELS): Bowhead is seeking Senior Data Analyst Engineers to support a customer in Stafford, VA. ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- Evolent (Columbus, OH)
- …the mission. Stay for the culture. **What You'll Be Doing:** Job Description Senior Analyst , Performance Analytics - **RBM Cardiac** product focus, utilizes and ... impact on the organization and patient health. This role supports both Medical Cost Management activities as well as Product Development efforts. **What You'll… more
- Elevance Health (Indianapolis, IN)
- **Provider Contract Cost of Care Analyst Senior ** **Location:** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration ... may be considered. The **Provider Contract Cost of Care Analyst Senior ** will be responsible for analyzing...+ Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations… more
- Providence (Renton, WA)
- …Directors and Officers, Employment Practices, Fiduciary, Property, Cyber, Managed Care, and Auto Claims . The Senior Quality Analyst assists the Claims ... self-insured health care organizations. The Senior Quality Analyst is also responsible for maintaining a claims...Insurance terminology + Legal concepts + Liens + Electronic claims databases + Medical terminology **Skills required… more
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