- LA Care Health Plan (Los Angeles, CA)
- Business Analyst III - Encounters Data Job... Business Analyst , Data Analyst , Programming Analyst , Claims processing, ... net required to achieve that purpose. Job Summary The Business Analyst III facilitates business ...departments, and/or assist IT with definition of criteria. Delegate data and reporting requests to business analysts.… more
- Brink's (Atlanta, GA)
- …people have made the choice to join our team - and stay here. Job Title Regional Claims Analyst Job Description Job Summary: The Claims Analyst will ... the trust we've earned in over 150 years in business . Every employee honors that promise by offering the...VA team for support + Escalate to assigned Variance Analyst any claims not resolved within 25… more
- AIG (Atlanta, GA)
- …to cross functional departments for business involvement + Lead conversations with Claims Technical Leadership to define gaps in data and operational metrics ... customers to manage risk. Join us as a Senior Analyst , Claims Analytics to play your part...for claims leaders to identify and implement business rules and/or processes to maintain data … more
- The Cigna Group (Bloomfield, CT)
- …with AS400, MC400, McNet and RC3 systems required + 3+ years of experience with claims adjudication, claims data types and editing rules (ICD, CPT/HCPC, ... a division of the Cigna Group is hiring a Claims Systems Configuration Quality Review Senior Analyst ....and act as a subject matter expert (SME) to business and IT for eviCore claims product… more
- Molina Healthcare (Bothell, WA)
- …Designs and implements processes and solutions associated with a wide variety of data sets used for data /text mining, analysis, modeling, and predicting to ... enable informed business decisions. Gains insight into key business ...applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and… more
- Commonwealth Care Alliance (Boston, MA)
- …+ Analyze, measure, manage, and report outcome results on edits implemented. + Utilize data to examine large claims data sets to provide analysis ... TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible...small to large Operations Management + Collaborate system and data configuration into CES ( Claims Editing System)… more
- Walgreens (Deerfield, IL)
- …Employer, including disability/veterans". **Job ID:** 1400298BR **Title:** Senior Analyst , Liability Claims **Company Indicator:** Walgreens **Employment ... claims system. + Experience with analyzing and reporting data in order to identify issues, trends, or exceptions...to travel up to 5% of the time for business purposes (within state and out of state). **Preferred… more
- Fallon Health (Worcester, MA)
- …of the Risk Adjustment Analyst (RAA) will be to function as the Claims SME for the Risk Adjustment & Analytics Department. The RAAimplements data analytic ... Job Responsibilities:** + Analyze, prioritize & support resolution of Claims / Encounter data errors by triaging to...for resolution + Work with the Senior Risk Adjustment Analyst on monthly operational and performance reporting and dashboards… more
- Elevance Health (Los Angeles, CA)
- ** Claims Analyst III- Overpayment Prevention ( Business Analyst III)** _Location: This position will work a hybrid model (remote and office). The ideal ... identifying, analyzing, and validating overpayment prevention opportunities. Determines specific business requirements to address complex business needs. Works… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Aug 24, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57268 **Who we are** Teva ... healthier lives. Join us on our journey of growth! **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… more
- Robert Half Finance & Accounting (Miami, FL)
- Description We are offering an exciting opportunity for a Senior Claims Analyst to join our team in Miami, Florida. As Senior Analyst , you will play a ... crucial role in bridging the gap between our business objectives and technology capabilities, leveraging your skills in...performance. * Utilize EO/IR systems to analyze and interpret data and generate insightful reports. * Perform AB Testing… more
- Molina Healthcare (Miami, FL)
- …must reside in Florida **Job Summary** Analyzes complex business problems and claims issues using data from internal and external sources to provide insight ... locate influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for… more
- Burrell Behavioral Health (Springfield, MO)
- Job Description: Job Title: Claims Analyst I - RemoteLocation: Springfield, MODepartment: Client Financial & Benefit Advocacy ServicesEmployment Type: ... in relation to substance use disorder and Behavioral Health claims . They analyze trends in data and...report findings in a meaningful way to leadership. The Claims Analyst I - Remote position offers… more
- USAA (Colorado Springs, CO)
- …a dedicated Decision Science Analyst Senior, you will work closely with our P&C Claims business partners to provide data insights. This role will focus ... inspire change. The essence of work performed by the Decision Science Analyst involves gathering, manipulating, and synthesizing data (eg, attributes,… more
- Guardian Life (Bethlehem, PA)
- …career? The next step is here with Guardian in the role of **Senior Financial Analyst - Disability Claims ** where you will use your knowledge and experience to ... If you are ready to bring your intuition for business and innovative thinking, we will bring the support...into the future. **You will** + Work closely with Claims Examiners and Managers to support the analysis of… more
- Carrington (Columbus, OH)
- **Come join our amazing team and work remote from home!** The Default Claims and Loss Analysis Business Analysts function as an expert resource which consults ... with the business , designs solutions,...- $70,000.00/yr. **What you'll do:** + Ability to pull data from multiple databases, analyze, compile and create reports.… more
- Acosta Group (Tampa, FL)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be ... responsible for analyzing claims and making decisions about their validity. The position...position will be a communicator to internal and external business partners and a problem solver/agent for change to… more
- Acosta Group (Jacksonville, FL)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be ... responsible for analyzing claims and making decisions about their validity. The position...position will be a communicator to internal and external business partners and a problem solver/agent for change to… more
- Acosta Group (Charlotte, NC)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be ... responsible for analyzing claims and making decisions about their validity. The position...position will be a communicator to internal and external business partners and a problem solver/agent for change to… more
- Acosta Group (Jacksonville, FL)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be ... responsible for analyzing claims and making decisions about their validity. The position...position will be a communicator to internal and external business partners and a problem solver/agent for change to… more