- Norstella (Dover, DE)
- Sr. Medical Analyst Company: MMIT Location: Remote, United States Date Posted: Jul 17, 2025 Employment Type: Full Time Job ID: R-1344 **Description** **Why ... support patients in need. We are seeking a Senior Medical Analyst to join our team and...extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records… more
- CVS Health (Dover, DE)
- …+ Determines coverage, verifies eligibility, benefits, identifies discrepancies, and applies all Medical Claim Management policies and procedures to assist in ... accurately and efficiently. + Customer service experience + Knowledge of Medical Terminology **Preferred Qualifications** + Claims processing experience +… more
- CVS Health (Dover, DE)
- …including Excel and Microsoft Word **Preferred Qualifications** -2-4 years experience as a medical assistant, office assistant or claim processor -ATV, HRP, or ... day. **Position Summary** -Responsible for initial review and triage of claims tasked for review. -Determines coverage, verifies eligibility, identifies and… more
- TEKsystems (Wilmington, DE)
- …accountability with those who fail to maintain these standards Skills Default Servicing, Loan Claim Filing, Private Investor Claims , Default Claims , MSP, MS ... and loss mitigation relevant documents based on a specific claim type in a timely and efficient manner. This...and/or client * Files respective investor/insurer initial and final claims based on the respective guidelines for allowable limits… more
- CVS Health (Dover, DE)
- …all with heart, each and every day. **Position Summary** The **PBM Data Analyst ** performs prescription claim and accumulator audits, verifies policy coverage, ... person contributes to the efficient and accurate handling of prescription claims for reimbursement through knowledge of prescription benefits and effective… more
- Robert Half Technology (Selbyville, DE)
- …Documents to clearly communicate project needs and expectations. * Knowledge of Claim Administration for handling insurance claims and related tasks. Technology ... Description We are offering an exciting opportunity for a Business Analyst within the IT industry, based in SELBYVILLE, Delaware. As a Business Analyst , you will… more
- Elevance Health (Wilmington, DE)
- **Research Programmer/ Analyst ** **Location:** Wilmington, DE (preferred). This role requires associates to be in-office 1 - 2 days per week, fostering collaboration ... diverse patient populations. Carelon Research's projects range from traditional claims -based retrospective analyses to large-scale, prospective studies in the areas… more
- Cognizant (Dover, DE)
- **About the role** As a QNXT Config Analyst , you will make an impact by conducting requirements using QNXT configuration. You will be a valued member of the ... side with client team to add PBPs. + Troubleshoot and remediate/workaround for claim pend issues. + QNXT Configuration for different State implementation + Ability… more
- Evolent (Dover, DE)
- …the mission. Stay for the culture. **What You'll Be Doing:** Senior Analyst , Healthcare Analytics Consultant The Client Analytics team provides a unique opportunity ... of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams (EAS, Specialty… more
- Evolent (Dover, DE)
- …science, or engineering) - Preferred + Professional experience in healthcare analytics (eg medical and pharmacy claims data, membership data, or other healthcare ... Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote** Evolent is seeking a Senior Analyst… more
- Eliassen Group (Dover, DE)
- **Sr Guidewire Business Analyst ** **Anywhere** **Type:** Contract **Category:** Business Analysis **Industry:** Insurance **Workplace Type:** Remote **Reference ... Insurance client is looking to bring on a Business Analyst for a long-term contract.The project is working on...consultants, we offer a great benefits package that includes Medical , Dental, and Vision benefits, 401k with company matching,… more
- Intermountain Health (Dover, DE)
- **Job Description:** The RCO Revenue Integrity Analyst is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an ... ensure regulatory compliance and revenue optimization for assigned service line(s). **Revenue Integrity Analyst I** Schedule: Monday - Friday from 8 AM - 5 PM (with… more
- Bank of America (Newark, DE)
- Fraud Analytics and Innovation Lead Analyst Newark, Delaware;Plano, Texas; Richmond, Virginia; New York, New York; Boston, Massachusetts; Chandler, Arizona; ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Newark/Fraud-Analytics-and-Innovation-Lead- Analyst \_25028063) **Job Description:** At Bank of America, we are… more
- Humana (Dover, DE)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Evolent (Dover, DE)
- …team at Evolent. This individual will be primarily focused on performing medical economics analysis in support of complex risk-based contract development and will ... into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant… more
- City National Bank (Newark, DE)
- *FRAUD TEAM SUPPORT ANALYST * WHAT IS THE OPPORTUNITY? Responsible for analytical and project support for Fraud operations, including: conducting analysis of ... require ad hoc rule implementation; research and respond to escalated fraud claims ; malware alerts; review of department audit reports and other support activities… more
- Citigroup (New Castle, DE)
- The Loan Doc & Proc Assoc Analyst is a developing professional role. This role identifies policy and applies specialty knowledge in monitoring and assessing ... + Possible interaction with other counterparties around positions and outstanding balances/ claims + Supports an expansive and/or diverse array of products (risk… more
- Evolent (Dover, DE)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Analyst , Client Analytics** Integrate and analyze claims and enrollment data from ... innovative analytics solutions that drive decision-making for clients by performing medical economics analyses to determine cost and utilization drivers. Showcase… 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 your ... 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 - Friday (11:30… more
- Bank of America (Newark, DE)
- Fraud Analytics and Innovation Senior Analyst Newark, Delaware;Tampa, Florida; Jacksonville, Florida; Charlotte, North Carolina; Phoenix, Arizona **To proceed with ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Newark/Fraud-Analytics-and-Innovation-Senior- Analyst \_25019343-2) **Job Description:** At Bank of America, we are… more