- Acosta Group (Hillsborough County, 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..., assesses the reason for the escalation, and provides resolution in priority order as directed by the Supervisor… 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..., assesses the reason for the escalation, and provides resolution in priority order as directed by the Supervisor.… 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..., assesses the reason for the escalation, and provides resolution in priority order as directed by the Supervisor… more
- Elevance Health (Atlanta, GA)
- …VA, Tampa FL** **Hours: M - F East coast Hours of Operation** **Travel:** ** Hybrid 1 ( 1-2 Days onsite per week)** **Position Overview:** Responsible for handling ... high level pharmaceutical claim audits and reviewing claims issues from junior team to ensure ...ensure proper compliance + Conducting Data analysis and issue resolution regularly + Acts as a resource to users… more
- CareFirst (Baltimore, MD)
- …strategy and delivery of two key analytic tools that will be built using provider and claims data. The Analyst will sit on the Value and Sales Enablement team ... and sales enablement. The purpose of a Sr. Data Analyst is to find meaning in data as a...who is willing and able to work in a hybrid model. The incumbent will be expected to work… more
- Acosta Group (Jacksonville, FL)
- **DESCRIPTION** The Client Relationship Analyst is responsible for supporting the National Solutions Manager in all reporting, financial and operational ... set up in Campbell's systems + Monitor monthly aged claims and partner with business manager, business manager assistant...outstanding deductions and plans to resolve and bring to resolution + System Administrator for the TPM System. Assist… more
- Houston Methodist (Katy, TX)
- …our Continuing Care Hospital:** **701 S. Fry Rd. Katy, TX 77450** **. ( Hybrid position)** At Houston Methodist, the CBO Regulatory Compliance Specialist position is ... events as well as the accountability of ensuring completion with corrected claims , and/or data extraction in preparation of audits. **PEOPLE ESSENTIAL FUNCTIONS** +… more
- Virtua Health (Mount Laurel, NJ)
- …optimize reimbursement within budget guidelines. Participate in ongoing coordination and resolution of revenue issues as they arise. Assists in troubleshooting and ... Financial Services staff for reporting problems and denials on individual claims . Assist in researching coding issues, provide guidance and recommend solution… more
- Molson Coors Beverage Company (Milwaukee, WI)
- …finance, procurement functions. This position reports to the Senior Manager, Insurance & Claims and works closely withthe Risk Analyst , teams within legal, and ... data integrity, reserving, tracking, financial and actuarial reporting. Consults on legacy asbestos claims coverage, leads in the resolution of complex claims… more
- Elevance Health (Columbus, OH)
- **Rating/ Claims System Senior Advisor** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles ... Mason, OH; Indianapolis, IN; Chicago, IL; Manchester, NH; Boston, MA.** The **Rating/ Claims System Senior Advisor** leads the activities for India based Commercial … more
- City of Lacey (Lacey, WA)
- Human Resources Analyst Print (https://www.governmentjobs.com/careers/laceywa/jobs/newprint/4510748) Apply Human Resources Analyst Salary $6,940.01 - $8,883.82 ... Monthly Location Lacey, WA Job Type Full Time Remote Employment Flexible/ Hybrid Job Number 2024-00046 Department Human Resources Opening Date 05/16/2024 Closing Date… more
- SpaceX (Hawthorne, CA)
- Benefits Analyst , Workers' Compensation at SpaceX Hawthorne, CA SpaceX was founded under the belief that a future where humanity is out exploring the stars is ... possible, with the ultimate goal of enabling human life on Mars. BENEFITS ANALYST , WORKERS' COMPENSATION RESPONSIBILITIES: + Manage and oversee assigned claims … more
- Evoqua Water Technologies (Groveport, OH)
- …of inefficiencies and take initiative to implement process in place for resolution . **Additional Details** TRAVEL REQUIREMENTS: 10% \#LI- Hybrid Evoqua Water ... is now hiring for a Logistics and Supply Chain Analyst to work in the Atlanta, GA area. Other...50% + En Route, Pickup, or delivery, shipment issue resolution 15% + Invoice Resolution 10% +… more
- Corewell Health (Grand Rapids, MI)
- …the provider's negotiated contract to determine correct configuration of the claims payment system(s). Knowledge of facility and physician reimbursement methods will ... analysis and business decision-making abilities to determine correct configuration. Analyst will take the lead, and serve as a...the lead, and serve as a liaison on problem resolution for internal and external customers. Essential Functions +… more
- Elevance Health (Plano, TX)
- …Acts as a liaison between contracting and internal departments coordinating claims denial interventions, tracking resolution , and implementing ongoing solutions. ... **Risk Management Analyst - Texas** A proud member of the...the home setting. Location: **This position will work a Hybrid Model (remote and office). Ideal candidates must live… more
- Hartford HealthCare (Farmington, CT)
- …responding to the needs of our communities and our patients. The Denial Analyst role reviews accounts post payment via work queues; verify payer information, review ... collaborating with clinical teams, business partners and insurance payers. Hybrid -Telecommuting Position *_Position Responsibilities:_* 1. Identifying, reviewing and interpreting… more
- HUB International (Chicago, IL)
- …**Job Description:** Reporting to the Sr Manager, Business Analysis, the Business Analyst plays a key role in ensuring HUB's Retirement, Planning, and Wealth ... subject matter experts to manage the implementation of changes and issue resolution + environment (ie Carrier Systems, Enterprise Applications). + Provides for… more
- BayCare Health System (Clearwater, FL)
- …negotiation process. + Serves as Primary Contact for contract/managed care payer claims and operational issues resolution for assigned payers. + Performs ... responsibility and clinical excellence. **Responsibilities:** + The Managed Care Financial Analyst Sr. performs financial analyses of patient data for BayCare… more
- Centene Corporation (Jefferson City, MO)
- …on workplace flexibility. **Position Purpose:** Under direct supervision, the Operations Analyst II researches and analyzes enrollment data and/or business processes ... and Government-mandated change orders. + Prepares status reports and/or issue resolution to internal associates and/or external resources. + Participates in… more
- Subaru of America (Camden, NJ)
- …Supports cross-functional team members and contributes to projects and issue resolution . Applies understanding of the business, accounting, processes, and IT systems ... and resolve exceptions in inbound and outbound transportation transactions and claims . Evaluates carrier performance, cost reduction, and process improvement. +… more