- Molina Healthcare (IA)
- …functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received ... support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains...claims to identify billing issues that will impact claims processing and payment. Monitor new solutions implemented to… more
- The Hartford (Columbus, OH)
- Sr Data Scientist - GD07AE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... Step into the future with The Hartford as a Data Scientist / Sr Data ...Join a team that's pioneering AI-driven solutions in underwriting, claims processing, and customer service, transforming how we operate… more
- The Hartford (Chicago, IL)
- Sr Data Scientist - GD07AEData Scientist - GD08AE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages ... Step into the future with The Hartford as a Data Scientist / Sr Data ...Join a team that's pioneering AI-driven solutions in underwriting, claims processing, and customer service, transforming how we operate… more
- Capital One (New York, NY)
- Sr . Distinguished Engineer - Fraud Technology (Remote-Eligible) As a Sr . Distinguished Engineer at Capital One, you will be a part of a community of technical ... on our customers' lives. We are looking for a Senior Distinguished Engineer to define, architect and drive the...Define and drive technical strategy and roadmap for our systems and platforms that power Fraud defenses and Fraud… more
- Terumo Medical Corporation (Somerset, NJ)
- Sr . Manager, Market Intelligence Date: May 22, 2025 Req ID: 4800 Location: Somerset, NJ, US, 08873 Company: Terumo Medical Corporation Department: TIS Strategic ... Medical Corporation is comprised of two strategic business divisions: Terumo Interventional Systems and Terumo Medical Products. We believe that the future is bright… more
- Point32Health (MA)
- …in service to our members, partners, colleagues and communities. **Job Summary** The Senior Business Data Analyst will be responsible for completing complex ... (All-Payer Claims Database) submissions. The individual will manage internal data reconciliations and data transfers between Point32Health and external… more
- Boehringer Ingelheim (Ridgefield, CT)
- …corrections. + Ensures relevant documentation is available in internal and external systems . **Requirements** ** Sr AD level Education Requirements:** + Master's ... Experience developing and conducting epidemiology/RWE studies. + Experience with secondary data analysis, including studies using healthcare claims and/or… more
- Molina Healthcare (Dayton, OH)
- …Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business ... rules as they apply to each database. Validate data to be housed on provider databases and ensure...and best practices while suggesting improvement processes to ensure systems are working more efficiently and improve quality. +… more
- USAA (Boston, MA)
- …what truly makes us special and impactful. **The Opportunity** As a dedicated Sr . Field Auto Appraiser, you will within defined guidelines and framework responsible ... for the investigation, negotiation, evaluation and appraisal of vehicle damage claims for both repairable and total loss vehicles to ensure estimate accuracy in… more
- Elevance Health (Cincinnati, OH)
- …** is responsible for providing support, configuration, design, testing and implementation for claims systems . Ensures accurate adjudication of claims , by ... **Pre-Pay Editing Analyst Sr ** **Location:** This role requires associates to be...and the vendor to ensure quality and timeliness of systems /project deliverables. + Configures new designs/updates in the system.… more
- UIC Government Services and the Bowhead Family of Companies (Wright Patterson AFB, OH)
- **Overview** SR . ENTERPRISE ARCHITECT (EAS): Bowhead is seeking an experienced Sr . Enterprise Architect to join our team at Wright-Patterson AFB, OH for a ... (DoDAF), Unified Architecture Framework (UAF), Unified Modeling Language (UML), and Systems Modeling Language (SysML) experience are highly encouraged to apply. This… more
- Two95 International Inc. (New York, NY)
- …SOW will meet their needs * Lead the discovery of the client's EMR/EHR and/or claims data environment so we can efficiently and effectively navigate and do the ... Job Title: Sr . Analytics Consultant Job type : Remote Work...analyses * Lead the analytical-interrogation of their EMR/EHR and/or claims data to perform data … more
- Terumo Medical Corporation (Somerset, NJ)
- …plans, and provides training and re-training to associates, as needed. + Leverages data analytics tools and create reports for senior management to create ... Sr . Compliance Manager - Monitoring & Transparency Date:...& Medicaid Services (CMS). Performs analytics on CMS available data and provides meaningful insights to senior … more
- Southern California Edison (Rosemead, CA)
- …Energy Revolution** Become a **Finance Integration, Business Transformation and Readiness, Sr Specialist** at Southern California Edison (SCE) and build a better ... activities. As a **Finance Integration, Business Transformation and Readiness, Sr Specialist** , your work will help power our...looking at an approach that not only upgrades the systems but also transforms our business processes to enhance… more
- Northrop Grumman (Melbourne, FL)
- …not only part of history, they're making history. **The Northrop Grumman Aeronautics Systems ** sector is seeking a **Principal / Sr . Principal** **Price/Cost ... Northrop Grumman, our employees have incredible opportunities to work on revolutionary systems that impact people's lives around the world today, and for generations… more
- DATAMAXIS (IL)
- …for Operations Guide + Assist with analysis of Medicaid enrollment, provider and claims data , and document requirements, use cases + Assist with identifying ... Primary Responsibilities: + Analyze and develop complex SQL supporting data warehouse downstream reporting and analytics + Analysis of current business processes and… more
- Warner Music Group (New York, NY)
- …company that retains the creative spirit of a** **nimble independent.** **Job Title: Sr . Analyst, Financial** **A little bit about our team:** Warner Music Group's ... development opportunities. We're excited to share this new opportunity for a Sr . Analyst, Participations with strong analytical & financial capabilities, to join our… more
- Trinity Health (Troy, NY)
- **Employment Type:** Part time **Shift:** Day Shift **Description:** ** Sr . Registration Associate - Troy, NY - PART TIME** **_(3 days per week with required ... If you are looking for a position as a Sr . Registration Associate, this could be your opportunity. Here...- Friday Office Hours What you will do: The Senior Registration Associate is responsible for performing and overall… more
- Acxiom (New York, NY)
- …and segment longitudinal healthcare provider and HIPAA compliant patient's health claims data to optimize targeted engagement strategies. **Audience Portfolio ... Epidemiology, Life Sciences or Public Health. 4+ years advanced analytics and data experience in healthcare systems , health-tech or pharmaceutical industry,… more
- Zelis (Plano, TX)
- …queries + A good understanding of public and private healthcare payment systems , medical claims , standard claim coding, claim editing, contracting, ... the personal interests that shape who you are. Position Overview The Sr . Medicaid Reimbursement Regulatory Analyst will collaborate with the Zelis Regulatory Pricer… more