- System One (Owings Mills, MD)
- HEALTHCARE CLAIMS ANALYST - NASCO, Mainframe Billing or Enrollment 100% Remote $42/hr. W2 Benefits available ALTA IT Services has a 100% remote, 12 month + ... contract opening for a Healthcare Claims Analyst with NASCO, Mainframe and Billing or Enrollment experience to support a Maryland-based health insurance… more
- Randstad US (Menlo Park, CA)
- …in the healthcare industry. Position Overview: We are seeking a talented and motivated Healthcare Claims Data Analyst to join our dynamic team. The ideal ... candidate will have experience working with healthcare claims data to analyze outcomes, costs,...to analyze outcomes, costs, and other key metrics. The Healthcare Data Analyst will play a crucial… more
- LA Care Health Plan (Los Angeles, CA)
- Claims Compliance Data Validation Analyst II Job Category: Claims Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 ... net required to achieve that purpose. Job Summary The Claims Compliance Data Validation Analyst II supports...Skills Required: Must have a strong background in analyzing healthcare data and identifying both problem areas and opportunities… more
- Providence (Mission Hills, CA)
- **Description** The Data Analyst for Regulatory Compliance Reporting Analyst will compile and analyze reports for submission for the Health Plan Audits for their ... across SJHH NSS and Care Integration (NSS Support Services, Claims , Claims Auditing, UM, and CM) operations....analysis. + 1 year Experience compiling reports in a Healthcare related business, preferably in a health plan environment.… more
- The Cigna Group (Bloomfield, CT)
- …to succeed:** + High School Diploma or GED required + 5+ years of healthcare claims lifecycle; ** Claims systems configuration** design, editing, claims ... EviCore, a division of the Cigna Group is hiring a Claims Systems Configuration Senior Analyst . For this crucial senior level role, you'll provide support to… more
- Sanofi Group (Chattanooga, TN)
- **Customer Claims Support Analyst - Imaging** + **Location: Chattanooga, TN** + **Remote Work: Hybrid** + **Travel Expected: minimal** + **Job Type: Full Time** ... this mission, we are embarking our consumers, our customers, healthcare professionals, and our employees in this journey because...in the world._ **Our Team:** The Imaging - Customer Claims Support Analyst reports to the Ci2C… more
- Elevance Health (Norfolk, VA)
- **Rating/ Claims System Analyst ** **Location:** This position will work a hybrid model (remote and office). An ideal candidate must live within 50 miles of one of ... Elevance Health PulsePoint locations listed here: Norfolk, VA preferred. The **Rating/ Claims System Analyst ** is responsible for providing support,… more
- Apex Health Solutions (Houston, TX)
- Summary Claims Analyst is responsible for accurate and timely research of all providers claim inquiries according to policies, process instructions and system ... in a healthcare data or regulatory environment; payment integrity and claims experience preferred. Effective oral and written communication skills. Knows how to… more
- New York State Civil Service (Albany, NY)
- …Dormitory Authority of the State of New York Title Senior Cost Control / Claims Analyst - Albany, NY Occupational Category Other Professional Careers Salary ... and mentoring skills. Duties Description Primary PurposeSenior Cost Control Analyst reviews and recommends approval of construction change orders, analyzes… more
- Carrington (Columbus, OH)
- **Come join our amazing team and work remote from home!** The Default FHA Claims QA Analyst II will work under moderate supervision, responsible for reviewing ... FHA Part B mortgage insurance claims for accuracy and submitting the claim form for...more visit: www.carringtonmortgage.com . **What We Offer:** + Comprehensive healthcare plans for you and your family. Plus, a… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …transform healthcare ? Bring your true colors to blue. The Senior Claims Testing Analyst is responsible for reviewing business requirements, developing, and ... executing comprehensive test plans, analysis of reporting, performing claims quality review, mentoring associates and ensuring department goals are met in a… more
- Health Plans, Inc. (Dallas, TX)
- …Experience + Understanding of claims processing systems + 2+ years of healthcare claims processing (PPO and Medicare/RBP) + Detailed understanding of PPO ... Employers Health Network, LLC (EHN ) creates community-based healthcare networks and a unique governance model to form a true partnership between self-funded… more
- Amazon (Seattle, WA)
- …experienced Senior Risk Analyst to support Global Risk Management & Claims (GRMC). The ideal candidate will be innovative, team oriented, an effective ... reserving, values at risk, and funding requests. - Review claims looking for trends in the data that indicate...and Excel - Experience related to insurance programs (eg Healthcare /Life/Disability, Property, Casualty, Auto). - 4+ years of data… more
- Providence (CA)
- …of WA, OR, MT, CA, AK and or TX **Providence is seeking an Epic Applications Analyst - AP Claims , who will:** + Demonstrate full use and application of standard ... stay on schedule while providing professional support for a large multi-facility healthcare organization. + Build and enhance effective working relationships with a… more
- Elevance Health (Atlanta, GA)
- …**Position Overview:** Responsible for handling high level pharmaceutical claim audits and reviewing claims issues from junior team to ensure claims are being ... manner. **How You Will Make an Impact:** + Reviews and Audits Pharmaceutical claims processed by vendors to ensure proper compliance + Conducting Data analysis and… more
- Ebenezer (Minneapolis, MN)
- **Overview** M Health Fairview is a hiring a Sr Application Analyst in Professional Billing - Epic! This position is involved with building in Epic. This role will ... process development or problem resolution. + Understanding and expertise of healthcare processes and application system coordination. + Knowledge of database… more
- Fairview Health Services (Minneapolis, MN)
- **Overview** M Health Fairview is a hiring a Sr Application Analyst in Professional Billing - Epic! This position is involved with building in Epic. This role will ... process development or problem resolution. + Understanding and expertise of healthcare processes and application system coordination. + Knowledge of database… more
- Albany Medical Center (Albany, NY)
- …proficient in Microsoft Suite, including Teams, and have working experience in a healthcare setting. Qualifications: + High school diploma or GED is required. AAS ... Knowledge in billing codes and EDI requirements. + Knowledge of electronic claims processing and edits. + Excellent decision-making skills, detail oriented, and have… more
- Baptist Memorial (Memphis, TN)
- …Minimum: Proven combination of experience that demonstrates knowledge of healthcare issues, systems issues, software design and integration. Minimum of ... education + Employee referral program Job Summary: Position: 2981 - Analyst -Applications Access & Revenue Intermediate Facility: BMHCC Corporate Office Department:… more
- Molina Healthcare (New York, NY)
- …standard EST business hours **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network ... to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired +… more