- Health Plans, Inc. (Dallas, TX)
- …high-value care. Role and Responsibilities This role will be responsible for claims administration, roster management, and appeal resolution within the Network ... Operations Department. + Maintain and review all inbound claims for network and pricing accuracy. + Implement Quality...determine the root cause of pricing inaccuracies and determine resolution . + Collaborate with Network Development to ensure new… more
- Elevance Health (Norfolk, VA)
- …you a check, or ask you for payment as part of consideration for employment. **Rating/ Claims System Analyst ** + Job Family: IFT > IT Bus Systems Solutions ... Date:May 06, 2024 + Reference: JR111007 **Location:** + VA, NORFOLK **Description** **Rating/ Claims System Analyst ** **Location:** This position will work a… more
- 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...management of open issues and assists in planning for resolution . Participates in development sessions and design reviews in… more
- Guardian Life (Pittsfield, MA)
- …experiences for you to grow and enrich your career and future as a Claims Business Systems Analyst . We believe in your aspirations for purpose, leadership, ... gathering and completion + Production Support - Ensures successful resolution of open items which includes acting as point...prior relevant work experience + Strong knowledge of IM Claims and key Corporate systems (ex. Client Manager/Cypress) +… more
- MD Anderson Cancer Center (Houston, TX)
- The Principal EHR Systems Analyst is a primary support contact for the assigned application and communicates directly with the Manager to discuss design decisions. ... all key decisions are implemented across the application. The Principal EHR Systems Analyst will be responsible for coordinating and communicating with the end users… more
- Prime Therapeutics (Columbus, OH)
- …drives every decision we make. **Job Posting Title** Senior Benefit Plan Configuration Analyst - Preferably Remote in the California market **Job Description ... application of advanced and complex level benefit design requirements. A successful Senior Analyst will ensure a high level of quality and accuracy through benefit… more
- TEKsystems (Phoenix, AZ)
- Teksystems is currently hiring for EXPERIENCED Remote Healthcare Insurance Analysts* *HEALTHCARE CLAIMS ONLY *Must be available to work an 8 hour shift between ... in starting or continuing therapy or medication. An Insurance Analyst is a subject matter expert in insurance billing,... is a subject matter expert in insurance billing, claims processing, and prior authorizations. Agent will work between… more
- CVS Health (Tallahassee, FL)
- …Health Payment Integrity and Customer Relations team that ensures Behavioral Health claims are paid correctly and focuses on reducing Behavioral Health member and ... ongoing monthly/quarterly proactive reviews based on business needs. + Process/reprocess claims or submit rework project requests for necessary claim remediation. +… more
- SpaceX (Hawthorne, CA)
- Benefits Analyst , LOA at SpaceX Hawthorne, CA SpaceX was founded under the belief that a future where humanity is out exploring the stars is fundamentally more ... possible, with the ultimate goal of enabling human life on Mars. BENEFITS ANALYST , LEAVE OF ABSENCE (LOA) RESPONSIBILITIES: + Manage and oversee assigned claims… more
- SpaceX (Bastrop, TX)
- Sr. Benefits Analyst at SpaceX Bastrop, TX SpaceX was founded under the belief that a future where humanity is out exploring the stars is fundamentally more exciting ... ultimate goal of enabling human life on Mars. SR. BENEFITS ANALYST (WORKERS' COMPENSATION) RESPONSIBILITIES: + Ensure compliance with various jurisdictional workers'… more
- TEKsystems (Bakersfield, CA)
- TEKsystems is seeking a configuration analyst for a long term remote contract with our client in the Healthcare industry. This candidate MUST have experience ... with Jiva Integrations. Must Haves: Healthcare experience Claims Operations or application vendor experience: 3 + years. Benefit and Contract Configuration… more
- UIC Government Services and the Bowhead Family of Companies (Washington, DC)
- **Overview** SENIOR PROGRAM MANAGEMENT ANALYST /SYSTEMS ANALYST (PMW220) Bowhead is seeking a Senior Program Management Analyst /Senior Functional Analyst ... analysis of performance enhancements, business drivers, costs and schedule, with resolution of integration issues. + Assist the Government with the preparation… more
- Zurich NA (Columbus, OH)
- Reinsurance Financial Analyst -Team Lead 112596 Zurich is currently looking for a Reinsurance Financial Analyst III - Team Lead for the Treaty team working out of ... team's workflow governance, financial and performance analysis, complex issue resolution and technical training. Additional responsibilities will include: +… more
- Rush University Medical Center (Chicago, IL)
- …1** **Work Schedule:** 8 Hr (8:00:00 AM - 5:00:00 PM) **Summary:** The Analyst will support the research, clinical, quality improvement, and business data analysis ... needs of Rush University Medical Center. The Analyst will assist clinical faculty and Principal Investigators to identify and gather necessary data that span… more
- Zurich NA (Columbus, OH)
- Reinsurance Financial Analyst 112739 Zurich Services LLC (a division of Zurich North America) is currently hiring a Reinsurance Financial Analyst II on the ... for reinsurance collateral of approximately $15 billion. The Reinsurance Financial Analyst II analyzes and performs intermediate to complex reinsurance accounting… more
- MyFlorida (Tallahassee, FL)
- 68064828 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Apr 26, 2024 Location: TALLAHASSEE, FL, US, 32308 The State Personnel System is an E-Verify employer. For more ... for Health Care Administration Working Title: 68064828 - MEDICAL/HEALTH CARE PROGRAM ANALYST Pay Plan: Career Service Position Number: 68064828 Salary: $1,742.64 -… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …Accounts All Locations: East Boston Description: EBNHC seeking an experienced Revenue Integrity Analyst for remote position! Under the direction of the Manager ... of Revenue Integrity and Payer Contracting, the Revenue Integrity Analyst will provide analytical support to proactively identify performance trends and propose… more
- UNC Health Care (Morrisville, NC)
- …the health and well-being of the unique communities we serve. **Summary:** The senior analyst demonstrates a high level of expertise and skill in a specific aspect ... corrective action plans from audit findings to stakeholders. **This is a remote position eligible for hire from: Arizona, Florida, Georgia, Iowa, Kentucky, Maryland,… 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
- ConvaTec (Bridgewater, NJ)
- …Join us on our journey to #ForeverCaring as a North American Inventory Analyst , and you'll drive progress that really means something. The Logistics Inventory team ... in the USA and Canada. The position is a remote opportunity; however, it will require regular travel to...through daily, timely checks and addressing discrepancies to final resolution , including operational and analytical support for Logistics and… more