- Bank of America (Fort Worth, TX)
- Senior Claims Analyst (Digital - Check Fraud Scam) Fort Worth, Texas **Job Description:** At Bank of America, we are guided by a common purpose to help make ... training to other analysts within the department. Has thorough knowledge of the Claims Analyst function and handles more complex cases which require analytical… 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 ... include UM reporting activities, Provider Dispute Resolution, Re-Opening for Senior Claims , FEHBP, Claims Inventory,...Audit and compliance experience. + Recent experience working with Claims and Utilization Management related data . +… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- Ready to help us 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… more
- Walmart (Bentonville, AR)
- …in the claim/image management system. + Handles monetary aspects of assigned claims by establishing reserves within approval level; notifying store managers of ... significant reserve increases; monitoring reserves for all open claims ; authorizing payment for approval or facilitating denial of the claim; and reserving file for… more
- Amazon (Seattle, WA)
- Description Amazon is seeking an experienced Senior Risk Analyst to support Global Risk Management & Claims (GRMC). The ideal candidate will be innovative, ... reserving, values at risk, and funding requests. - Review claims looking for trends in the data ...Review claims looking for trends in the data that indicate possible unexpected loss. - Document operational… more
- Crawford & Company (Lake Zurich, IL)
- …the general direction of the Claims Data Operations Manager, the Senior Claims Analyst provides a variety of critical operational support services ... various Broadspire Departments identifying, researching and correction of indicative and financial data errors + Maintains applicable log books as well as adheres to… more
- HNTB (Seattle, WA)
- …in the Seattle area or willing to relocate." HNTB is seeking a highly valued Senior Scheduler with claims experience to play a crucial role in supporting WSDOT ... local WSDOT construction offices to review schedule delays and claims and will support resolution of delay related issues...schedule. + Oversees a database or "warehouse" of scheduling data recorded and tracked from each job. + Participates… 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 ... code, test and solve existing programs. Analyze end user data and business needs to assure user-orientation and efficient...QA team to identify test cases and create/mine test data to enable a detailed test of all deliverables.… 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 ... code, test and solve existing programs. Analyze end user data and business needs to assure user-orientation and efficient...QA team to identify test cases and create/mine test data to enable a detailed test of all deliverables.… more
- Amazon (New York, NY)
- …Global Risk Management and Claims team is seeking a Sr. Risk Analyst to assist with the development and management of Amazon's global insurance programs, ... techniques for new and existing business initiatives. Additionally, the Sr. Risk Analyst will manage the insurance programs for some Amazon owned subsidiaries. The… more
- Kelly Services (Wilmington, NC)
- ** Senior Data Analyst ** Kelly Science &... data sources such as electronic medical records, registry data or claims data , or clinical ... Clinical is hiring Contract Senior Data Analyst for a Global CRO dedicated...experiences + Experience working with large databases such as claims , EMR, registry data , clinical trial datasets,… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- … between Pharmacy and external parties, including vendors. + Works with Lead Health Data Analyst and Lead Software Engineer on the development of strategies for ... ensure compliance with departmental and corporate expectations. + Assists Lead Health Data Analyst on Pharmacy Department Budget annual financial estimates and… 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 ... **Resp & Qualifications** **PURPOSE:** The Sr. Data Analyst will be responsible for...reporting on all network, provider, and contractual performance. This senior level individual contributor will bring coding and dashboard… 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 ... OH; Mason, OH; Indianapolis, IN; Chicago, IL; Manchester, NH; Boston, MA.** The **Rating/ Claims System Senior Advisor** leads the activities for India based… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** As a Stars Senior Data Analyst , your main focus will be to improve publicly reported rates and close the gaps in Stars ... of management. + Knowledge of health plan operations, health care claims and other relevant data sources (eg EMR, Authorizations). + Ability to organize, plan… more
- AdventHealth (Maitland, FL)
- …sources using knowledge of healthcare managed care contracts and healthcare administrative claims data + Employs existing complex models and implements them ... 3 days at the office (Altamonte Springs,FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating… more
- Point32Health (Canton, MA)
- …**Analytics** + Conduct ad hoc analyses specific to risk score trends, data / claims submissions and program performance to support risk adjustment analytics ... (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Under the supervision of the Manager, Data and Reporting, this individual will be responsible for supporting… more
- HCA Healthcare (Brentwood, TN)
- …Do you want to join an organization that invests in you as a Payer Engagement Senior Analyst ? At HCA Healthcare, you come first. HCA Healthcare has committed up ... difference. We are looking for a dedicated Payer Engagement Senior Analyst like you to be a...resolution and prevention of denials, payment discrepancies and other claims adjudication issues from HCA's managed care book of… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Mental Health, Office of Title Senior Health Care Fiscal Analyst / Health Care Fiscal Analyst Trainee, Central Office; Occupational ... Minimum Qualifications:Transfer Opportunity:Candidates must have permanent status as a Senior Health Care Fiscal Analyst , Grade 18,...Claims (C&C) Unit on the application of CFR data to State Aid Letter and direct contract close-outs.*… 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 to provide consultative support to our senior PEO MLB leadership at the Washington Navy Yard for the Navy ERP program. The candidate will provide SAP… more