- Pennsylvania Health Care Cost Containment Council (PHC4) (Harrisburg, PA)
- …data, is seeking to fill two positions in its Harrisburg office: a statistical analyst and a business analyst . Both positions require considerable experience ... significance tests, and analysis of variance. Knowledge of SQL, health care, payer claims data, and experience with technical reporting is a plus. A bachelor's… more
- Assurant, Inc. (New York, NY)
- Title Senior Claims Analyst Overview of Position Manages a high volume of severe losses and/or complex claim activity. Investigates, adjusts and settles ... Manage a high number of severe losses and/or complex claim activity. Investigate, adjust and settle claims ...complex claim activity. Investigate, adjust and settle claims of the highest complexity. Represents the Company on… more
- The Hanover Insurance Group, Inc. (Itasca, IL)
- …inclusive corporate culture. The Claims team is currently seeking a Senior Business Analyst . This is a full-time, exempt position with a remote or hybrid work ... schedule seated in one of our Claims offices . POSITION OVERVIEW: Business Analysts are responsible...and implications of proposed system and hardware solutions. BUSINESS ANALYST II PROJECT COMPLEXITY: Performs work across multiple initiatives… more
- NYC Health Hospitals (New York, NY)
- …Yorkers to live their healthiest life. Position Overview The Payment Integrity (PI) Analyst will assist in the development of a strategic roadmap to recover, ... prevent unnecessary medical-expense spending and support the execution for a comprehensive claim accuracy program. The incumbent will optimize pre/post claim … more
- CVS Health (Northbrook, IL)
- …do it all with heart, each and every day. Position Summary: The Senior Analyst , Financial Operations role performs claims reverse and reprocessing (R&R) to ... Senior Analyst , Financial Operations At CVS Health, we're building...members, clients, and pharmacies. This activity touches millions of claims a year and has wide organizational impacts. This… more
- OH JFHQ DIMR CFMO (Columbus, OH)
- Summary This National Guard position is for a BUDGET ANALYST , Position Description Number D0740000 and is part of the OH JFHQ DIMR CFMO, Ohio Army National Guard. ... procurement, utilizing internal controls, and reports. Duties Help As a BUDGET ANALYST , GS-0560-9, you will perform the following duties: 1. Develops procedures and… more
- Teva Pharmaceuticals (Fort Lauderdale, FL)
- …difference, and new people to make a difference with. The opportunity The Pricing Analyst I is a professional with technical and pricing training who will use ... commodities, pricing in large retail or B2C/B2B distribution business, claims , mortgage) Skills/Knowledge/Abilities: *Demonstrated experience in pricing operations *Expertise… more
- NJM Insurance Group (Trenton, NJ)
- …NJM Insurance Group's Medical Claim Services (MCS) team as a Business Process Analyst , where you will play a key role in driving process improvement and support ... expertise (SME) in Personal Injury Protection (PIP), Workers' Compensation, and/or General Claims . The ideal candidate will have a strong understanding of current… more
- Medline (Northbrook, IL)
- Job Summary Medline has an exciting opportunity for an experienced SAP SD/Vistex Business Analyst to join our SAP Pricing & Rebates team. We're seeking a highly ... motivated functional analyst to support critical pricing and chargeback processes. In...complex pricing scenarios. Expertise in Sales Rebates, Agreements, Contracts, Claims , Reconciliation functionality in Vistex Experience in Vistex Rebates… more
- National Guard Employment Network (Santa Clarita, CA)
- …role is "On-Site" at the location detailed in the job post. Program Financial Analyst -Onsite Position We have a great opportunity for a Program Financial Analyst ... team in Santa Clarita, CA! As our Program Financial Analyst , you will support our family of programs with...balances by program Prepare adhoc analyses such as termination claims for programs under a stop work notification Additional… more
- Highmark Health (Pittsburgh, PA)
- …for both internal and external audiences. Conduct, collect and analyze data from claim and/or medical record reviews to continually improve the care and service to ... members and coordinate with the financial recovery areas to retract erroneous or inappropriate payments. Manage contracts including negotiations, contract development, contract renewal, and financial reimbursement. Act as the intermediary between the… more
- AA Inclusion (San Diego, CA)
- About the job Risk Assurance Analyst This position is responsible for assessing internal controls to protect the credit union against loss or regulatory violations ... liability, bond, property and related insurance coverage and overall claims activity associated with these policies. Initiates and maintains insurance-related… more
- Howden Group Holdings (Minneapolis, MN)
- …innovation & superior analytics for top client service. As a Fiduciary Accounting Analyst , you will work on the Fiduciary Accounting Team and undertake the ... invoices Monitor the unallocated cash listing, working closely with our Accounting and Claims Dept to apply the cash in a timely manner Cash Payment processing… more
- Innova solutions (Red Bank, NJ)
- …HIPAA compliance Candidate must have skills: 5+ years of experience as a Business Analyst or Product Owner in healthcare claims , payer operations, or revenue ... Innova Solutions is immediately hiring a Lead Business Analyst Position type: Permanent Duration: Fulltime Location: New Jersey, US As a Lead Business Analyst ,… more
- American International Group, Inc. (New York, NY)
- …American Commercial, and Specialty portfolios. Work closely with actuarial, claims , and other functions, integrating catastrophe modelling insights into day-to-day ... business, and portfolio optimization strategies. Carry out other modelling business activities including event response, business planning, budgeting, profit studies, portfolio optimization, reinsurance purchasing, and other exercises where catastrophe risk… more
- Ventura County, CA (Ventura, CA)
- …an annual floating holiday. POSITION: Under direction of a Program Management Analyst and the Senior Deputy Executive Officer, on an as-needed basis, monitors ... community programs, public utilities, and other agencies. PAYROLL TITLE: Management Analyst I AGENCY/DEPARTMENT: County Executive Office - Budget & Finance Division… more
- iCare Health Solutions Enterprise (Miami, FL)
- …Monitor payer contract KPIs such as net revenue realization, gross-to-net adjustments, clean claim rates, and claims lag variance Perform ad hoc data analyses ... dates, carve-outs, and inclusions/exclusions Test contract builds using simulated claims to confirm accurate payment logic and resolve discrepancies Document… more
- Corvel (Portland, OR)
- CorVel has proprietary software to provide claims , bill review and case management services to our customers. Both CorVel employees and customer users must be set up ... this area of our support model. The Jr. Business Analyst /User Subject Matter Expert performs diverse user and...Strong written and verbal communication skills. Knowledge of the Claims Management or Healthcare industries, in a support role.… more
- Gelfand Rennert & Feldman (New York, NY)
- Position Summary We are seeking a Music Royalty Analyst with ideally strong Excel skills to join our team of dedicated professionals. This position can be based out ... the office on an as needed basis. The Royalty Analyst is responsible for assisting the department in conducting...Analyze data to find underpayments of royalties and create claim schedules Assist with fieldwork Conduct Internet research Other… more
- CVS Health (Scottsdale, AZ)
- Senior Reporting Analyst At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate ... our PBM Customer Reporting group as a Senior Reporting Analyst within our Compliance Pharmacy Payments. CVS Health strives...a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and… more
