- Independent Living Systems (Miami, FL)
- We are seeking a Senior Business Analyst to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community ... maximizing independence for all vulnerable populations. About the Role: The Senior Business Analyst in Health Care Services plays a pivotal role in bridging the gap… more
- Morley (CA)
- …case details? If so, this role could be a perfect fit for you! As a Legal Claims Analyst at Morley, you'll play a key role in managing small automotive claims ... client outside counsel to support the client's defense strategies, including lemon law claims + Serve as the "Person Most Knowledgeable" (PMK) on the client's… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- **Overview** BroadPath is seeking an **Electronic Claims Analyst ** to join our dynamic, fully remote team! In this role, you will play a key part in processing ... electronic claims , researching and resolving claims -related issues, and...claim issues within Data Management, collaborating with the Claims and Network Services departments to correct discrepancies related… more
- NorthMark Strategies (New York, NY)
- …Position: We are seeking a highly analytical and detail-oriented Senior Risk Analyst to join our Insurance Management & Advisory department, operating within a ... third-party administrators to ensure effective program management. Assist with claims management, loss control initiatives, and incident reporting, supporting… more
- JS Perkins Consulting (Falls Church, VA)
- …Here is the Role: JS Perkins Consulting (JSPC) is seeking to hire a Budget Analyst to support the Defense Health Agency (DHA) Office of General Counsel (OGC) in its ... improve financial oversight and increase collections through the Medical Affirmative Claims (MAC) and Third-Party Collections (TPC) programs. This role will provide… more
- Perfected Claims (Pasadena, CA)
- Perfected Claims is looking for three Case Management Analysts to join our team in Pasadena, CA. If that sounds like you, and your qualifications are a good match, ... look forward to hearing from you! The Case Management Analyst is responsible for a docket of cases that...experts, appraisers, and contractors to validate and maximize client's claims . Submits client's case filing, and questionnaires prior to… more
- Seattle Children's (Seattle, WA)
- …The Audit Management Analyst will have responsibility and oversight of the claim audit appeal process as well as analyze and provide reports addressing audit ... The Audit Management Analyst will serve as an organizational expert on...will complete and communicate the status of hospital facility claims audits by third parties conducted to reduce payment… more
- Sun Pharmaceuticals, Inc (Princeton, NJ)
- …our global workforce is bound by our common values: **Job Summary:** The Rebate Analyst will work closely with Contract Strategy to ensure all payer agreements are ... that processes, evaluates, and analyzes sales contracts for US markets. The Rebate Analyst will be responsible for the overall Contract Administration for Sun Pharma… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- **Overview** BroadPath is currently hiring a **Revenue Analyst ** . The Revenue Analyst will be responsible for loading, reconciling, and reporting monthly health ... involves auditing, assessing, and analyzing data to ensure that health plan claims , and capitation reimbursement revenue are received in alignment with contractual… more
- Lyric (Newtown Square, PA)
- …variety of business processes including but not limited to processing medical insurance claim overpayments through recovery (40%) + Review claims for missing or ... support are not available for this position. The Data Analyst will support excellence of execution with post payment...advanced excel experience + 1+ Years' experience auditing medical claims to identify improper payments as a Payment Integrity… more
- PRGX (Bentonville, AR)
- …for writing claims , updating claims management system, and billing claims to client. + Provides vendors with claim back-up information. May contact ... About PRGX Global, Inc Job Description Job Title Analyst I Employment Type Full-time Work Authorization Requirements...business operations. + Finds, supports, and documents audit and claims operations. + Produces claims using appropriate… more
- SR International, Inc. (Phoenix, AZ)
- …- Posting ID # 5343 -AZDCS - Finance and Administration - SSA Review Analyst (Hybrid) Description DCS SSA Benefits Unit is seeking a temporary position to assist ... representative payee audit reports Complete and assist with SSA Initial Claims Screening of potential SSA candidates Required Skills Customer service. Organizational… more
- Stanford Health Care (Palo Alto, CA)
- …**This is a Stanford Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue Cycle ... well as excellent analytical and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical staff, coding… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance **Position Summary:** The HEDIS Network Analyst will support CCA's ability to meet and surpass critical Quality ... relevant Network Providers, including those with delegated arrangements + Review YTD claims files on a monthly/quarterly basis to identify errors and address… more
- PRGX (Grand Rapids, MI)
- …+ Communicate with vendors to provide supporting documentation, and where applicable, seek claim pre-approvals. + Package and present claims to vendors and/or ... About PRGX Global, Inc Job Description Job Summary As aSenior Analyst , you will play a key role in identifying and recovering lost revenue for our clients by… more
- International (Lisle, IL)
- …intersection of data, strategy, and technology? We're seeking a Senior Financial Analyst -Truck Finance to join our Commercial Finance team and help accelerate our ... reporting tools and streamline financial processes + Provide mentorship and manage an analyst Minimum Requirements + Bachelor's degree + At least 2 years of finance… more
- Sun Pharmaceuticals, Inc (Princeton, NJ)
- **Job purpose** The Senior Analyst , Pricing and Contracts is responsible for supporting OTC Sales, Marketing, operations and other functions of the business through ... signed are accurately reflected in Vistex agreement management platform 1. **Open Claims /Chargeback Team Lead:** _Manage end-end review and co-ordination of open … more
- International (Lisle, IL)
- Position Overview We are seeking a Senior Financial Analyst to join our Pricing & Sales Support team. This role will focus on monthly revenue reconciliation, ... 1831, to the 15,000-person-strong company we are today,?few companies can lay claim to a history like International. Based in Lisle, Illinois, International Motors,… more
- International (Lisle, IL)
- …Overview We are seeking a detail-oriented and analytical Sales Incentive Planning Analyst to support the design, tracking, and administration of sales incentive ... 1831, to the 15,000-person-strong company we are today,?few companies can lay claim to a history like International. Based in Lisle, Illinois, International Motors,… more
- Warner Music Group (New York, NY)
- …reconciliations, update cash forecasts and budgets, investigate audit issues and claims + Follow department financial controls and policies, communicate deficiencies ... and gaps to management + Maintain vendor master data, input, code & co-ordinate payments + Build and maintain strong working relationships across the company (up to senior executives), follow up open work items, respond to requests from internal and external… more
