- Peapod Digital Labs (Quincy, MA)
- …& Insurance Job Requisition: 437331 Address: USA-MA-Quincy-1385 Hancock Street Store Code: Claims Management (5157505) Ahold Delhaize USA, a division of global food ... Position Summary Primary responsibilities include investigation of General Liability claims to determine liability exposure. This role has direct responsibility… more
- Compass Minerals (Overland Park, KS)
- …requests, regulatory filings, and compliance documentation related to treasury operations . Ensure treasury procedures are documented and updated regularly. Support ... broker coordination, and internal inquiries related to risk coverage and vendor insurance. Assist with the creation, implementation, and ongoing management of… more
- Commonwealth Care Alliance (Boston, MA)
- …not be considered at this time._** Position Summary: Working under the direction of the SVP Claims , the Senior Data Analyst - Payment Integrity & Claims will ... 011250 CCA- Claims **_This position is available to remote employees...decision making to support overall payment integrity and claim operations discussions and strategic partnerships. This role will develop… more
- Zurich NA (Anoka, MN)
- Sr. Performance Analyst - TPA Operations 125087 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it ... Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims...of Zurich American Insurance. If you are a preferred vendor , please use our Recruiting Agency Portal for resume… more
- HCA Healthcare (Nashville, TN)
- …you want to join an organization that invests in you as a Senior Financial Analyst ? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 ... difference. We are looking for a dedicated Senior Financial Analyst like you to be a part of our...paid accurately and timely each month. Work with outsourcing vendor to ensure monthly employee benefits allocation and payment… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …area/out of network non-par claims . In the course of this work, the Analyst will be required to work closely with others to assemble and produce documentation ... with sound and ethical procedures, objectives and controls, a Network Services Analyst analyzes and evaluates the composition and characteristics of Health Plan… more
- Halliburton (Houston, TX)
- Benefits Operations Analyst - Global Programs Date: Jul 5, 2025 Location: Houston, TX, US, 77032 We are looking for the right people - people who want to ... - legal, Finance, local HR, etc. + Assist with vendor oversight - TPA's, actuaries, advisors, consultants + Act...vs actual ROI and utilization of programs offered; review claims activity and identify key indicators and viable solutions… more
- Molina Healthcare (Provo, UT)
- …Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination ... vendor -is strongly preferred. **Knowledge/Skills/Abilities** + Review Medicaid COB claims for correct secondary pricing logic and compliance with configuration… more
- St. Luke's Health System (Boise, ID)
- …initiatives. + Monitor system performance and proactively address potential issues impacting claims operations or AP workflows. + Partner with Finance, ... **Overview** **Position Summary:** The Epic Tapestry Analyst - Health Plan AP Claims ...functionality. This role ensures the integrity and efficiency of claims processing, vendor payments, adjudication logic, and… more
- AIG (Boston, MA)
- Join us as a Claims Analyst IV to take on key responsibilities within a world-class claims function. Make your mark in Claims As a Claim Analyst IV, ... be responsible for handling all aspects of multi-line, financial lines claims from inception through conclusion brought against insureds. The responsibilities for… more
- Commonwealth Care Alliance (Boston, MA)
- …of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective ... on financial ability and forecasting for small to large Operations Management + Collaborate system and data configuration into...Management + Collaborate system and data configuration into CES ( Claims Editing System) with BPaaS vendor and… more
- AIG (Atlanta, GA)
- …AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims Analyst TTPO Claims to play your part in that transformation. It's an ... member of the team. Make your mark in TPA Claims Our Claims teams are the proven...and pay invoices within a timely manner. + Coordinate vendor referrals for additional investigation and/or litigation management. Calculate… more
- Molina Healthcare (Omaha, NE)
- …through PPS pricing methodologies. Works closely with IT, the pricing software vendor , operations , health plan representatives, and other business teams involved ... **Job Description** **Job Summary** The Analyst , Reimbursement is responsible for administering complex provider reimbursement methodologies timely and accurately.… more
- FREEMAN (Dallas, TX)
- …+ Administer benefit changes due to qualifying life events. + Resolve escalated vendor claims issues and ensure timely resolution. + Provide employee support ... technologies to deliver moments that matter. **Summary** The Senior Benefits Analyst is responsible for the analysis, administration, and continuous improvement of… more
- CVS Health (Wellesley, MA)
- … claims , maintaining current services, support optimalization of existing vendor product portfolio, provide continual evaluation of processes and procedures to ... and key performance metrics for reconciliation, revenue cycle, and adjudication/ claims processes analysis. Facilitate effective solutions related to adjudication and… more
- CAI (Fremont, CA)
- …Full time **Worksite Flexibility** Onsite **Job Summary** As a Transportation Analyst , you will develop and administer cost-effective systems that meet inventory ... and finished goods. **Job Description** We are looking for a **Transportation Analyst ** . This position will be **full-time contract** and **onsite in Fremont,… more
- City of New York (New York, NY)
- …while supervising them regarding the unit's daily activities. The Senior Contract Analyst supervises the conduct of the field visits to vendors and Supportive ... and agency mandates, and to provide technical assistance to vendor staff, the preparation of facility and vendor...Administration (HASA) is recruiting for one (1) Associate Staff Analyst to function as a Senior Contracts Analyst… more
- Beth Israel Lahey Health (Charlestown, MA)
- …the Executive Director of Epic Patient Financial Services - PB, the Senior Epic Operations Analyst serves as the preeminent Epic analytical resource tasked with ... of all Resolute Professional Billing applications and presenting to the Senior Epic Operations Analyst (SEOA) for approval before presenting to leadership. *… more
- Humana (Topeka, KS)
- …will work closely with IT, the pricing software vendor , CIS BSS, Medicaid operations , claims operations , and other business teams involved in the ... and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral… more
- PRGX (Nashville, TN)
- …the client's business operations . + Finds, supports, and documents audit and claims operations . + Produces claims using appropriate audit concepts for ... claim back-up information. May contact vendors for pre-approvals. + Packages claims for vendor and/or client. + Conducts buyer, contract and document pulls as… more
