- CCG Business Solutions, LLC (Los Angeles, CA)
- …experience in a quantitative role as a Business Analyst , Data Analyst , Programming Analyst , Claims processing, encounter processing is required. ... of connecting purpose to business. We are currently recruiting for a Business Analyst III. Job Description The Business Analyst III facilitates business process… more
- Tailored Management (Hartford, CT)
- …medical claim forms and Explanation of Benefits is required. Aka - Medical Claim Analyst . Knowledge and understanding of Medical coding is a plus. The ... by decision Responsibilities: This position is responsible for entering medical claim data for a Coordination of Benefits (COB) Competitive Intelligence Team.… more
- Panasonic North America (De Soto, KS)
- …join a team that's changing the world? Do you have a strong background as a Claims Analyst ? Then we're looking for you! Check out the job description and apply ... the future of energy and transportation. **Job Summary:** The Claims Analyst plays a key role in...accuracy, and compliance prior to submission; flag discrepancies for correction + Prepare internal reports summarizing claim … more
- Carrington (Frankfort, KY)
- Come join our amazing team and work remote from home! The Loss Claim Recovery Analysis Analyst is responsible for performing financial reconciliation on all ... advances once the GSE or Government Mortgage Insured "expense" claim has been paid. + Maintain updates in LoanServ...the action occurs. + Respond to and make all corrections identified during the Quality Review Process within 24… more
- Commonwealth of Pennsylvania (PA)
- …and Special Project Specialist (Workforce Development Analyst 2) Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5003524) Apply Grants, ... Statistical Development, and Special Project Specialist (Workforce Development Analyst 2) Salary $59,345.00 - $90,211.00 Annually Location *State-Wide, PA Job Type… 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 ... of new products. Responsibilities include, but are not limited to: + Differentiates claim types and navigates through the various claims platforms. + Uses… more
- CVS Health (Columbus, OH)
- …all with heart, each and every day. **Position Summary** The **PBM Data Analyst ** performs prescription claim and accumulator audits, verifies policy coverage, ... person contributes to the efficient and accurate handling of prescription claims for reimbursement through knowledge of prescription benefits and effective… more
- Orange County Sheriff's Office, Orlando, Florida (Orlando, FL)
- HRD Analyst - Risk Management Print (https://www.governmentjobs.com/careers/ocso/jobs/newprint/4934948) Apply HRD Analyst - Risk Management Location Orlando, ... education/experience. Related experience to include: Worker's Compensation, FMLA, Disability claims handlings, human resources, safety administration, insurance and benefits… more
- Zelis (Plano, TX)
- …A good understanding of public and private healthcare payment systems, medical claims , standard claim coding, claim editing, contracting, preferred-provider ... that shape who you are. Position Overview The Sr. Medicaid Reimbursement Regulatory Analyst will collaborate with the Zelis Regulatory Pricer Product team to further… more
- CVS Health (Scottsdale, AZ)
- … submitted through the CVS Health claims processing systems. The Pharmacy Claims Auditor will identify and rectify claim inaccuracies that would result in ... stay well in body, mind and spirit. The Pharmacy Claims Reviewer is responsible for reviewing pharmacy claims...will contact pharmacies for proper documentation to ensure a claim was submitted correctly as well as monitor assigned… more
- Louisiana Department of State Civil Service (LA)
- SOCIAL SERVICES ANALYST 1/2/3 (LAFAYETTE REGION) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4776267) Apply SOCIAL SERVICES ANALYST ... a Special Entrance Rate (SER) see below: Social Services Analyst 1 - SER: $16.42 hourly (Pay Level SS-410)...writs. May issue warrants and makes arrests. Adjudicates disability claims filed under the Social Security Disability and Supplemental… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- HUMAN RESOURCES ANALYST A/B/C OR SPECIALIST Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5005041) Apply HUMAN RESOURCES ANALYST A/B/C ... compliance and providing essential support to employees throughout the leave and claims process. Whether you're a highly experienced HR professional or aspiring to… more
- Covenant Health Inc. (Knoxville, TN)
- …and assignment of the principal procedure(s) and related diagnosis. + Edits unbilled claim transmission reports daily and makes necessary corrections to ensure ... Overview Coder Analyst Specialist, Clinical Document Integrity Full Time, 80...practice specialty and insurance company for benefit determination and claim rejections. + Follows policies, procedures, and safety standards.… more
- City of New York (New York, NY)
- …through HHS Accelerator, FMS, and CARES within the prescribed period. - Reconcile monthly claims and maintain a claim -control register to ensure the accuracy of ... Associate III to function as a Human Services Payment Analyst who will: - Perform quality assurance review of...cash advance balances - Address payment issues and the correction of errors in FMS vouchers by investigating payment… more
- City of New York (New York, NY)
- …disbursed through Passport, FMS, and CARES within the prescribed period. Reconcile monthly claims and maintain a claim -control register to ensure the accuracy of ... Associate III. The selected candidate will function as the Fiscal Analyst , Human Services, who will Process Invoices/Advances in Passport. Perform quality… more
- House of Representatives (Washington, DC)
- …applicable laws, rules, and regulations. This position serves as the Compliance Analyst . Key responsibilities include the calculation from gross to net of payroll ... etc.). Manages and processes Workers Compensation and Unemployment Compensation claims and completes financial reporting in accordance with applicable laws,… more
- Wolters Kluwer (Philadelphia, PA)
- …a month in the office **OVERVIEW** The **Legal Invoice Review Quality Assurance Analyst ("QA Analyst "** ) for Wolters Kluwer, Fulfillment Center of Excellence ... + Use legal knowledge and careful discretion to make corrections to adjusted and non-adjusted invoice lines as needed....team members as part of critical legal expert QA Analyst "task force" that resolves ambiguities or "close judgment… more
- AIG (Jeffersonville, IN)
- Sr. Global Data Analyst Join us as a Sr. Global Data Analyst to take your career to the next level with a global market leader. Make your mark in General ... most far-reaching property casualty networks. The role of the Sr Global Data Analyst is to produce recurring reporting for monthly financial settlements and ad-hoc… more
- Bozeman Health (Bozeman, MT)
- Position Summary: The Credit Balance Analyst is responsible for processing refunds for third party insurance, Medicare, Medicaid, and Government-Assisted Programs; ... be accomplished by reviewing credit balances on accounts, to resolve by correction , refund or inquiry, and ensures compliance with internal and external customers… more
- Stanley Black and Decker (New Britain, CT)
- …requirements. As a member of our Global Trade Compliance Team, the Trade Compliance Analyst will support the key risk areas of the North American Trade Compliance ... trade agreements (ex: USMCA, etc.) As a Trade Compliance Analyst , you will be remote or hybrid to the...maintain supplier certifications, affidavits, and supporting documentation for USMCA claims . + Prepare and issue USMCA certificates of origin… more
