- 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
- Monster (OH)
- Genesis10 is seeking a Senior IT Business Analyst for a remote 3-month contract to hire position with a leading client. Compensation: $45.00/HR, W2. Job ... internal resources, to resolution. Develops policies and procedures in collaboration with business units, other analyst team members, and IT Application manager.… more
- Savers | Value Village (Bellevue, WA)
- **Description** Job Title: Claims Analyst ( Remote , USA) Pay Range: $52,014 - $73,860 Savers Benefits Geographic & job eligibility rules may apply Healthcare ... + To work in a purpose-driven company, with a business model that people love for our impact on...supplement our offerings. What you'll be working on: The Claims Analyst supports Saver's risk mitigation strategy… more
- Fifth Third Bank, NA (Cincinnati, OH)
- …related experience. + Prior PC experience to include advanced Excel, Word and Access. Claims Analyst I At Fifth Third, we understand the importance of ... Fifth Third Bank. Please note: This position is NOT remote . It is onsite 4--Days a week at our...risks of all types. DUTIES & RESPONSIBILITIES: + All Claims started within five business days of… more
- Alight (IN)
- …through effective solutions and personal service. **Responsibilities** + Handling claims related to FMLA, disability (STD/LTD), parental leave, personal leave, ... of the leaves. + Managing and processing employee leave claims in compliance with federal, state, and company policies.... and Backend Operations (International Voice /Non-Voice/Blended process) + Analyst Level hires: **5 - 8 years** of work… more
- TEKsystems (Deerfield Beach, FL)
- Job Title: Mechanical Claims Analyst Job Description Are you a skilled mechanic looking to shift gears in your career? We are seeking a Mechanical Claims ... knowledge of vehicle mechanics to assess and process mechanical claims . This opportunity offers a refreshing change of pace,...High-speed home internet connection and a quiet workspace for remote work. Why Work Here? Although this position is… more
- Centene Corporation (Jefferson City, MO)
- …HCPCs, revenue codes, and medical terminology preferred. Experience with Medicaid or Medicare claims preferred. **For Claims Business Unit:** Ability to ... Applicants for this job have the flexibility to work remote from home anywhere in the United States.** **Position...States.** **Position Purpose:** Ensure timely processing of pending medical claims . Verify and update information on the submitted … more
- Catholic Health (Buffalo, NY)
- …and technology method of transformation. Supports the organizations Revenue Cycle claims and remittance process. Identifies and implements EPIC and/or 3rd Party ... to systems. Provides support for specific projects. Knows the business and/or clinical processes and the technical mechanics to...technical mechanics to support the work. A level II Analyst does so at a intermediate complexity and competency,… more
- TEKsystems (Deerfield Beach, FL)
- Shift Gears in Your Career - Become a Mechanical Claims Specialist Are you a seasoned automotive technician ready to trade the shop floor for a more comfortable, ... environment-without the physical demands of hands-on repair work. We're hiring Mechanical Claims Specialists to join a growing team that helps customers and… more
- TEKsystems (Deerfield Beach, FL)
- Job Title: Mechanical Claims Specialist Location: Remote (with initial onsite training in Deerfield Beach, FL) Start Date: August 18th Employment Type: Full-Time ... the shop floor to a more comfortable, office-based role? We're seeking Mechanical Claims Specialists to join a growing customer contact team at a well-established… more
- Providence (OR)
- …within the PHP claims editing system. In addition, the Coding Policy Analyst will be responsible for replying to provider and member appeals and providing ... **Description** **Coding Policy Analyst ** **_Remote_** The Coding Policy Analyst ...and assists with implementation of such changes to the claims adjudication and editing software. **Providence Health Plan** caregivers… more
- Molina Healthcare (Layton, UT)
- **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims ... and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in… more
- Prime Therapeutics (St. Paul, MN)
- …fuels our passion and drives every decision we make. **Job Posting Title** Pricing Analyst - Remote **Job Description** The Pricing Analyst maintains, ... with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness &… more
- Motion Recruitment Partners (Memphis, TN)
- Senior IT Systems Analyst Specialist - Remote Memphis, TN **Hybrid** Contract $51.07/hr - $51.07/hr Our client is looking for a Senior IT Systems Analyst ... of education and experience. + Strong knowledge of third party administration/ claims management business and technology PC literate, including Microsoft… more
- Cedars-Sinai (Beverly Hills, CA)
- … **Req ID** : 11437 **Working Title** : Epic Tapestry Analyst - Remote **Department** : EIS Tapestry Team ** Business Entity** : Cedars-Sinai Medical Center ... innovation. **What will you be doing in this role:** The Epic Tapestry Analyst facilitates end-user meetings and provides level of operational and application build… more
- Prime Therapeutics (Denver, CO)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Senior - Remote **Job Description** The Senior Pricing Analyst ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Fairview Health Services (Minneapolis, MN)
- …translating the business requirements into software specifications. This position is ** remote ** and requires on call rotation 1 week after hours and weekends ... **Job Overview** The **Epic Professional Billing Sr Application Analyst ** role will provide technical expertise and leadership, including configuring, documenting,… more
- Prime Therapeutics (Santa Fe, NM)
- …passion and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior ... Compliance Analyst assists in the implementation of Prime's compliance programs,...claims , contracting and pharmacy reimbursement. Works directly with business partners across the enterprise. **Responsibilities** + Executes compliance… more
- Molina Healthcare (NY)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data… more
- Molina Healthcare (KY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... business issues related to cost, utilization and revenue for...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
