- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring accurate, compliant, ... issues - including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject...**Required Experience (must have):** + 3+ years in healthcare claims processing, provider reimbursement , or payment integrity.… more
- Axis (Alpharetta, GA)
- …is available upon request for candidates taking part in the selection process. ** Claims Business Analyst ** **Job Family Grouping: IT Group** **Job Family:** ... contribute to our collective success?** We are seeking a Claims Business Analyst to join our Business...your family, health and wellness programs, retirement plans, tuition reimbursement , paid vacation, and much more. Where this role… more
- UMB Bank (Kansas City, MO)
- **Duties & Responsibilities :** Open to hybrid or remote working schedule The Sr Card Fraud Claims Analyst will be a member of the UMB Card Operations team and ... will report directly to the Card Fraud Claims Manager. Responsibilities of this position will include supporting the Card Fraud Claims Manager in day-to-day… more
- Highmark Health (Frankfort, KY)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
- New Jersey Resources (Wall Township, NJ)
- …development, and competitive pay and benefits. New Jersey Resources is seeking a Claims Analyst , responsible for the investigation and adjusting of property ... damage, bodily injury and other claims against New Jersey Resources and its affiliates (the...fitness centers. * Employee Assistance Program (EAP). * Tuition reimbursement program. * Paid time off including paid holidays.… more
- Zelis (TX)
- …you are. Position Overview We are seeking a detail-oriented and technically skilled analyst to support healthcare claims repricing and data validation efforts. ... In this role, you will be responsible for analyzing claims processed through our modeling systems, validating pricing accuracy across Medicare, Medicaid, and… more
- Healthfirst (NY)
- …specifications and ensure proper system functionality and quality outcomes including claims configuration, provider set up, reimbursement methodology and core ... programs and reimbursement methodologies a plus. + Knowledge of healthcare claims processing practices in a managed care setting a plus. + Bachelor's Degree… more
- Carrington (Frankfort, KY)
- …amazing team and work remote from home! The Loss Claim Recovery Analysis Analyst is responsible for performing financial reconciliation on all liquidated loans and ... processes up to and including Loss Mitigation, Bankruptcy, Foreclosure, Conveyance and Claims in addition to mortgage servicing state, federal and agency guidelines… more
- Walmart (Bentonville, AR)
- …in the claim/image management system. + Handles monetary aspects of assigned claims by establishing reserves within approval level; notifying store managers of ... significant reserve increases; monitoring reserves for all open claims ; authorizing payment for approval or facilitating denial of...company discounts, Military Leave Pay, adoption and surrogacy expense reimbursement , and more. You will also… more
- Deloitte (Washington, DC)
- …who wants to work in a collaborative environment? As an experienced Epic Billing and Claims Senior Analyst you will have the ability to share new ideas and ... to understand the functional requirements. Working on Billing and Contracts Reimbursement configuration and builds by maintaining industry and client standards… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Associate Director of Professional Reimbursement Strategy, the Payment Integrity Reimbursement Policy Quality Assurance (QA) Analyst is responsible for ... with stakeholders and producing reports for the programs. The Payment Integrity Reimbursement Policy Quality Assurance (QA) Analyst would also be responsible… more
- Medtronic (Minneapolis, MN)
- …a more connected, compassionate world. **A Day in the Life** The role of Reimbursement Principal Reimbursement Analyst offers the opportunity to establish ... occlusions, peripheral embolization, deep venous disease, and superficial venous disease. The ** Reimbursement Principal Reimbursement Analyst ** will serve in… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …for you, we encourage you to apply! Job Description: Summary: The Reimbursement Configuration Analyst is responsible for utilizing system development ... test system solutions in response to high level business requirements. The Reimbursement Configuration Analyst is expected to understand requirements, develop… more
- Zelis (Plano, TX)
- …personal interests that shape who you are. Position Overview The Sr. Medicaid Reimbursement Regulatory Analyst will collaborate with the Zelis Regulatory Pricer ... systems. This position requires an in-depth knowledge of healthcare pricing/ reimbursement processes and procedures including institutional, as well as professional… more
- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA $500 Signing Bonus This Role: As a Reimbursement Analyst at LogixHealth, you will work with the department management teams to ... services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for clients… more
- AdventHealth (Maitland, FL)
- …administrative claims data + Works alongside Senior Medical Economics Analyst in identify risk/exposure associated with various reimbursement structures. ... Hybrid, Maitland FL** **The role you'll contribute:** **A Medical Economics Analyst is responsible for supporting the Senior Medical Economics Analyst… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …This position is the primary representative for Physician, Ancillary and Facility reimbursement analysis. The incumbent's analyses include but is not limited to, ... rates; implementation oversight for all regions and monitoring of provider reimbursement . In monitoring provider reimbursement , the position analyzes financial… more
- Intermountain Health (Des Moines, IA)
- …Timely and accurately completes assigned tasks. + Performs or reviews reimbursement processes (ie, reconciliation of third-party G/L accounts, calculation of actual ... and budgeted contractual allowances and variances, monitoring of individual claims (logs), etc.). Interacts with HIM, PAS, and hospital finance staff as needed. +… more
- State of Michigan (MI)
- Departmental Analyst 9-12 (Veteran Service Officer) Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4951975) Apply Departmental Analyst ... To view the full position description for the Departmental Analyst 9-P11, please click here. (https://MCSC.state.mi.us/AgencyPDFs/MVAA-25-100b 9-11 PD.pdf) To view… 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