- NorthMark Strategies (New York, NY)
- …offers a dynamic environment where individuals have the freedom to lead companies toward bold achievements by embracing innovation, leveraging technology, and ... Position: We are seeking a highly analytical and detail-oriented Senior Risk Analyst to join our Insurance Management & Advisory department, operating within a… more
- Independent Living Systems (Miami, FL)
- …requirements and translate them into actionable project plans. The Senior Business Analyst will lead initiatives that drive data-driven decision-making and ... We are seeking a Senior Business Analyst to join our team at Independent Living...and implement practitioner, hospital, and ancillary contracts into the claims system, including amendments and claims testing.… more
- Molina Healthcare (Grand Island, NE)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting,… more
- Brink's (Philadelphia, PA)
- …we provide equal opportunity to participate and grow. Job Description The Claims Analyst will investigate reconciliation discrepancies to reduce claim ... early communication to branches and escalation as needed of lead indicators of claims ; variances, CVS backlog...VA team for support + Escalate to assigned Variance Analyst any claims not resolved within 25… more
- AIG (Atlanta, GA)
- …are reimagining the way we help customers to manage risk. Join us as a Senior Claims Law Firm Analyst to play your part in that transformation. It's an ... will create an impact Full Time US-based employment, the Claims Law Firm Analyst shall be responsible...from AIG's Law Firm contract template; + Participate and lead Law Firm pricing negotiations; + Document and summarize… more
- Levi, Ray & Shoup, Inc. (Chicago, IL)
- …this opportunity is made for you! The Business Analyst will: + Lead efforts to analyze and optimize healthcare claims processes to improve accuracy ... Login (http://www2.lrs.com) File Transfer Filters Careers Added Jul 21, 2025 Business Analyst - Claims Systems (26971) Chicago, IL | Contract Apply… more
- Armed Forces Benefit Association (Alexandria, VA)
- …to deliver total health and wellbeing to employer groups and their employees. The Claims Analyst is an operations and sales support role responsible for managing ... supporting an employer or service provider in understanding the claims provisions of their coverage along with being the...+ Practice good work ethics and be able to lead by example About 5Star Life Insurance Company 5Star… 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...Produce provider scorecards related to Payment Integrity initiatives and lead internal and external provider meetings to review results… more
- Molina Healthcare (Provo, UT)
- …**Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial ... and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed… 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
- UIC Government Services and the Bowhead Family of Companies (Fort Belvoir, VA)
- **Overview** PROGRAM OPERATIONS ANALYST LEAD (ARDAP): Bowhead is seeking a Program Operations Analyst Lead for the upcommingArmy Data and Analytics ... duration of a project or may function as ongoing lead within a group of engineers associated with one...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- CareFirst (Baltimore, MD)
- …business decisions. The Quality, Stars, and Risk Adjustment Analytics team is hiring a lead data analyst with deep experience in risk adjustment. This person ... & Qualifications** **PURPOSE:** The main purpose of a data analyst is to find meaning in data as a...technical documentation that is consistent with professional standards. + Lead in the design, development, validation and delivery of… more
- Compass Strategy Solutions (Washington, DC)
- …Equal Employment Opportunity employer. JOB DESCRIPTION Compass Strategy Solutions (CSS) requires Lead Asset Forfeiture Analyst in Washington DC area to support ... Summary: In this position, you will lead a team of Asset Forfeiture Data Analysts...the requirements for experience required by a subordinate Data Analyst position: + Input data extract/retrieve data and run… more
- UIC Government Services and the Bowhead Family of Companies (Orlando, FL)
- **Overview** Bowhead seeks a Lead Graphic Analyst to support the Visual Information Support Services (VISS) program in Orlando, FL. **Responsibilities** * ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- AON (IL)
- Reinsurance Business Analyst Aon are looking to recruit an experienced Reinsurance Business Analyst to join our team in the US. This is a Hybrid position and can ... based anywhere in the US. The DXC SICS Application Analyst is responsible for maintaining and enhancing the DXC...for maintaining and enhancing the DXC SICS (Swiss Insurance Claims System) application to support business processes in reinsurance… more
- Molina Healthcare (Dallas, TX)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... life cycle + Gains a deep understanding of Molina claims life cycle and all processes that affect ...Eg, Medicare Exclusion POC + Acts as a team lead , assigning and prioritizing work for other team members… more
- The Cigna Group (Jersey City, NJ)
- …to go into the NYC office two times per month._** The **Provider Contracting Lead Analyst ** serves as an integral member of the Provider Contracting Team ... and reports to the Contracting Manager or Market Lead . This role assists and supports the day to day contracting and network activities. **DUTIES AND… more
- The Cigna Group (Bloomfield, CT)
- …the Role** We are seeking a detail-oriented and strategic Data Governance & Validation Analyst to join our team. In this critical role, you'll help ensure the ... procedures. + Query and analyze large-scale healthcare datasets (eg, claims , pharmacy, patient data) using SQL and other tools....3+ years of experience working with healthcare data, including claims , pharmacy, and drug data. + Proficiency in SQL… more
- Medical Mutual of Ohio (OH)
- …and other business needs. + Performs other duties as assigned. **Sr. Financials Systems Analyst ** **Job Summary:** **Performs a lead role in the preparation of ... and runs queries to generate monthly reports for premium, claims and enrollment to be used by several operating...NAIC, and HHS. + Performs other duties as assigned. ** Lead Financials Systems Analyst ** **Job Summary:** **Performs… more
- Molina Healthcare (Louisville, KY)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... information for quality initiatives, accreditation efforts, and regulatory mandates, and claims data coordination. + Manages small to large scale projects initiated… more
