- NorthMark Strategies (New York, NY)
- …Position: We are seeking a highly analytical and detail-oriented Senior Risk Analyst to join our Insurance Management & Advisory department, operating within a ... third-party administrators to ensure effective program management. Assist with claims management, loss control initiatives, and incident reporting, supporting… more
- JS Perkins Consulting (Falls Church, VA)
- …its efforts to improve financial oversight and increase collections through the Medical Affirmative Claims (MAC) and Third-Party Collections (TPC) programs. This ... Perkins Consulting (JSPC) is seeking to hire a Budget Analyst to support the Defense Health Agency (DHA) Office...National Capital Region; Remote considered What do you get: Medical /Dental/Vision 401K (up to 5% match) 11 Paid Holidays… more
- Perfected Claims (Pasadena, CA)
- Perfected Claims is looking for three Case Management Analysts to join our team in Pasadena, CA. If that sounds like you, and your qualifications are a good match, ... look forward to hearing from you! The Case Management Analyst is responsible for a docket of cases that...cross-trained in all areas of case management: Intake Qualification, Medical Record Retrieval Coordination, Medical Record Review,… more
- Norstella (Richmond, VA)
- Sr. Medical Analyst Company: MMIT Location: Remote, United States Date Posted: Sep 15, 2025 Employment Type: Full Time Job ID: R-1370 **Description** **Why ... support patients in need. We are seeking a Senior Medical Analyst to join our team and...extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- WORKERS' COMPENSATION MEDICAL SERVICES ANALYST Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5078402) Apply WORKERS' COMPENSATION ... MEDICAL SERVICES ANALYST Salary $3,127.00 - $6,136.00 Monthly Location Baton Rouge,...workplace safety. We do not process individual workers' compensation claims or issue benefit payments AN IDEAL CANDIDATE WILL… more
- AdventHealth (Maitland, FL)
- …(Monday, Wednesday, Thursday) on-site **The role you will contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial ... and proposals, analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst must have attention to detail and competencies… more
- Elevance Health (VA)
- ** Medical Review Analyst Senior** **Location:** This...and analysis of all complex Tier I post service medical claims . **How you will make an ... accommodation is granted as required by law._ The ** Medical Review Analyst Senior** will be responsible...+ Utilizes guidelines and review tools to analyze assigned claims and medical records to either approve… more
- Trinity Health (East Greenbush, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Revenue Cycle Analyst - Medical Group - East Greenbush, NY - FT** If you are looking for a ... remote 1 day a week. . This Revenue Cycle Analyst is needed for the medical group....outstanding claims to contact to ensure all claims are billed timely + Review each claim… 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 ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical… more
- Elevance Health (Chicago, IL)
- …healthcare analytics, and/or financial services highly preferred. + Comprehensive understanding of medical claims data. + Intermediate to Advanced expertise with ... **Advanced Analytics Analyst Senior - Medical Economics** **Location:**...Senior** measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed… more
- Rush University Medical Center (Chicago, IL)
- …clinical, quality improvement, and business data analysis needs of Rush University Medical Center. The Analyst will assist clinical faculty and Principal ... **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical ...needs and will build databases to permit queries. The analyst will have a direct reporting relationship to the… more
- Elevance Health (Indianapolis, IN)
- …not eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical ... into effective and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management, CPT, HCPCS… more
- Centene Corporation (Lansing, MI)
- …support for business operations in all or some of the following areas: claims , provider data, member data, clinical data, HEDIS, pharmacy, external reporting + ... visualization tools. Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity… more
- Centene Corporation (Jefferson City, MO)
- …clinical outcomes. + Interpret and analyze data from multiple sources including claims , provider, member, and encounters data. Identify and assess the business ... Microsoft PowerBI. Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity… more
- Centene Corporation (Jefferson City, MO)
- …tools. Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity ... with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired. Pay Range: $86,000.00 -… more
- Centene Corporation (Jefferson City, MO)
- …tools. Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity ... with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired. Pay Range: $55,100.00 -… more
- New York State Civil Service (New York, NY)
- …Bureau in the Office of the New York State Attorney General (OAG) is seeking an experienced Medical Analyst to serve in the New York City office. The Medical ... NY HELP No Agency Attorney General, Office of the Title Legal Nurse|Review Medical Malpractice Claims for NYS (6402) Occupational Category Legal Salary Grade NS… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission ... documentation and queries, coding software tools and Insurance carrier medical and reimbursement policies during the claim ...with training new staff in all aspects of the Analyst role. PHYSICAL AND SE NSORY REQUIRE M ENTS:… 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 ... + Experience with Medicare, Medicaid and Marketplace is required. + Medical coding experience is highly preferred. **JOB QUALIFICATIONS** **Required Education**… more
- CVS Health (Tallahassee, FL)
- …The ** Claim Field Analyst ** works with the grievance and appeal and claims operations department to trend provider claim issues or concerns that could be ... with heart, each and every day. **Position Summary** The ** Claim Field Analyst ** acts as the primary...assigned. **Required Qualifications** + 3+ years of experience in medical billing and coding, specifically related to claims… more
