- OH JFHQ DIMR CFMO (Columbus, OH)
- Summary This National Guard position is for a BUDGET ANALYST , Position Description Number D0740000 and is part of the OH JFHQ DIMR CFMO, Ohio Army National Guard. ... procurement, utilizing internal controls, and reports. Duties Help As a BUDGET ANALYST , GS-0560-9, you will perform the following duties: 1. Develops procedures and… more
- AA Inclusion (San Diego, CA)
- About the job Risk Assurance Analyst This position is responsible for assessing internal controls to protect the credit union against loss or regulatory ... reviews, analyzing processes, maintaining access control for application systems, regulatory compliance of the vendor management program, insurance for the… more
- American International Group, Inc. (New York, NY)
- …American Commercial, and Specialty portfolios. Work closely with actuarial, claims , and other functions, integrating catastrophe modelling insights into day-to-day ... partners as needed to respond to rating agency surveys, regulatory filing, data calls and other ad-hoc reporting, for...ad-hoc reporting, for various US state and national insurance regulatory bodies. Be a best practices expert for Underwriting… more
- CVS Health (Scottsdale, AZ)
- Senior Reporting Analyst At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate ... our PBM Customer Reporting group as a Senior Reporting Analyst within our Compliance Pharmacy Payments. CVS Health strives...a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and… more
- Chubb (Philadelphia, PA)
- Job Description Senior Financial Analyst The Senior Financial Analyst - Credit Management will support the assessment and mitigation of direct and indirect ... provider for acceptability and compliance within corporate standards and regulatory requirements, specifically as pertains to Letters of Credit, Trusts/Pledge… more
- iCare Health Solutions Enterprise (Miami, FL)
- …dates, carve-outs, and inclusions/exclusions Test contract builds using simulated claims to confirm accurate payment logic and resolve discrepancies Document ... KPIs such as net revenue realization, gross-to-net adjustments, clean claim rates, and claims lag variance Perform ad hoc data analyses to assist the Revenue Cycle… more
- American Express (New York, NY)
- …improprieties. The team is also responsible for the reporting of Whistleblower claims , Significant Ethics Violations, and certain instances of Fraud to the Audit ... Risk Management, Global Compliance & Ethics and Control Management teams. This Analyst role reports to the Director, Amex Ethics Office - Special Investigations… more
- SCOR (Charlotte, NC)
- …affiliate retrocession. This includes overseeing the processing of volumes, premiums, and claims , while maintaining a high standard of data integrity. The position ... and reduce the risk of errors. Ensuring business processes comply with regulatory requirements and internal control standards. Supporting changes that align with the… more
- Sayres & Associates (Washington, DC)
- …industry, is currently seeking an experienced Senior Ship Acquisition and Lifecycle Analyst with Secret Clearance in Washington, DC . This position is hybrid ... As a key member of our team, the Senior Analyst will provide acquisition and lifecycle management support for...PMR, and SDM team with design analysis activities for regulatory body and contract compliance. Support ship mission and… more
- PIH Health (Whittier, CA)
- …the following Epic systems: Resolute Hospital Billing, Resolute Professional Billing, Claims Remittance, Dorothy Home Care and Comfort Hospice Billing. This position ... Epic system to improve patient care, workflow efficiency, and compliance with regulatory standards. PIH Health is a nonprofit, regional healthcare network that… more
- Covestro AG (Pittsburgh, PA)
- …Sanctions. Accountable for the timely preparation and filing of specified duty drawback claims in compliance with the US Customs Regulations. Prepare and sustain the ... be shared with the Trade Compliance Specialist and the Trade Compliance Analyst . Facilitate the program to maintain export compliance for foreign nationals including… more
- Molina Healthcare (Buffalo, NY)
- …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
- Panasonic North America (De Soto, KS)
- …the Claims Manager. The Analyst supports complex claims analysis, documentation, investigation coordination, and regulatory compliance, while identifying ... world? Do you have a strong background as a Claims Analyst ? Then we're looking for you!...enrollments and claims tracking related to contractor claims as needed **Incident Investigation & Regulatory … more
- AIG (Atlanta, GA)
- Join us as a Claims Analyst IV to grow your experience in Claims . Make your mark in AL/GL Claims Our Claims teams are the proven problem solvers of ... with empathy and efficiency. How you will create an impact The Casualty Claims Analyst IV is responsible for investigating, evaluating, and negotiating general… more
- Magellan Health Services (Albuquerque, NM)
- The Claims Internal Resolution Analyst is responsible for coordinating the resolution of claims issues locally at the health plan by actively researching and ... would provide an equivalent background may be considered. General Job Information Title Claims Resolution Analyst Grade 21 Work Experience - Required Claims… more
- Levi, Ray & Shoup, Inc. (Chicago, IL)
- …Login (http://www2.lrs.com) File Transfer Filters Careers Added Jul 21, 2025 Business Analyst - Claims Systems (26971) Chicago, IL | Contract Apply ... to talk! LRS Consulting Services is seeking a Business Analyst for a long-term, hybrid onsite contract opportunity with...will: + Lead efforts to analyze and optimize healthcare claims processes to improve accuracy and first-pass resolution rates.… 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...Executive Teams. * Conduct independent research and analysis using regulatory guidance, government data and statistics, reports, publications, and… more
- AIG (Atlanta, GA)
- Join us as a Claims Adjuster to grow your experience in handling complex claims . Make your mark in Claims Our Claims teams are the proven problem solvers ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
- Molina Healthcare (Covington, KY)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... successful implementation of provider engagement programs. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze claims from compliance against contracts, billing, and processing guidelines… more
- University of Miami (Miami, FL)
- …of Miami/UHealth Department of SCCC has an exciting opportunity for a Full Time Regulatory Analyst 1 to work remotely. CORE JOB SUMMARY The Regulatory ... and tests the revised treatment matrix to identify possible cancers from claims data. CORE JOB FUNCTIONS Analyzes regulatory requirements, identifies potential… more
