- Network Health WI (Menasha, WI)
- Network Health is seeking an experienced Senior Medicaid Claims Analyst to join our growing team. This critical role is responsible for complex claims ... with Medicaid regulations, and serving as a subject matter expert for claims processing policies and procedures. The ideal candidate will have extensive experience… more
- TriNet (Dublin, CA)
- …the right candidate for this or other roles. A Brief Overview The Sr. Claims Analyst is responsible for oversight & monitoring activities for assigned Workers' ... Compensation claims in multiple jurisdictions. This role will manage ...Engage all departments when retention efforts are necessary, including Senior Management. Participate in all claim reviews with claim… more
- Innova solutions (St. Louis, MO)
- Innova Solutions is immediately hiring for a Claim Analyst II. Position type: Permanent Duration: Fulltime Location: Remote As a Claim Analyst II you will: We ... for the positions. Bulk and manual pricing of NSA/Non-par claims : In-patient, out-patient, FH BOT fallout, and COB pricing...program guidelines. ASK ME HOW. Thank you! Karthik Saraswati Senior Manager PAY RANGE AND BENEFITS: Pay Range*: $… more
- Matheson Tri-Gas, Inc. (Irving, TX)
- JOB SUMMARY - SAFETY COMPLIANCE ANALYST Provides safety compliance analysis and administrativesupport for the MATHESON Corporate Safety, Health, and Environmental ... and international regulations. Assist with management of worker's compensation claims through communication with MATHESON employees, insurance representatives, and… more
- Knowesis (Falls Church, VA)
- Position: Senior Data Analyst (TRICARE Encounter Data) Location: Falls Church, VA Work Environment: Hybrid Clearance Required: None Status: Contingent Upon ... Contract Award Knowesis is seeking a Senior Data Analyst to support TRICARE Encounter...support the monthly reporting of TRICARE Encounter Data (TED) claims processing performance against DHA claims processing… more
- Innova solutions (St. Louis, MO)
- Innova Solutions is immediately hiring a Business Analyst Position type: Contract Duration: 12 Month Location: St. Louis MO, USA As a Business Analyst , you will: ... team Required Skills: Oracle SQL Jira CI/CD tools: GitLab Experience on Healthcare/ Claims Processing Familiarity with reading code Optional- Familiarity with QA Soft… more
- CERiS (Fort Worth, TX)
- The Payment Integrity Analyst is responsible for accurately reviewing pre and post pay claim audits based on client, policy, industry standards and/or CMS ... policy in written and verbal format Strong understanding of claims processing, ICD-10 Coding, DRG Validation, Coordination of Benefits...at any time. For leveled roles (I, II, III, Senior , Lead, etc.) new hires may be slotted into… more
- Protective (Chesterfield, MO)
- …stakeholders on company initiatives, supporting the contact center, operations, and claims teams, conducting testing of processes and procedures, and monitoring ... operational changes. Provide support to the contact center, operations, and claims teams on compliance-related issues. Conduct testing of processes and procedures… more
- Markel Corporation (Des Plaines, IL)
- …accepted actuarial principles, and under the direction and oversight of more senior level actuaries. The completed analyses will be used by internal business ... or combinations of these areas. Responsibilities include those assigned to an Actuarial Analyst , and may also include : Conducting thorough research and analysis to… more
- The Hanover Insurance Group, Inc. (Worcester, MA)
- …inclusive corporate culture. Our Claims Finance team is currently seeking a Senior Financial Analyst in our Worcester, MA location. Position is eligible for ... appropriately managed. Leads the build and monitoring of a claims staffing model to ensure that claim operations are...across the organization. Partner with the strategy team and claims leaders to build a portfolio and initiative monitoring… more
- US LawShield (Houston, TX)
- …more than 2 million people in their self-defense journey. US LawShield is seeking a Senior Data Analyst to join our data and analytics team. This role will ... or similar platforms. Conduct in-depth analyses of member engagement, retention, claims , and operational performance to identify trends, risks, and opportunities.… more
- Data Intelligence LLC (Dahlgren, VA)
- Data Intelligence is looking for a Senior Data Analyst to support the Naval Surface Warfare Center Dahlgren Division (NSWCDD) in Dahlgren,VA. This is an onsite ... detailed analysis of large datasets, including administrative data, insurance, billing claims , and other relevant data. Develop and maintain analytical models to… more
- McKinsey & Company (Boston, MA)
- …an ASA certified actuarial professional to join our Actuarial Center of Excellence as a senior analyst . As a member of the team you will leverage your actuarial ... workstreams could include quantitative analyses across the spectrum of claims , product, pricing, marketing and sales analytics, including segmentation, propensity… 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 ... the ability to work effectively across Operations, IT, Actuarial, Legal, and Senior Management teams in a geographically dispersed environment. Team-oriented with a… more
- SureWerx (Portland, OR)
- …career development, enabling you to grow and succeed. We are looking for a full-time Senior Credit and Collections Analyst . This position reports to the Credit ... *Reconciling accounts including detailed identification and support of deductions / claims , cash receipt and credit memo applications *Responding / resolving… more
- County of Los Angeles, CA (Los Angeles, CA)
- …direction, from an Assistant County Counsel, primarily pertaining to policy. Senior Deputy County Counsel positions are responsible for assignments involving the ... documents and responding to bid protests, contract administration, construction claims and dispute resolution, and alternative project delivery systems including… more
- EnableComp (Franklin, TN)
- …Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims , and expert human-in-the-loop integration, EnableComp provides solutions across ... for Veterans Administration, Workers' Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid claims as well as denials for all payer classes. By partnering… more
- County of Los Angeles, CA (Los Angeles, CA)
- …Typing performance test results from this examination will be used for the Senior -Typist Clerk, Emergency Appointment exam, which requires a proficiency at 40 net ... HR Examinations Unit: ### HR Examinations Unit Email: ###@dmh.lacounty.gov Analyst Contact Phone: Arineh Nazari ### Analyst ...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be… more
- Ventas, Inc. (Chicago, IL)
- …Information System : Utilize RMIS for management of tasks and workflow. Collaborate with Risk Analyst and Senior Risk Analyst to ensure accuracy of data in ... company in their day-to-day work and on special projects and initiatives. Responsibilities: Claims Management : Work closely with the Director of Corporate Risk to… more
- Symbria (Woodridge, IL)
- …Specialist. Ensure assigned clients are billed accurately and timely. Review unbilled claims for proper payor. Skilled nursing care clients are expected to be ... day of each month. Assist Phone Triage Technician and Accounts Receivable Analyst with: Providing customer notes and answers to questions asked by client/customer… more
