- BroadPath Healthcare Solutions (Tucson, AZ)
- **Overview** BroadPath is seeking an **Electronic Claims Analyst ** to join our dynamic, fully remote team! In this role, you will play a key part in processing ... electronic claims , researching and resolving claims -related issues, and...trends or discrepancies that may impact financial performance + Research and resolve electronic claim issues within Data Management,… more
- The Joint Commission (Oakbrook Terrace, IL)
- **Overview** Joint Commission seeks a highly skilled and motivated Sr Healthcare Data Analyst to support a growing portfolio of research and analytics ... programs, and system-level learning. Working directly with the Vice President and Chief Research Officer as well as Research Scientists, help prepare and analyze… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- **Overview** BroadPath is currently hiring a **Revenue Analyst ** . The Revenue Analyst will be responsible for loading, reconciling, and reporting monthly health ... involves auditing, assessing, and analyzing data to ensure that health plan claims , and capitation reimbursement revenue are received in alignment with contractual… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …care for kids in California. Here world-class experts in medicine, education and research work together to deliver family-centered care half a million times each ... of the future is brighter than can be imagined. Investments in technology, research and innovation will create care that is personal, convenient and empowering. Our… more
- Lyric (Newtown Square, PA)
- …other immigration support are not available for this position. The Data Analyst will support excellence of execution with post payment customer deliverables through ... data models and creating/improving automation of processes. In addition, the Data Analyst will engage with customers and internal partners to deliver services to… more
- 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
- Seattle Children's (Seattle, WA)
- The Audit Management Analyst will serve as an organizational expert on current payer audit processes and principles and will complete and communicate the status of ... hospital facility claims audits by third parties conducted to reduce payment...than the medical necessity of care. The Audit Management Analyst will coordinate with internal and external resources to… more
- Staffing Solutions Organization (Albany, NY)
- …which is a reflection of our clients and the people they serve. **Business Analyst - Data Quality in Albany, NY** **Division of Data Services & Analytics (DDSA)** ... **Data Quality Team** **Item 1302** The **Business Analyst ** will work within the Division of Data Services...Project Management. The individual will be responsible for the research and understanding of healthcare data and business context… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …make a measurable impact at the heart of our organization's success? As a **Forecast Analyst ** , you'll be the driving force behind our claims center's strategic ... future of our business, this is the opportunity for you! The Forecast Analyst position is responsible for facilitating the development of forecasts, budget, and… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …care for kids in California. Here world-class experts in medicine, education and research work together to deliver family-centered care half a million times each ... of the future is brighter than can be imagined. Investments in technology, research and innovation will create care that is personal, convenient and empowering. Our… more
- Sun Pharmaceuticals, Inc (Princeton, NJ)
- **Job purpose** The Senior Analyst , Pricing and Contracts is responsible for supporting OTC Sales, Marketing, operations and other functions of the business through ... Chargeback reconciliations, Development and maintenance of marketing tools and market research analytics. Supports the growth and management of Ohm portfolios… more
- Warner Music Group (Miami, FL)
- …retains the creative spirit of a nimble independent. **Job Title: Legal Analyst ** **Reports To: SVP, Business & Legal Affairs, Latin America** **Department: Business ... reviewing/ drafting contracts affecting copyrights, licenses, royalties, fees, assisting with claims and settlements, and leading contract deadlines along with other… more
- Molina Healthcare (Rochester, NY)
- **Job Description** **Job Summary** Provides entry level analyst support for claims research activities. This role plays a pivotal role in ensuring the ... them to the appropriate department or team for further research or correction. + Leverages knowledge of claims... research or correction. + Leverages knowledge of claims processing workflows, billing practices, and regulatory guidelines to… more
- NJM Insurance (Trenton, NJ)
- NJM Insurance Group's Claims & Medical Services Analytics group is seeking a Claims Insights Analyst . The Claims Insights Analyst applies a strong ... through presentations, dashboards and visualizations to drive strategic decision making. The Claims Insights Analyst is a highly motivated, creative self-thinker… more
- Prime Therapeutics (Des Moines, IA)
- …drives every decision we make. **Job Posting Title** Specialty & Home Delivery Program Claims Analyst - Remote **Job Description** The Specialty & Home Delivery ... Program Claims Analyst is responsible for serving as...work visa or residency sponsorship **Preferred Qualifications** + Claims research experience + PBM industry knowledge… more
- Magellan Health Services (Albuquerque, NM)
- …5-7 years' claims experience. Minimum 1 year experience of complex claims research and/or issue resolution or analysis of reimbursement methodologies within ... The Claims Internal Resolution Analyst is responsible for coordinating the resolution of claims issues locally at the health plan by actively researching and… 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 ... escalations, provide support to respond to branch cases and claims + "Boots on the ground" identify/ research /resolve...VA team for support + Escalate to assigned Variance Analyst any claims not resolved within 25… more
- NTT DATA North America (Merced, CA)
- …executed as part of an overall sourcing strategy NTT DATA currently seeks a Application Analyst III - Core to join our team in remote in the USA. **Job Overview:** ... The Application Analyst III - Core Systems is the advanced working...to high-level support and expertise related to systems configuration, research and analysis, and State policy and procedure implementation,… more
- CVS Health (Phoenix, AZ)
- …in ensuring the accuracy and integrity of all Electronic Data Interchange (EDI) and claims intake processes within the Medicaid line of business. We are seeking a ... **dynamic, self-motivated Technical Analyst ** with a strong foundation in **SQL** , **EDI...strong foundation in **SQL** , **EDI transactions** , and ** claims operations** . In this role, you will: +… more
- Bank of America (Newark, DE)
- Wealth Management Fraud and Claims - Senior Fraud Analyst Newark, Delaware **To proceed with your application, you must be at least 18 years of age.** ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Newark/Wealth-Management-Fraud-and- Claims Senior-Fraud- Analyst \_25043739-2) **Job Description:** _Merrill Wealth Management… more
Related Job Searches:
Analyst,
Associate Analyst Claims Research,
Claims,
Claims Analyst,
Research,
Research Analyst