- Commonwealth Care Alliance (Boston, MA)
- …at this time._** **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role ... Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role...reimbursement issues - including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject… more
- Safran (Atlanta, GA)
- …Business Units, Quality Department, Finance, and Central Inventory Warehouse. The Claims Analyst is accountable for KPIs used to monitor department ... Claims Analyst **Job details** **General information** **Entity** Safran is an international high-technology group, operating in the aviation (propulsion,… 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
- WTW (Miami, FL)
- **Description** We are seeking a highly motivated individual to join our Company as a Claims Analyst based in Miami. The candidate will have multiple claims ... + Maintain strong professional relationships with key parties to facilitate efficient claims resolution. **Compliance & Quality Assurance** + Ensure adherence to… more
- Banner Health (Phoenix, AZ)
- …Name:** Risk Financing & Ins Programs **Work Shift:** Day **Job Category:** Risk, Quality and Safety Great careers are built at Banner Health. There's more to ... Banner Health is seeking a Senior Risk & Insurance Analyst to join the department and assist with risk...department and assist with risk identification, mitigation, transfer, and claims management to protect one of the nation's largest… more
- Robert Half Accountemps (Raleigh, NC)
- Description We are looking for a detail-oriented Medical Claims Analyst to join our team in Raleigh, North Carolina. This long-term contract position is ideal ... high- quality results. Responsibilities: * Process and reconcile medical claims efficiently, ensuring all records are accurate and up-to-date. * Resubmit… more
- UPMC (Pittsburgh, PA)
- UPMC is hiring an Expert Senior Systems Analyst to join their highly accomplished team. This position is specifically for the Hospital Billing Claims Bridges EHR ... detail-oriented documentation for new and complex processes. Responsible for quality and validity of documentation. Extract and document customer/business… more
- Carrington (Jackson, MS)
- …amazing team and work remote from home! The Loss Claim Recovery Analysis Analyst is responsible for performing financial reconciliation on all liquidated loans and ... Respond to and make all corrections identified during the Quality Review Process within 24 hours of receipt. +...to and including Loss Mitigation, Bankruptcy, Foreclosure, Conveyance and Claims in addition to mortgage servicing state, federal and… more
- DXC Technology (Farmington Hills, MI)
- …* Execute and oversee Insurance business process transactions, focusing on quality and efficiency. * Analyze data, contribute to process improvements, and ... process bottlenecks and opportunities for enhancement. * Ensure compliance with quality and procedural standards. * Contribute insights for improving process… more
- Donegal Insurance Group (Marietta, PA)
- …Insurance Group has an opening for a Business Analyst / Quality Assurance Analyst . As a member of our Claims team, this position collaborates with business ... in Computer Science, Business Systems or equivalent experience + 3 years of Business Analyst and/or Quality Assurance Analyst experience with a working… more
- NJM Insurance (Trenton, NJ)
- …(WC) Training and Quality Assurance Management Supervisor, the WC Quality Assurance/Compliance Analyst is responsible for ensuring adherence to state ... Trenton . Essential Duties and Responsibilities: + Assist with coordinating quality and compliance audits/reviews including pre-work such as audit program… more
- CGI Technologies and Solutions, Inc. (Indianapolis, IN)
- ** Quality Analyst ** **Category:** Testing/ Quality Assurance **Main location:** United States, Indiana, Indianapolis **Position ID:** J0825-0830 **Employment ... . **Position Description:** CGI is looking for a skilled Quality Analyst for data testing across insurance...requirements and downstream impacts. * Serve as the data quality advocate across the personal lines business-underwriting, claims… more
- The Cigna Group (Bloomfield, CT)
- The Quality Review & Audit Senior Analyst exhibits expertise in evaluating complex medical documentation for diagnosis code accuracy and compliance in support of ... and Risk Adjustment Data Validation (RADV) audits. The Senior Analyst is responsible for all aspects of auditing medical...peers and coding vendor coders, to ensure compliance with quality standards, scoring as appropriate per monthly quality… more
- Ventura County (Ventura, CA)
- Workers' Compensation Risk Analyst Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5142408) Apply Workers' Compensation Risk Analyst Salary ... The candidate must possess extensive experience in workers' compensation claims administration, rating permanent disability, developing case settlement recommendations,… more
- Center For Health Information And Analysis (Boston, MA)
- …supporting the development of data-driven policies that aim to improve the quality and equity of care, while keeping costs affordable for Massachusetts families. ... in health policy impact! We are seeking a Research Analyst to contribute to our growing research projects within...tasks for large datasets such as the All Payer Claims Database (APCD), hospital discharge data (Case Mix), and… more
- Fifth Third Bank, NA (Grand Rapids, MI)
- …ensuring compliance with Uniform Commercial Code (UCC) and Regulation E and Regulation Z claims . The Analyst uses various bank and vendor systems to research ... Third Bank. GENERAL FUNCTION: Under general supervision, the Dispute Intake Analyst provides outstanding customer service while capturing accurate customer account… more
- Ryder System (Hagerstown, MD)
- …clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Senior Quality Analyst will conduct quality analysis, ... incumbent will document/modify processes, based on received and performed quality audits, review root cause analysis of damage ...quality audits, review root cause analysis of damage claims , and participate with the potential to lead continuous… more
- Cognizant (Cheyenne, WY)
- **About the role** As a ** Quality Assurance Analyst - Healthcare Systems** , you will make an impact by ensuring data integrity, validating business rules, and ... of EDI X12 837 and 835 transaction sets for claims processing. + Ability to write and execute detailed...platforms such as FACETS. + Familiarity with mocking 837 claims for testing multiple claim scenarios. + Exposure to… more
- MVP Health Care (Rochester, NY)
- …thinking and continuous improvement. To achieve this, we're looking for a **Professional, Quality Analyst ** to join #TeamMVP. This is the opportunity for you ... highly preferred + Subject matter expertise in healthcare data- claims , coding, HIE's etc. Experience with quality ...data- claims , coding, HIE's etc. Experience with quality metrics, (NCQA HEDIS and NYS QARR) standards strongly… more
- Molina Healthcare (Rio Rancho, NM)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... educate users on how to use reports. + Assist Quality Data Analytics Leaders in Predictive Intervention Strategy Analytics...Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality department with HEDIS measure deep dive to support… more
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