- The Cigna Group (Bloomfield, CT)
- …and data validation + work closely with external clients, internal stakeholders, project managers, claims systems , claims product and planning and claims ... of business within the Cigna group, is hiring Claim Systems , Technical Lead Analyst . For this highly...in understanding the impact of requested changes to end-to-end claims adjudication processes + Use your technical proficiency to… more
- The Cigna Group (Bloomfield, CT)
- …improves our business solutions? Do you have a high degree of technical expertise in claims systems ? EviCore, a line of business within the Cigna Group, is ... hiring a Claim Systems , Business Solutions Lead Analyst to provide...work closely with external clients, internal stakeholders, project managers, claims systems , claims product and… more
- AmeriHealth Caritas (Newtown Square, PA)
- …to ten (10) years of relevant Healthcare Claims experience as a Business Systems Analyst in a fast-paced environment. + HealthCare Claims experience ... administrative services. Discover more about us at www.amerihealthcaritas.com. The **Business Systems Analyst Lead** is critical to helping businesses implement… more
- UTMB Health (Galveston, TX)
- Senior EHR Clin Apps Analyst (Resolute Hospital and Professional Claims ), Remote - ITS-Clin Revenue Cycle **Galveston, Texas, United States** **New** Information ... clinical applications analysis and/or programming of intermediate to complex systems , analysis of clinical workflows, and system adoption strategies. **Preferred… more
- Guardian Life (Bethlehem, PA)
- **Overview** As Claims Technical Analyst in Individual Markets Claims , you will play a key role in supporting the Life Insurance claims processing, ... on Claims management platform and integration with systems like policy administration, databases etc. This role will...similar technology + 3+ years of experience as Life Claims Technical Analyst in Life Insurance industry.… more
- Highmark Health (Frankfort, KY)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
- Netflix (Los Angeles, CA)
- We are seeking a Senior Analyst to assist our growing Risk Management team. In this role, you will support our Global Corporate and Production Casualty Claims , ... compensation, return to work, auto liability, and general liability claims . This role reports to a Senior Manager within...in a discreet manner. + Proficient in various RMIS systems eg: Origami. + Proficient in G Suite and… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Apr 19, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 60414 **Who we are** Teva ... us on our journey of growth! **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Apr 16, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 61400 **Who we are** ... people to make a difference with. **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which… more
- AmeriHealth Caritas (Washington, DC)
- …Network Resolution Analyst is responsible for configuration updates, resolution of claims inquiries, and all other system changes needed to facilitate timely and ... accurate payment of claims for par and non-par providers in our network.;...in our network.; The Managed Care Provider Network Resolution Analyst ensures that each provider's status with the health… more
- New York State Civil Service (Albany, NY)
- …DASNY - Dormitory Authority of the State of New York Title Senior Construction Claims Analyst (Cost Control) - Albany, NY or NYC Office Occupational Category ... State NY Zip Code 12208 Duties Description Primary PurposeSenior Cost Control Analyst reviews and recommends approval of construction change orders, analyzes … more
- TEKsystems (Deerfield Beach, FL)
- …a leading North American provider of auto-dealership services, is looking to add Mechanical Claims Analyst to their Deerfield Beach, FL team. Description Are you ... skilled mechanic looking to shift gears in your career? We are seeking Mechanical Claims Analysts to join our expanding customer contact team. In this role, you'll… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **_Roles & Responsibilities:_** The Health Plan Claims Analyst I is responsible for multiple components of specific health plan operations. ... + 2 years experience in medical billing or health claims , with experience in IDX billing systems in a health care or insurance environment, and familiarity… more
- Cardinal Health (Nashville, TN)
- This Sr. Analyst will support the Metro Medical Pharmacy Claims & Reconciliations. Open to remote candidates in Tennessee and Ohio! **_What Finance Operations ... fiscal controls, prepares and interprets financial reports, oversees financial systems and safeguards the organization's assets. Finance Operations is responsible… more
- Acosta Group (Tampa, FL)
- …+ Searches for and links invoices, contracts, and Proof of Performance to claims as needed. + Uses systems , reports, and Standard Operating Procedures ... **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be… more
- Prime Therapeutics (Washington, DC)
- …fuels our passion and drives every decision we make. **Job Posting Title** Treasury Claims Analyst Senior - Remote **Job Description** The Senior Treasury Claim ... Analyst is responsible for supporting the claim payment process,...providing guidance to the Accounting, Finance, Information Technology and Claims operation functions, as well as Pharmacy Networks and… more
- TEKsystems (Detroit, MI)
- …Minimum 4+ years of experience in the mortgage industry conducting Default Servicing, claims filing, quality assurance or compliance filing - Must have experience in ... FHA Part B Claims Filing , expense reimbursement, CWCOT Claims ...Excel, Power Point, and ability to learn industry related systems Other helpful technology tools to look up: CMAX,… more
- Amazon (Austin, TX)
- …of leading the world in innovative technologies and services. This Business Analyst role will help business leaders make sense of complicated insurance data ... and claim data using Excel, SQL, Access, Tableau, and other data management systems . * Monitor existent metrics, identify and develop new metrics, and analyze them… more
- Axis (Princeton, NJ)
- …This role is a highly analytical and detail-oriented position within our Claims Operations team, with a specialized focus on Bordereaux Management. The ideal ... effectively with cross-functional teams to drive process improvements and enhance claims management efficiency. *Preferred candidates will be able to commute to… more
- TEKsystems (Earth City, MO)
- Seeking a Mechanical Claims Specialist to join our expanding customer contact team. In this role, you'll transition from the physical demands of the shop floor to a ... expertise and in-depth knowledge of vehicle mechanics to assess and process mechanical claims . This opportunity offers a refreshing change of pace, allowing you to… more