- NorthMark Strategies (New York, NY)
- …offers a dynamic environment where individuals have the freedom to lead companies toward bold achievements by embracing innovation, leveraging technology, and ... Position: We are seeking a highly analytical and detail-oriented Senior Risk Analyst to join our Insurance Management & Advisory department, operating within a… more
- Sun Pharmaceuticals, Inc (Princeton, NJ)
- …signed are accurately reflected in Vistex agreement management platform 1. **Open Claims /Chargeback Team Lead :** _Manage end-end review and co-ordination of open ... **Job purpose** The Senior Analyst , Pricing and Contracts is responsible for supporting...organization (ie Sales, Pricing & Contracts, Supply Chain, Finance, Regulatory and Government Pricing). **Duties and responsibilities** 1. **Contract… more
- Commonwealth Care Alliance (Boston, MA)
- …within Clinical Operations in order to maximize productivity and to ensure regulatory compliance. The Senior Business Analyst , Clinical Operations reports to ... continuous process improvement. As a senior individual contributor on the team, the Senior Analyst is expected to successfully lead projects of any size, scope,… more
- Fannie Mae (Washington, DC)
- …evaluating complex documents such as financial statements, legal documents, litigation claims and engineering and inspection reports. * Exceptional written and ... project underwriting or analysis to GSE requirements. * Proven ability to lead initiatives and contribute to team success through collaboration and accountability. *… more
- Sun Pharmaceuticals, Inc (Princeton, NJ)
- **Job purpose** Lead product launch execution, oversee end-to-end order fulfillment, and manage key industry trade shows. This leadership role is critical to driving ... institutional business. **Duties and responsibilities** Generic Product Launch Management: + Lead planning and execution of generic product launches and ensure… more
- Immigration and Customs Enforcement (Washington, DC)
- …to claims management, and provider recruitment. Assumes leadership role as acting claims management program analyst lead when necessary. Serves as CMP ... of Health Plan Management Unit (HPMU). The incumbent reports directly to the IHSC Claims Management Program Analyst Lead (CMP). This is a non-supervisory… more
- Molina Healthcare (Sterling Heights, MI)
- …**Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial ... and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed… more
- AON (IL)
- Reinsurance Business Analyst Aon are looking to recruit an experienced Reinsurance Business Analyst to join our team in the US. This is a Hybrid position and can ... experience will not be considered for this position. The DXC SICS Application Analyst is responsible for maintaining and enhancing the DXC SICS (Swiss Insurance … more
- Molina Healthcare (Cincinnati, OH)
- …identify and troubleshoot claim discrepancies by utilizing benefit and provider contracts, regulatory requirements and various claims related resources + Strong ... Responsible for accurate and timely auditing of critical information on claims databases. Maintains critical auditing and outcome information. Synchronizes data… more
- Elevance Health (Hanover, MD)
- **Business Analyst II- Payment Integrity** **Locations: KY-Louisville, MD-Handover, VA-Virginia Beach** **Hybrid 1** : This role requires associates to be in-office ... unless an accommodation is granted as required by law. The **Business Analyst II-Payment Integrity** is responsible for translating basic business needs into… more
- USAA (San Antonio, TX)
- …As a Reinsurance Analyst I, you will have the chance to lead special projects, identify process improvements, and contribute to a strong risk management ... team in the Life Actuarial department as a Reinsurance Analyst I!** This is an exciting opportunity to play...play a vital role in supporting reinsurance processes, from claims processing and treaty administration to financial reporting and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical ... Essential Accountabilities: Level I . Analyzes and audits acute inpatient claims . Integrates medical chart coding principles, clinical guidelines, and objectivity in… more
- University of Miami (Miami, FL)
- …of Miami Health System IT Department has an opportunity for a full-time Epic Analyst 2. The Epic Analyst 2 assists Associate Epic Analysts on the ... to optimize the application's configuration, function, and access. The Epic Analyst 2 facilitates day-to-day application support and resolving application issues and… more
- Fair Haven Community Health Care (New Haven, CT)
- …dental care, regardless of ability to pay. Job purpose The Senior Data Analyst turns clinical, operational, and financial data into insights that improve patient ... Reporting to the Director of Data, the Senior Data Analyst will effectively prioritize and execute tasks in a...and reports for clinical quality (ex. UDS, HEDIS), operations, regulatory , revenue cycle, and VBC performance. + Produce monthly… more
- AIG (Jersey City, NJ)
- Claims Complex Director - Healthcare Professional Liability (HPL) Join us as a Claims Complex Director to take on key responsibilities within a world-class ... claims function. Make your mark in Claims ...determinations, investigations, and trial and resolution strategies. + The analyst will investigate losses, orchestrate defense strategies for healthcare… more
- HTC Global Services Inc (Troy, MI)
- …and a variety of other perks. The Epic Revenue Cycle Applications Analyst is responsible for the design, build, configuration, optimization, and support of ... charge capture and claim submission to payment posting and account resolution. The analyst acts as a subject matter expert (SME) in Epic billing workflows,… more
- Molina Healthcare (Racine, WI)
- …work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations. + Maintains SharePoint… more
- Insight Global (Mayfield Heights, OH)
- …is responsible to write epics and features to be passed off to a systems analyst who will write the user stories for the developers to code from. -The company ... all its pieces and parts. Other Responsibilities include: * The Business Analyst III is responsible for understanding the stakeholder's business rules, culture and… more
- Coca-Cola Bottling Company High Country (Billings, MT)
- Beverage Quality & Safety Program Analyst Billings, MT (http://maps.google.com/maps?q=1830+Harnish+Blvd+Billings+MT+USA+59101) Job Type Full-time Description ... + Salary for the Beverage Quality & Safety Program Analyst role is approximately $55,000 to $65,000 a year...ensure measures have been implemented. + Monitor management of claims to ensure claim expenses are mitigated. + Organize… more
- Mount Sinai Health System (New York, NY)
- …onsite occasionally at 150 E 42nd Street Corporate Offices** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the ... goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more advanced understanding...others in the Data Science team and takes the lead role in project initiatives. **Qualifications** + BA or… more
