• Morley (CA)
    …case details? If so, this role could be a perfect fit for you! As a Legal Claims Analyst at Morley, you'll play a key role in managing small automotive claims ... client outside counsel to support the client's defense strategies, including lemon law claims + Serve as the "Person Most Knowledgeable" (PMK) on the client's… more
    DirectEmployers Association (10/22/25)
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  • Terumo Medical Corporation (Somerset, NJ)
    Contract Analyst , Temp Date: Oct 21, 2025 Req ID: 5174 Location: Somerset, NJ, US, 08873 Company: Terumo Medical Corporation Department: Contracting and ... Analytics **Job Summary** The Temp Contract Analyst is responsible for administering specific assigned stages of the Terumo Medical Corporation (TMC) Sales… more
    DirectEmployers Association (09/23/25)
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  • Perfected Claims (Pasadena, CA)
    Perfected Claims is looking for three Case Management Analysts to join our team in Pasadena, CA. If that sounds like you, and your qualifications are a good match, ... look forward to hearing from you! The Case Management Analyst is responsible for a docket of cases that...cross-trained in all areas of case management: Intake Qualification, Medical Record Retrieval Coordination, Medical Record Review,… more
    Upward (08/10/25)
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  • Stanford Health Care (Palo Alto, CA)
    …**This is a Stanford Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue Cycle ... well as excellent analytical and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical staff, coding… more
    DirectEmployers Association (10/10/25)
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  • Sun Pharmaceuticals, Inc (Princeton, NJ)
    …our global workforce is bound by our common values: **Job Summary:** The Rebate Analyst will work closely with Contract Strategy to ensure all payer agreements are ... that processes, evaluates, and analyzes sales contracts for US markets. The Rebate Analyst will be responsible for the overall Contract Administration for Sun Pharma… more
    DirectEmployers Association (10/24/25)
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  • Lyric (Newtown Square, PA)
    …programming/queries, as well as advanced excel experience + 1+ Years' experience auditing medical claims to identify improper payments as a Payment Integrity ... other immigration support are not available for this position. The Data Analyst will support excellence of execution with post payment customer deliverables through… more
    DirectEmployers Association (10/03/25)
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  • 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
    DirectEmployers Association (10/09/25)
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  • Seattle Children's (Seattle, WA)
    …audits by third parties conducted to reduce payment for reasons other than the medical necessity of care. The Audit Management Analyst will coordinate with ... The Audit Management Analyst will serve as an organizational expert on...Information** Seattle Children's offers a generous benefit package, including medical , dental, and vision plans, 403(b), life insurance, paid… more
    DirectEmployers Association (10/24/25)
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  • 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
    Upward (08/10/25)
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  • 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
    DirectEmployers Association (10/31/25)
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  • 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 ... signed are accurately reflected in Vistex agreement management platform 1. **Open Claims /Chargeback Team Lead:** _Manage end-end review and co-ordination of open … more
    DirectEmployers Association (09/11/25)
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  • Huntington Ingalls Industries (Pascagoula, MS)
    BUSINESS PROCESS ANALYST 3 Location: Pascagoula, Mississippi, United States Date: Oct 28, 2025 Req ID: 43817 Team: 50 Planning/Scheduling/Control Entity: Ingalls ... Knowledge + AND/OR SAP experience + AND/OR Experience submitting claims into SAP **Why HII** We build the world's...to build a future. We offer comprehensive benefits including: medical , prescription drug, dental and vision plan choices, on-site… more
    DirectEmployers Association (10/29/25)
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  • Somatus (Mclean, VA)
    …and be the best version of themselves, including: + Subsidized, personal healthcare coverage ( medical , dental vision) + Flexible Paid Time Off (PTO) + 401(k) Match + ... the leader in value-based kidney care, has an immediate opening for an Analyst , Operations & Client Analytics to create impact among Somatus' clients and leadership… more
    DirectEmployers Association (09/26/25)
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  • Xcel Energy (Minneapolis, MN)
    …experience. + CPCU or ARM designation or equivalent knowledge through experience. + Claims handling experience. + Ability to work extended hours as required. + ... is eligible for the following benefits: Annual Incentive Program, Medical /Pharmacy Plan, Dental, Vision, Life Insurance, Dependent Care Reimbursement Account,… more
    DirectEmployers Association (09/30/25)
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  • Jobleads-US (Washington, DC)
    …and suture removal, abrasions, minor musculoskeletal injuries, etc.). Provide medical consultations for illnesses which include non-occupational and occupational ... illnesses. Maintain medical surveillance program to meet the requirements of the...Microsoft Office Suite software. Work jointly with the Program Analyst assigned to the Workers' Compensation program and the… more
    Appcast IO CPC (10/27/25)
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  • Jobleads-US (Bethesda, MD)
    …consultants in managing client accounts by researching, analyzing, and evaluating medical , dental, life and disability benefits plans and programs for employers. ... and budget meetings For experience rated clients - Tracking claims experience - gather data from client and vendors...it into a standardized template and compare a client's medical and dental plan information (such as the benefits… more
    Appcast IO CPC (10/31/25)
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  • Sun Pharmaceuticals, Inc (Princeton, NJ)
    …per Managements request. + Work with accounting and finance to validate credit claims from customers regarding FTS and ensure FTS doesnt exceed total annual ... Sales Operations: Order Management Manager Manager, Customer Service Marketing Analyst The presently-anticipated base compensation pay range for this position… more
    DirectEmployers Association (09/11/25)
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  • Medical Claims Analyst

    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 for someone with extensive experience in medical claims processing and a strong ability to manage repetitive clerical tasks effectively. The role requires… more
    Robert Half Accountemps (10/02/25)
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  • Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    …the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing ... specific to Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims , settlement, claims more
    Commonwealth Care Alliance (08/26/25)
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  • Healthcare Coding Analyst

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …will be considered. * 3 years of relevant health plan or provider office medical coding/ claims and/or Business Analyst experience in a healthcare setting ... and Blue Shield of Minnesota Position Title: Healthcare Coding Analyst Location: Hybrid | Eagan, Minnesota Career Area: Customer...claims adjudication. This includes analysis of changes to medical code sets to determine impacts to and necessary… more
    Blue Cross and Blue Shield of Minnesota (10/24/25)
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