- Tory Burch LLC (Jersey City, NJ)
- …generating metrics & reporting and identifying opportunities for savings *Ensuring regulatory compliance relevant to Valuation, FTA programs, and other related ... Logistics, Tax, Construction and other internal departments on trade and regulatory compliance matters *Assisting in the maintenance of internal import/export… more
- Magellan Health, Inc. (Frisco, TX)
- …Medicaid or other health insurance industries. Experience in Healthcare claims operations and/or encounter submissions preferred. Expertise in database management, ... Serves as liaison between departmental team business owners, end users, IT, Claims and Clinical departments. Responds to ad hoc requests for support, reports… more
- ApTask (New York, NY)
- …system customization, or process optimization. Work closely with underwriting, claims , accounting, and policy servicing teams to streamline operations using ... resolve issues and stay updated on new features or regulatory changes. Monitor data integrity, ensure compliance, and maintain...related field. 10+ years of experience as a Business Analyst , with a strong focus on insurance systems.… more
- Gerdau (Tampa, FL)
- …payroll tax compliance processes regarding all payroll tax matters. The Payroll Tax Analyst must be a subject matter expert for federal, state and local regulations ... for North America, in responding to all requests from employees and regulatory agencies, in researching laws and regulations regarding taxes and payroll withholding… more
- iCare Health Solutions Enterprise (Miami, FL)
- …dates, carve-outs, and inclusions/exclusions Test contract builds using simulated claims to confirm accurate payment logic and resolve discrepancies Document ... KPIs such as net revenue realization, gross-to-net adjustments, clean claim rates, and claims lag variance Perform ad hoc data analyses to assist the Revenue Cycle… more
- Goldbelt, Inc. (Frederick, MD)
- …maintaining existing products and provide review, comments and approval of all product claims for technical accuracy and regulatory compliance. Represent the ... Functions: Serve as a liaison between the AJPEO MRAS regulatory office and product leads to ensure DoD-funded ...regulatory office and product leads to ensure DoD-funded regulatory Sponsors developing MCMs are complying with relevant laws,… more
- Amazon (Seattle, WA)
- Amazon A-to-z Guarantee Business Analyst A-to-z Guarantee is Amazon's primary mechanism for protecting customers when they encounter a negative order experience with ... points upstream, parallel, and downstream this is an exciting opportunity for a Business Analyst to enter the team, take ownership of the problem space, simplify and… more
- County of Los Angeles, CA (Los Angeles, CA)
- …storage area under direction of a licensed pharmacist to meet regulatory standards. Returns or disposes medications through coordination with reverse distributor ... steps to view correspondence, and we will not consider claims of missing notices to be a valid reason...practices. HR Examinations Unit:### HR Examinations Unit Email: ###@dmh.lacounty.gov Analyst Contact Phone: Sheenia Stewart ### Analyst … more
- Molina Healthcare (Buffalo, NY)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting,… more
- Panasonic North America (De Soto, KS)
- …the Claims Manager. The Analyst supports complex claims analysis, documentation, investigation coordination, and regulatory compliance, while identifying ... world? Do you have a strong background as a Claims Analyst ? Then we're looking for you!...enrollments and claims tracking related to contractor claims as needed **Incident Investigation & Regulatory … more
- AIG (Atlanta, GA)
- Join us as a Claims Analyst IV to grow your experience in Claims . Make your mark in AL/GL Claims Our Claims teams are the proven problem solvers of ... with empathy and efficiency. How you will create an impact The Casualty Claims Analyst IV is responsible for investigating, evaluating, and negotiating general… more
- Magellan Health Services (Albuquerque, NM)
- The Claims Internal Resolution Analyst is responsible for coordinating the resolution of claims issues locally at the health plan by actively researching and ... would provide an equivalent background may be considered. General Job Information Title Claims Resolution Analyst Grade 21 Work Experience - Required Claims… more
- Levi, Ray & Shoup, Inc. (Chicago, IL)
- …Login (http://www2.lrs.com) File Transfer Filters Careers Added Jul 21, 2025 Business Analyst - Claims Systems (26971) Chicago, IL | Contract Apply ... to talk! LRS Consulting Services is seeking a Business Analyst for a long-term, hybrid onsite contract opportunity with...will: + Lead efforts to analyze and optimize healthcare claims processes to improve accuracy and first-pass resolution rates.… more
- Commonwealth Care Alliance (Boston, MA)
- …not be considered at this time._** Position Summary: Working under the direction of the SVP Claims , the Senior Data Analyst - Payment Integrity & Claims will ... 011250 CCA- Claims **_This position is available to remote employees...Executive Teams. * Conduct independent research and analysis using regulatory guidance, government data and statistics, reports, publications, and… more
- Molina Healthcare (Covington, KY)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... successful implementation of provider engagement programs. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze claims from compliance against contracts, billing, and processing guidelines… more
- University of Miami (Miami, FL)
- …of Miami/UHealth Department of SCCC has an exciting opportunity for a Full Time Regulatory Analyst 1 to work remotely. CORE JOB SUMMARY The Regulatory ... and tests the revised treatment matrix to identify possible cancers from claims data. CORE JOB FUNCTIONS Analyzes regulatory requirements, identifies potential… more
- Zelis (Plano, TX)
- …interests that shape who you are. Position Overview The Sr. Medicaid Reimbursement Regulatory Analyst will collaborate with the Zelis Regulatory Pricer ... an accurate and timely fashion. What you'll do: + Research and decipher regulatory sources such as legislative rules, state registers, waiver programs and bulletins… more
- Tucson Electric Power (Tucson, AZ)
- **Benefits Analyst - I, II, Senior or Lead** Company **Tucson Electric Power** Location **Tucson, AZ** Requisition ID **6015** **About Us** UNS Energy Corporation ... employees,here (https://youtu.be/hpknvJPLuoc) andhere (https://youtu.be/7BECywu-Re4) . **Job Description - Benefits Analyst - I, II, Senior or Lead** **Position Overview**… more
- Amazon (New York, NY)
- …95 distinct insurance programs. The solutions developed and maintained by the Application Analyst cover the full claims lifecycle, encompassing processes such as ... ensure regulatory compliance, and strengthen overall risk management and claims handling capabilities within the GRMC organization. Key job responsibilities As… more
- Trinity Health (Albany, NY)
- …Type:** Full time **Shift:** Day Shift **Description:** **TITLE** Risk Analyst /Specialist **DEPARTMENT:** Clinical Quality & Safety **REPORTS TO:** Risk Manager ... being faithful to who we say we are. **POSITION SUMMARY** The Risk Analyst is primarily responsible for supporting non-clinical risk management activities in both… more
