- Harbor Health Services, Inc. (Mattapan, MA)
- …those upon request of utilization or finance department. Works with UM RNs and Senior Medical Director to deny claims when appropriate. Attends IDT meetings on ... Off plus 11 additional Holidays and much more! Role: Reporting to the Senior Director of Health Plan Operations, the Director of Utilization Management and Quality… more
- NTT America, Inc. (Little Rock, AR)
- …of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Senior Claims Business Analyst to join our team in ... and document business , technical, and user requirements related to Medicaid Claims Adjudication and other functional areas. * Collaborate with state business … more
- Dana-Farber Cancer Institute (Boston, MA)
- …. In partnership with Business Strategy, the Senior Business Intelligence Analyst builds claims -based analytical models, integrates clinical ... team supports areas such as quality, operations and most importantly, patient care. The Senior Clinical Operations Analyst will work with a variety of tools (eg… more
- AIG (Atlanta, GA)
- Senior Claims Analyst ,...and concerning potential product changes and enhancements. + Advise claims and business leaders on emerging risks. ... are reimagining the way we help customers to manage risk. Join us as a Senior Claims Analyst to play your part in that transformation. It's an opportunity to… more
- Travel + Leisure Co. (Orlando, FL)
- …turn vacation inspiration into exceptional experiences for millions of travelers worldwide. The ** Senior Property Claims Analyst ** will play a crucial role ... as part of a high-performing, results-oriented Risk Management Team. The Senior Property Claims Analyst will be accountable for all aspects of property claim… more
- UTMB Health (Galveston, TX)
- Senior EHR Clin Apps Analyst (Resolute Hospital and Professional Claims ), Remote - ITS-Clin Revenue Cycle **Galveston, Texas, United States** Information ... are listed in order from least experienced to most experienced: EHR Clinical Application Analyst EHR Clinical Application Analyst , Senior This position EHR… more
- Highmark Health (Topeka, KS)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards....behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of… more
- NJM Insurance (Trenton, NJ)
- …Insurance Group's Claims Analytics Department is seeking a Claims Insights Analyst Intern (the official NJM Title is Business Insights Analyst , ... Claims Operations and assist in preparing presentations for business leaders. + Develop competitive models and analysis utilizing...desire to work collaboratively in a team environment The Claims Insight Analyst , Intern position can pay… more
- Travel + Leisure Co. (Orlando, FL)
- …exceptional experiences for millions of travelers worldwide. The **Workers Compensation** ** Claims Analyst ** is responsible for supporting workers' compensation ... would consist of proactive claim administration for workers' compensation claims by providing analysis on each open claim, as...quarterly, and annual basis to corporate management and our business unit leaders. On a secondary level, this role… 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 ... departments to maintain the integrity and efficiency of the claims process across multiple lines of business ....and Savings Plan (401k). All Level 38 and more senior roles may also be eligible for non-qualified Deferred… more
- DXC Technology (Nashville, TN)
- …Our services span the Enterprise Technology Stack, including business process outsourcing, insurance, analytics and engineering, applications, security, ... we help clients optimize and transform operations, reduce costs, automate complex business processes, and build agile channels for growth. We combine expertise,… more
- PPL Corporation (Louisville, KY)
- …does not support a fully remote/work from home schedule.** \#LI-HY #INDPPL The Insurance Analyst or Senior Insurance Analyst position will assist with ... programs and any special programs in place for specific business lines. + Support claims management activities...in underwriting, broker placement or client advisory roles. + Senior Insurance Analyst consideration - at least… more
- CGI Technologies and Solutions, Inc. (Canton, MA)
- ** Senior Business System Analyst - Healthcare** **Category:** Business Analysis (functional and technical) **Main location:** United States, ... this role:** . 8-10 years of experience as a Business Analyst or Business Systems...claims , enrollment, provider data, UM/PA). . Experience writing business , functional and technical specs, data mapping documents, and… more
- UIC Government Services and the Bowhead Family of Companies (Arlington, VA)
- **Overview** SENIOR FINANCIAL BUSINESS ANALYST (NAUT): Bowhead seeks a Senior Financial Business Analyst to support our customer on the Nautical ... cloud-based processes ensuring seamless operational continuity + Develop detailed business requirements documentation for cloud migration activities, including technical… more
- UIC Government Services and the Bowhead Family of Companies (Washington, DC)
- **Overview** Senior Acquisition Program Cost Analyst /Estimator(SIOP-2025-23096): Bowhead seeks an experienced Senior Cost Analyst /Estimator to join our ... to enable staff problem solving, in alignment with best business practices (NPIER) to Get Real, Get Better, and...will be performed on-site in Washington DC. **Responsibilities** The Senior Cost Analyst /Estimator will develop, review, and… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations Analyst assumes a pro-active approach in ensuring the accuracy and ... methodologies, risk score calculations, enrollment, submissions, medical and pharmacy claims , and provider data. Incumbent is responsible for performing analyses… more
- MAPFRE Insurance (Webster, MA)
- Business Intelligence Analyst II ( Senior ...and business strategy? Join us as a Business Intelligence Analyst ( Claims ) and help ... + **Impactful Work:** Develop and analyze datasets that drive critical business initiatives and support enterprise-wide reporting and data marts. +… more
- HTC Global Services Inc (Berlin, NH)
- …process improvements. Key Responsibilities: + Min 7+ years of experience in healthcare business analyst role, especially in data profiling and data management. + ... Description: Client organizations hire healthcare business analysts to bridge business needs...processes. A typical description emphasizes collaboration with Enrollment teams, Claims and provider domains , and IT teams to… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …legally protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Senior Submissions Business Analyst Location: Remote Career Area: ... * Responsible forrepresentingthe customer and/or stakeholder (internal/external) while collaborating with business and technical units. * Serves as senior … more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Healthcare Analyst Senior Location: Hybrid | Eagan, Minnesota Career Area: Data ... Analytics & Business Intelligence About Blue Cross and Blue Shield of...difference, join us. The Impact You Will Have The Senior Healthcare Analyst is responsible for contributing… more
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