- WelbeHealth (Annapolis, MD)
- …Health Plan Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and ... accurate pre-payment or denial of claims while meeting federal/state regulations, provider agreements terms, and/or company policies and procedures. **Essential Job… more
- Under Armour, Inc. (Sparrows Point, MD)
- Logistics Compliance & Claims Analyst **Logistics Compliance & Claims Analyst ** **Values & Innovation** At Under Armour, we are committed to empowering ... (https://performancemanager8.successfactors.com/sf/careers/jobsearch?bplte\_company=ua&\_s.crb=aNMP8gWoYkBDFn%252bz2BldysgcgQHZpVs6tHzE9smSuXE%253d) **Purpose of Role** The Logistics Compliance & Claims Analyst (Baltimore Distribution House) leads… more
- Aegon Asset Management (Baltimore, MD)
- …which includes Finance, People and Places, General Counsel, Risk, Internal Audit , Strategy and Development, and Corporate Affairs, which covers Communications, ... information, visit transamerica.com . Job Description Summary The Corporate Insurance Analyst will assist in managing corporate non-life insurance programs for the… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations Analyst assumes a pro-active approach in ensuring the accuracy and integrity of ... methodologies, risk score calculations, enrollment, submissions, medical and pharmacy claims , and provider data. Incumbent is responsible for performing analyses… more
- Highmark Health (Annapolis, MD)
- …and training materials specific to underwriting functions, ensuring clarity for audit and compliance. + Collaborate closely with underwriters to analyze existing ... 3 - 5 years of experience in a Business Analyst or Business Process Analyst role or...role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + Experience in… more
- Highmark Health (Annapolis, MD)
- …with a general understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues and problems. A comprehensive ... include but not limited to, review/editing of content submissions and best practices, audit reports, etc. The incumbent is expected to make major contributions to… more