- 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
- Highmark Health (Annapolis, MD)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
- Highmark Health (Annapolis, MD)
- …SUMMARY** This job is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a ... product offerings available to Organization members and be versed in claims payment methodologies, benefits administration, and business process requirements.… 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 Shipyard ... will be performed on-site in Washington DC. **Responsibilities** The Senior Cost Analyst /Estimator will develop, review, and comment on the accuracy, integrity, and… more
- AON (Baltimore, MD)
- Health and Benefits Actuarial Analyst This is a hybrid role with the flexibility to work both virtually and from our Baltimore office Aon is in the business of ... working relationships with client teams + Analyzing population and claims data to perform demographic and geographic analyses +...the applicable incentive plan. #LI-KT1 #LI-HYBRID 2571019 Health and Benefits Actuarial Analyst This is a hybrid… more
- Prime Therapeutics (Annapolis, MD)
- …career? Come build the future of pharmacy with us. **Job Posting Title** IT Analyst **Job Description** The IT Business Systems Analyst is responsible for ... document the requirements and technical solutions for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business requirements and IT… more
- Aegon Asset Management (Baltimore, MD)
- …and Savings & Investments, comprised of life insurance, annuities, employee benefits , retirement plans, and Transamerica Investment Solutions, and 3) Financial ... information, visit transamerica.com . Job Description Summary The Corporate Insurance Analyst will assist in managing corporate non-life insurance programs for the… more
- Otsuka America Pharmaceutical Inc. (Annapolis, MD)
- …benefits . Come discover more about Otsuka and our benefit offerings; https://www.otsuka-us.com/careers-join-otsuka . **Disclaimer:** This job description is ... can too._ In this exciting role, as a Sr. Analyst within OAPI supply chain team, you will work...posted for a minimum of 5 business days. **Company benefits :** Comprehensive medical, dental, vision, prescription drug coverage, company… more
- Baylor Scott & White Health (Annapolis, MD)
- **JOB SUMMARY** The Sr. Data Governance Analyst plays a key role in advancing BSWH data governance initiatives and driving data-informed decision-making across the ... organization. The Data Governance Analyst provides data analytics, data management, data architecture support...work environment. + Knowledge of healthcare and health insurance claims processing domains. + Ability to write complex SQL… more
- Point32Health (Washington, DC)
- …direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible per State and Federal regulations for the professional and ... authorized representative and must demonstrate superior customer service and benefit interpretation skills in all interactions. This individual prepares cases… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Regulatory Compliance Analyst will conduct independent analysis and determination regarding the eligibility and legal ... payment requests. This includes the maintenance of the NSA tracking database and claims resolution from start to finish. Monitors claims , identify trends,… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Payment Integrity Analyst is responsible for conducting research and analysis and reviewing billing requirements, provider ... new concepts that will target claim overpayment scenarios. Performs analysis on claims , provider data, enrollment data, medical policies, claim payment policies for… more
- Cognizant (Annapolis, MD)
- **Reimbursement Technical Analyst ** **Location: Remote** **Employment Type: Full-Time** **Job ID: 00066154621** **About the role** As a Reimbursement Technical ... Analyst Associate, you will make an impact by ensuring...analysts and other operational stakeholders to maintain and improve claims reimbursement systems. **In this role, you will:** +… more
- Humana (Annapolis, MD)
- …and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer Business and System Support team ... it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible for maintenance and support of… more
- Cognizant (Annapolis, MD)
- **Job Summary:** We are seeking a strong Duck Creek Functional Analyst / Business Analyst to work closely with customer Product Owners. The ideal candidate will ... teams to handle queries and understand requirements. . Experience with Billing and Claims configuration knowledge and Data Insight producer policy holder is an added… more
- UIC Government Services and the Bowhead Family of Companies (Suitland, MD)
- **Overview** ANALYST II (NHTSA): Bowhead is seeking an Analyst II to support the National Highway Traffic Safety Administration (NHTSA) in Washington, DC.This ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- Prime Therapeutics (Annapolis, MD)
- …pricing or financial analysis to include 5 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related field** **3 ... build the future of pharmacy with us. **Job Posting Title** Principal Pricing Analyst - REMOTE **Job Description** **The Principal Pricing Analyst leads complex… more
- CareFirst (Washington, DC)
- …Master, participates in the creation of technical documentation and configuration of Benefits for claims adjudication. Collaborates in the creation of project ... package, various incentive programs/plans, and 401k contribution programs/plans (all benefits /incentives are subject to eligibility requirements). **Department** Benefit… more
- Prime Therapeutics (Annapolis, MD)
- …career? Come build the future of pharmacy with us. **Job Posting Title** Treasury Analyst Sr - Remote **Job Description** The Senior Treasury Analyst is ... Treasury Team and guidance to the Accounting, Finance, Information Technology and Claims operation functions, as well as Pharmacy Networks and Government Programs.… 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