- Molina Healthcare (Kenosha, WI)
- …Operations teams + Interprets, communicates, and presents, clear in-depth analysis of claims research results, root cause analysis, remediation plans and fixes, ... **Job Description** **Job Summary** Serves as claims subject matter expert. Assist the business teams...Molina. Identifies the root cause of processing errors through research and analysis, coordinates and engages with appropriate departments,… more
- Axis (Chicago, IL)
- …in the selection process. Part of AXIS Claims Shared Services, the Claims Operations Analyst is responsible for the performance, oversight, and ongoing ... improvement of Claims support activities performed within our North America ...include support around several claim financial transactions, including payment research , reporting, expense allocations, and payment validations. + Fast… more
- Axis (Chicago, IL)
- …request for candidates taking part in the selection process. **Product Analyst Job Description** **Job Family Grouping: Operations** **Job Family: Product ... functional areas across AXIS, including underwriting, legal and compliance, actuarial and claims . The incumbent will assist business units in ongoing efforts to… more
- CVS Health (Northbrook, IL)
- …every day. **Position Summary** As an Application and Development Support, Sr Analyst on the Program Modernization Automation and Development team, this individual ... and Lean Six Sigma leaders to achieve team objectives. They will research and develop highly technical solutions utilizing various applications and tools and… more
- Molina Healthcare (Kenosha, WI)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom ... and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research , development, and completion of special performance improvement projects… more
- Surgery Care Affiliates (Chicago, IL)
- …will. Responsibilities SCA Health is currently accepting applications for a Senior Analyst position on our innovative and fast-paced Payer Informatics team. This ... that support key enterprise initiatives + Load, cleanse, and analyze externally-sourced claims data, combining with internal data sources to develop complex business… more
- Molina Healthcare (Kenosha, WI)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Develop ad-hoc reports using SQL programming, SQL… more
- Spectrum Billing Solutions (Skokie, IL)
- … in a timely and accurate manner + Verify correct insurance filing information + Research , resolve and resubmit any rejected claims in a timely manner + Check ... Specialist will be responsible for the submission of insurance claims to payors, posting payments, and subsequent follow-up to...401K - with Company match + Supplemental Benefis CM Analyst | Revenue Cycle Billing Specialist | Insurance Specialist… more