- Highmark Health (Nashville, TN)
- …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
- WelbeHealth (Nashville, TN)
- …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 ... highly preferred + Demonstrated skills within Microsoft Office Applications, including Excel ** Benefits of Working at WelbeHealth:** Apply your claims expertise… more
- Highmark Health (Nashville, TN)
- …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
- DXC Technology (Nashville, TN)
- …to enhance customer experience and enable long-term transformation. Responsible for claims services and adjudication of health and disability insurance claims ... service delivery. **Essential Job Functions:** + Execute health and disability claims adjudication and processing, learning from experienced team members while… more
- Rocket Software (Nashville, TN)
- …people truly BELIEVE in what they're doing!** **Job Description Summary:** The Senior Benefit Analyst is responsible for building and delivering both global and ... country programs in line with the global total rewards philosophy. The Senior Benefits Analyst supports the design, administration, and analysis of Americas' and… more
- HCA Healthcare (Nashville, TN)
- …**Education & Experience:** + Bachelor's degree Required + 3+ years of experience in benefits administration (as a Benefits Analyst or HRIS Analyst ... We care like family! Jump-start your career as a Benefits Operations Analyst today with HCA Healthcare....Ancillary Plans, and Compliance) for any customer service or benefit plan issues involving outsourced retirement administrators + Provide… more
- Prime Therapeutics (Nashville, TN)
- …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
- TEKsystems (Nashville, TN)
- Business Intelligence Analyst - TEKsystems Location: 100% Remote Employment Type: Permanent - Full Time Position Overview We are seeking a Business Intelligence ... Analyst to join a fully remote team. This role...transformations using Python when needed. + Analyze financial and claims data, including dialysis-level and Medicare claims .… more
- WTW (Nashville, TN)
- …to the language. **Other:** Keep abreast of laws and regulations impacting employee benefits , claims procedures, and notice requirements by using our legal ... are seeking an organized and detail-oriented Retirement Plan Compliance Analyst to join our team. As a compliance ...also eligible for an annual short-term incentive bonus. **Company Benefits ** WTW provides a competitive benefit package… more
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- …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 (Nashville, TN)
- **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
- Sedgwick (Memphis, TN)
- …advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance IT Systems Analyst Specialist Sr **PRIMARY PURPOSE OF THE ROLE:** To lead the business analysis… more
- Cognizant (Nashville, TN)
- **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
- Cognizant (Nashville, TN)
- **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
- Humana (Nashville, TN)
- …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
- Prime Therapeutics (Nashville, TN)
- …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
- Prime Therapeutics (Nashville, TN)
- …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
- Community Health Systems (Franklin, TN)
- **Job Summary** The Patient Accounts Analyst - Independent Dispute Resolution (IDR) is responsible for managing all aspects of the revenue cycle for assigned clinic ... clinic staff and corporate teams to optimize financial performance. The Patient Accounts Analyst - IDR also tracks, reviews, and reports on billing metrics and… more
- Elevance Health (Nashville, TN)
- **Actuarial Analyst II** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... unless an accommodation is granted as required by law. The **Actuarial Analyst II** completes projects and performs complex actuarial studies. **How You Will… more
- Humana (Nashville, TN)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more