- Acosta Group (Jacksonville, FL)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be ... responsible for analyzing claims and making decisions about their validity. The position..., assesses the reason for the escalation, and provides resolution in priority order as directed by the Supervisor.… more
- Acosta Group (Jacksonville, FL)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be ... responsible for analyzing claims and making decisions about their validity. The position..., assesses the reason for the escalation, and provides resolution in priority order as directed by the Supervisor… more
- Acosta Group (Cabarrus County, NC)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be ... responsible for analyzing claims and making decisions about their validity. The position..., assesses the reason for the escalation, and provides resolution in priority order as directed by the Supervisor.… more
- Acosta Group (Hillsborough County, FL)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be ... responsible for analyzing claims and making decisions about their validity. The position..., assesses the reason for the escalation, and provides resolution in priority order as directed by the Supervisor… more
- AON (Chicago, IL)
- …to ensure the Med-only claims are within the reserve threshold. The Analyst will follow-up with Med-only Resolution Manager for release and MMI. (maximum ... management contact for Med-Only Resolution Managers. The Analyst will review claims and determine if...be converted to indemnity for further investigation. + The Analyst will create reports to review data … more
- Lowe's (Mooresville, NC)
- "The primary purpose of this role is to serve as a high risk claims analyst for the Legal department, handling litigated cases and sensitive brand issues. The ... Sr. Claims Examiner + Serves in a supervisory capacity to other examiners on claims resolution + Develops and delivers training to be used for new claims… more
- AIG (Lenexa, KS)
- …role The Technical Third-Party Oversight team is adding a growth position as a Claims Analyst and is responsible for working with TPAs in investigating, ... of products to customers through a diversified, multichannel distribution network. Our Claims professionals support AIG policyholders through some of the most trying… more
- Teva Pharmaceuticals (North Wales, PA)
- Medicaid Claims Analyst Date: May 29, 2024 Location: North Wales, United States, Pennsylvania, 19454 Company: Teva Pharmaceuticals Job Id: 56294 **Who we are** ... and new people to make a difference with. **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… more
- HNTB (Seattle, WA)
- …position will support local WSDOT construction offices to review schedule delays and claims and will support resolution of delay related issues between ... HNTB is seeking a highly valued Senior Scheduler with claims experience to play a crucial role in supporting...schedule. + Oversees a database or "warehouse" of scheduling data recorded and tracked from each job. + Participates… more
- Waystar (Louisville, KY)
- **ABOUT THIS POSITION** We are looking for a Enterprise Technical Support Analyst who is passionate, curious, and joyfully optimistic. The Enterprise Technical ... Support Analyst serves as a front-line support contact for Waystar's...+ Documents support cases thoroughly, showing research steps and resolution . + Identify client concerns and engage appropriate internal… more
- Citigroup (San Antonio, TX)
- The Assoc Ops Sup Analyst is an entry level position responsible for providing operations support services, including but not limited to; record/documentation ... with the Operations - Core Team. Additionally, the Assoc Ops Sup Analyst serves as the liaison between operations staff, relationship managers, project managers,… more
- Fairview Health Services (Minneapolis, MN)
- **Overview** M Health Fairview is a hiring a Sr Application Analyst in Professional Billing - Epic! This position is involved with building in Epic. This role will ... Configure code, test and solve existing programs. Analyze end user data and business needs to assure user-orientation and efficient program/system performance.… more
- Sharp HealthCare (San Diego, CA)
- …part in developing and maintaining litigation/ resolution plan for all open claims .* Reviews and analyzes relevant QVR data and when appropriate, responds ... & Insurance manages and supports the defense and resolution of their party liability claims against...Analyst in recording, authenticating, and maintaining all financial data relating to the captive insurance company.* Reports all… more
- AssistRx (Orlando, FL)
- … data that will be presented to internal teams, clients and partners. The Data Analyst leads the onboarding of electronic data trading partners and ... The Data Quality Analyst is responsible for...data submissions and communicating with them in the resolution of data quality issues. Successful applicants… more
- CareFirst (Baltimore, MD)
- …strategy and delivery of two key analytic tools that will be built using provider and claims data . The Analyst will sit on the Value and Sales Enablement ... **Resp & Qualifications** **PURPOSE:** The Sr. Data Analyst will be responsible for... questions and issues from stakeholders and driving to resolution . Take regular feedback on dashboards to incorporate into… more
- Stanford Health Care (Palo Alto, CA)
- …the direction of ACO Operations Management, the Eligibility and Enrollment (E&E) Data Analyst performs specialized functions to maintain eligibility data ... and maintain assigned process and procedure documents. The Eligibility and Enrollment (E&E) Data Analyst is the intermediate working level in the Eligibility and… more
- City of Boynton Beach (Boynton Beach, FL)
- Risk Analyst Salary $59,909.22 - $63,000.00 Annually Location Boynton Beach, FL Job Type Full Time Job Number 2024-0529 Department City Attorney Opening Date ... risk management program, including safety initiatives, training, emergency management, claims administration, workers' compensation, and other risk-related activities. Provides… more
- CDPHP (Albany, NY)
- …CDPHP's core claims systems and any integrated systems. The Configuration Analyst II will recommend system and configuration solutions and alternatives that meet ... and invites you to be a part of that experience. The Configuration Analyst II is responsible for leading the analysis, maintenance, and configuration of CDPHP's… more
- UPMC (Pittsburgh, PA)
- **UPMC Health Plan is looking for an Intermediate Clinical Auditor/ Analyst to join the Quality Assurance team!** The Intermediate Clinical Auditor/ Analyst is an ... procedural and diagnosis codes have been used appropriately on claims . This role also acts as a SME for...meetings, training new staff and auditing peers. Collects program data to monitor/ensure compliance requirements and establishes and revises… more
- University of Pennsylvania (Philadelphia, PA)
- …The Statistical Analyst will also assist with designing interfaces for data collection and management, performing data integration, manuscript writing for ... databases and coordinate with research staff to address discrepancies and complete data cleaning procedures; review/confirm resolution of data discrepancies… more