- Acosta Group (Rogers, AR)
- **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
- UMB Bank (Kansas City, MO)
- …& Responsibilities :** Open to hybrid or remote working schedule The Sr Card Fraud Claims Analyst will be a member of the UMB Card Operations team and will ... of business as well as clients. Assessment, submission and resolution of fraud and non-fraud claims (chargebacks and disputes) using the card processor claims… more
- UCLA Health (Los Angeles, CA)
- …a member of the Medicare Advantage Operations team, Business Data Analyst is instrumental in independently developing the detailed requirements specifications ... are understood and implemented consistent with the Business Data Analyst 's vision + perform testing, design and delivery requirements...to support operations team as needed This is a flex- hybrid role which will require you to be onsite… more
- Virtua Health (Mount Laurel, NJ)
- …join the Virtua Revenue Cycle Team as a Full-time Revenue Integrity Analyst . The role involves conducting charge audits, reviewing clinical charge capture workflows, ... compliance risks, and ensuring accurate and timely submission of claims to insurance companies. The following experience is strongly preferred:*EPIC*Hospital… more
- The Cigna Group (Bloomfield, CT)
- **_This is a HYBRID position that requires on-site presence at times in our Bloomfield, CT location._** **_Only local applicants will be considered._** **POSITION ... Owned Life Insurance (COLI) organization is looking for a Life Insurance Account Analyst to support our collaborative team as you learn our life insurance products.… more
- The Hartford (Naperville, IL)
- …as we help shape the future. The Hartford is seeking to hire a Senior Litigation Analyst to join our Legal team. We are looking for motivated attorneys to join this ... invoices and to conduct in office Legal Bill Review audits.As a Senior Litigation Analyst you will be expected to provide a breadth and depth understanding around… more
- Sleep Number (Minneapolis, MN)
- …guidance on regulatory requirements. + Manage the documentation of settlements of legal claims . + Advise attorneys on dispute resolution processes and contribute ... Job Summary Sleep Number's Legal and Risk team is seeking an experienced Legal Analyst to join their team. The ideal candidate has experience as a paralegal, the… more
- AIG (Atlanta, GA)
- …AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims Analyst TTPO Claims to play your part in that transformation. It's an ... claims handling aimed at the prompt and cost-effective resolution of claims through well-developed action plans....connected environment for our team and clients alike. #LI-PA1 #LI- Hybrid #TPA # Claims At AIG, we value… more
- University of Michigan (Ann Arbor, MI)
- Health Information Analyst II - Compliance & Auditing Apply Now **Job Summary** Use the EPIC EHR Release Module within specified timeframes to find, review, and ... produce medical records needed for Hospital and Professional Billing claims when requested by payers, auditors, or governmental agencies. Prepare medical records for… more
- Elevance Health (Waukesha, WI)
- **Subrogation Analyst ** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... ensures essential face-to-face onboarding and skill development.** **The Subrogation Analyst is responsible for processing, submitting, negotiating, and settling… more
- NetApp (NC)
- …different functional groups and senior level managers as needed + Assist in the resolution of complex and difficult claims . Work closely with other functional ... workers' compensation and management liability insurance programs. The Senior Risk Analyst will develop data-driven recommendations for the risk and insurance… more
- Point32Health (Canton, MA)
- …of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal regulations for the professional and ... and have the judgment to seek out guidance as needed. The Analyst is responsible for the accurate coordination, efficient administration and resolution… more
- Elevance Health (Woodbridge, NJ)
- **Clinical Quality Management Analyst Sr. Behavioral Health** **Location:** 111 Wood Ave. S, Iselin, NJ 08830 **Office Requirement:** This role requires associates ... Alternate locations may be considered. The **Behavioral Health Clinical Quality Analyst Sr.** is responsible for developing and conducting more complex behavioral… more
- BayCare Health System (Clearwater, FL)
- …negotiation process. + Serves as Primary Contact for contract/managed care payer claims and operational issues resolution for assigned payers. + Performs ... responsibility and clinical excellence. **Responsibilities:** + The Managed Care Financial Analyst Sr. performs financial analyses of patient data for BayCare… more
- Robert Half Accountemps (Greenville, SC)
- Description We are looking for a skilled Deduction Analyst to join our team in Greenville, South Carolina. In this long-term contract role, you will play a key part ... pricing incentives, and ensuring smooth transactions with customers. This hybrid position requires in-office collaboration on Tuesday through Thursday, with… more
- CH Robinson (Peoria, IL)
- CH Robinson is looking for an **Order Management Analyst ** . In this role you will be responsible for ensuring flawless execution of the order process from point of ... which include order planning, exception management, inventory management, payment resolution , and ongoing process improvement projects to drive operational...and join us as we connect the world! _Our hybrid work model of 3 days/week in office and… more
- Ally (Lansing, MI)
- …so shouldn't your opportunities be, too? **The Opportunity** This role is on a hybrid schedule, working in our Detroit office at least three days per week. Do ... have a passion for helping customers? Do you have collaboration, adaptability, and problem resolution skills? In this role, you will report to an HR Employee Care… more
- Bristol Myers Squibb (Princeton, NJ)
- …intake and loading requirements. Act as subject matter expert related to Model N claims & payment processing and reporting functionality and has a high level of ... and internal SOX guidelines + Working with contracted third-party dispute resolution coordinator or directly with States or their third-party administrators to… more
- BlueCross BlueShield of North Carolina (NC)
- …operational and system/application impacts. Coordinates with IT to support problem resolution , testing, software upgrades and related projects of a more complex ... ensure quality, cost effectiveness, timeliness and customer service, including the resolution of large, complex production system problems + Provide systems analysis… more
- Entergy (New Orleans, LA)
- …contracts or purchases + Assist tactical groups in negotiating Terms and Conditions, Claims and Dispute Resolution . + Leads negotiations and contract development ... **Job Title:** Category Management Specialist **Work Place Flexibility:** Hybrid **Legal Entity:** Entergy Services, LLC **Please note:** Authorization to work in… more