- Centene Corporation (Jefferson City, MO)
- …Purpose:** Perform and lead various analysis and interpretation to link business needs and objectives for assigned function and implement process improvements. ... + Lead the support of business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems + Lead the… more
- Elevance Health (Norfolk, VA)
- …check, or ask you for payment as part of consideration for employment. **Rating/ Claims System Analyst ** + Job Family: IFT > IT Bus Systems Solutions Planning ... 2024 + Reference: JR111007 **Location:** + VA, NORFOLK **Description** **Rating/ Claims System Analyst ** **Location:** This position will...of study and a minimum of 2 years systems analyst or business analyst experience;… more
- Elevance Health (Atlanta, GA)
- …you a check, or ask you for payment as part of consideration for employment. ** Business Analyst III (Pharmaceutical Claims Audit)** + Job Family: BSP > ... for handling high level pharmaceutical claim audits and reviewing claims issues from junior team to ensure claims...+ Requires a BA/BS and minimum of 5 years business analysis experience; or any combination of education and… more
- Elkay (Milwaukee, WI)
- Freight Audit and Claims Analyst **_The Company_** Zurn Elkay Water Solutions Corporation is a thriving, values-driven company focused on doing the right things. ... Zurn Elkay Water Solutions Corporation family! **Job Description** The Freight Audit and Claims Analyst reports to the Logistics Systems & Analytics Manager and… more
- Apex Health Solutions (Houston, TX)
- Summary Claims Analyst is responsible for accurate and timely research of all providers claim inquiries according to policies, process instructions and system ... (3) years of experience working in a healthcare data or regulatory environment; payment integrity and claims experience preferred. Effective oral and written… more
- Walmart (Bentonville, AR)
- …store managers of significant reserve increases; monitoring reserves for all open claims ; authorizing payment for approval or facilitating denial of the ... reports; deducing causes and responsibilities; documenting case details; determining whether payment is warranted; and managing multiple claims related to… more
- Crawford & Company (Lake Zurich, IL)
- …the general direction of the Claims Data Operations Manager, the Senior Claims Analyst provides a variety of critical operational support services to the ... Claim Department, its business partners and its clients related to the handling...tasks in conjunction with Finance team for any Break Payment items; maintains and monitors monthly list of clients… more
- Amazon (New York, NY)
- …Global Risk Management and Claims team is seeking a Sr. Risk Analyst to assist with the development and management of Amazon's global insurance programs, ... review, and implementing risk management tools and techniques for new and existing business initiatives. Additionally, the Sr. Risk Analyst will manage the… more
- Vanderbilt University Medical Center (Nashville, TN)
- …preeminent programs in patient care, education, and research. **Organization:** HB Claims & Billing **Job Summary:** JOB SUMMARY Continually evaluates and assesses ... and additional duties may be assigned. TECHNICAL CAPABILITIES * Business Results (Advanced): Ability to achieve business ...patient care from registration and scheduling to the final payment of a balance. * Problem Solving (Advanced): Uses… more
- MTA (New York, NY)
- Senior Accounting Analyst - Electronic Payment and Refunds Job ID: 6724 Business Unit: MTA Headquarters Location: New York, NY, United States ... Revenue Management Date Posted: Apr 24, 2024 Description JOB TITLE: Senior Accounting Analyst - Electronic Payment and Refunds SALARY RANGE: $84,460 - $94,133… more
- PPL Corporation (Providence, RI)
- …PPL's corporate insurance programs and any special programs in place for specific business lines. + Assist with claims management activities such as monitoring ... and maintain strong, diverse communities today. Overview The Insurance Analyst or Senior Insurance Analyst position will...programs and any special programs in place for specific business lines. + Assist with claims management… more
- Medical Mutual of Ohio (OH)
- …and consumers. . Performs other duties as assigned. **Qualifications** **Provider Analyst II** **.** **Bachelor's degree in business administration, economics, ... as well as be comfortable with management exposure.** **Senior Provider Analyst ** **.** **Bachelor's degree in business administration, economics, statistics,… more
- Elevance Health (Woodland Hills, CA)
- …or ask you for payment as part of consideration for employment. **Grievances and Appeals Analyst I** + Job Family: CLM > Claims Support + Type: Full time + ... writing proficiency, understanding of provider networks, the medical management process, claims process, the company's internal business processes, and internal… more
- Elevance Health (Norfolk, VA)
- …check, or ask you for payment as part of consideration for employment. **Grievance/Appeals Analyst I** + Job Family: CLM > Claims Support + Type: Full time + ... writing proficiency, understanding of provider networks, the medical management process, claims process, the company's internal business processes, and internal… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- About the Role We are seeking a passionate, results-oriented Senior Enterprise Business Analyst who can collaborate effectively with internal and external ... and implementation. Essential Qualifications + Minimum 6-7 years of experience as a business analyst in healthcare payer industry. + Expertise and experience in… more
- Keystone Lab (Asheville, NC)
- …and challenging opportunity awaits a highly qualified Medical Insurance Billing & Reimbursement Analyst I in one of the most beautiful areas in the country, ... Laboratory, Inc. WOLFE, Inc. / Keystone Laboratory, Inc., has been in the business of drug detection and workplace protection for nearly 30 years. We provide… more
- Elevance Health (Mason, OH)
- …a check, or ask you for payment as part of consideration for employment. ** Business Information Analyst Senior** + Job Family: RDA > Business /Health Info ... + FL, NORTH MIAMI BEACH + VA, RICHMOND + VA, NORFOLK **Description** ** Business Information Analyst Senior** **Location:** This position will work a hybrid… more
- Elevance Health (Norfolk, VA)
- …a check, or ask you for payment as part of consideration for employment. ** Business Information Analyst Senior** + Job Family: RDA > Business /Health Info ... + Reference: JR111389 **Location:** + VA, NORFOLK + VA, RICHMOND **Description** ** Business Information Analyst Senior** **Location:** This position will work a… more
- Elevance Health (Cary, NC)
- …a check, or ask you for payment as part of consideration for employment. ** Business Information Analyst II** + Job Family: RDA > Business /Health Info + ... IN, INDIANAPOLIS + TX, GRAND PRAIRIE + IL, CHICAGO + VA, NORFOLK **Description** ** Business Information Analyst II** Location: This position will work a hybrid… more
- Elevance Health (Wallingford, CT)
- …a check, or ask you for payment as part of consideration for employment. ** Business Information Analyst II** + Job Family: RDA > Business /Health Info + ... NC, WINSTON + ME, SOUTH PORTLAND + IL, CHICAGO + VA, NORFOLK **Description** ** Business Information Analyst II** **Location:** This position will work a hybrid… more