- Highmark Health (Frankfort, KY)
- …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
- Highmark Health (Frankfort, KY)
- …product offerings available to Organization members and be versed in claims payment methodologies, benefits administration, and business process requirements. ... resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a...**Preferred** + Associate's degree in or equivalent training in Business or a related field **EXPERIENCE** ** Required **… more
- Elevance Health (Louisville, KY)
- …an accommodation is granted as required by law. The **Provider Outreach Business Analyst II** is responsible for conducting outbound calls to healthcare ... **Provider Outreach** ** Business Analyst II** **Hybrid** : This...to verify the accuracy of billed services and ensure claims were submitted and processed appropriately. The analyst… more
- PPL Corporation (Louisville, KY)
- …PPL's corporate insurance programs and any special programs in place for specific business lines. + Support claims management activities such as monitoring ... Business Administration or a related field. + Insurance Analyst consideration - at least 2 years' experience in...programs and any special programs in place for specific business lines. + Support claims management activities… more
- Highmark Health (Frankfort, KY)
- …full software development lifecycle within Agile scrum teams, fulfilling roles such as Business Technical Analyst , User Interface Designer, or Tester. + Support ... scrum teams in various roles, including, but not limited to, Scrum Master, Business Technical Analyst , User Interface designer, Capability Manager, or Tester,… more
- Highmark Health (Frankfort, KY)
- …Required ** + **MUST BE A US CITIZEN ** + 3 - 5 years of experience in a Business Analyst or Business Process Analyst role or experience in a related ... situations not otherwise contemplated within the standard formula. **EDUCATION** ** Required ** + High School Diploma/GED **Substitutions** + None **Preferred** +… more
- Elevance Health (Louisville, KY)
- ** Business Information Analyst RFP** **Locations:** This role requires associates to be in-office **1-2** days per week, fostering collaboration and ... This position is not eligible for current or future VISA sponsorship._ The ** Business Information Analyst RFP** is responsible for supporting Commercial Pharmacy… more
- Molina Healthcare (Lexington, KY)
- …maintenance of critical information on claims databases, synchronizing operational and claims systems data and application of business rules as they apply ... JOB DESCRIPTION Job Summary Provides lead level analyst support for configuration information management activities. Responsible...to be housed on databases, and ensuing adherence to business and system requirements of customers as it pertains… more
- CVS Health (Frankfort, KY)
- …a number of internal and external stakeholders that rely on the team's analyses and business expertise. The Sr. Analyst Business Consultant will use data and ... Reporting & Analysis: + Develop and maintain regular reporting on revenue, claims analysis, utilization, and drivers; researching any anomalies. + Provide support… more
- Prime Therapeutics (Frankfort, KY)
- …career? Come build the future of pharmacy with us. **Job Posting Title** IT Analyst **Job Description** The IT Business Systems Analyst is responsible ... and document the requirements and technical solutions for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business requirements… more
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