- 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. ... and claims experience. + Working knowledge of Highmark products, systems (eg, customer service and clinical platforms, knowledge resources, etc.), operations and… 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
- Elevance Health (Louisville, KY)
- **Provider Outreach** ** Business Analyst II** **Hybrid** : This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and ... is granted as required by law. The **Provider Outreach Business Analyst II** is responsible for conducting...systems such as **Facets** and **Macess** to research claims , validate overpayments, and document findings. + Collaborate with… more
- Sedgwick (Lexington, KY)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance IT Systems Analyst Specialist Sr **PRIMARY PURPOSE OF THE ROLE** : To lead the ... strongly preferred. Skills & Knowledge + Strong knowledge of third party administration/ claims management business and technology + PC literate, including… more
- Molina Healthcare (Lexington, KY)
- …of critical information on claims databases, synchronizing operational and claims systems data and application of business rules as they apply to each ... * Loads and maintains contracts, benefit and/or reference table information into the claims payment system and other applicable systems . * Participates in defect… more
- Prime Therapeutics (Frankfort, KY)
- …with us. **Job Posting Title** IT Analyst **Job Description** The IT Business Systems Analyst is responsible for solving moderately complex system ... the requirements and technical solutions for changes to Prime's claims systems . **Responsibilities** + Ensure understanding of business requirements and IT … more
- Rocket Software (Frankfort, KY)
- …BELIEVE in what they're doing!** **Job Description Summary:** The Senior Benefit Analyst is responsible for building and delivering both global and local benefit ... in line with the global total rewards philosophy. The Senior Benefits Analyst supports the design, administration, and analysis of Americas' and global benefit… more
- Baylor Scott & White Health (Frankfort, KY)
- …ensure data is accurate, compliant. Working closely with data product managers, business SMEs, and technology teams, the analyst enhances data discoverability, ... **JOB SUMMARY** The Sr. Data Governance Analyst plays a key role in advancing BSWH...documentations, identifying areas for improvement and ensuring alignment with business objectives. By fostering a culture of data stewardship,… more
- NTT DATA North America (Louisville, KY)
- …work here. NTT DATA Services currently seeks a **Epic Payer Platform Operations Analyst ** to join our team in **Louisville, Kentucky.** The Epic Payer Platform ... Operations Analyst is responsible for day-to-day administration, configuration, monitoring, and optimization of Epic's Payer Platform capabilities for a health… more