- Elevance Health (Tampa, FL)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... research and responds to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues and to audit … more
- Warner Music Group (New York, NY)
- …including, without limitation, tracking audit notifications, reviewing and analyzing the claims contained in the audit reports we receive, making recommendations to ... relevant WMG internal label clients regarding how to respond to those claims , facilitating settlement negotiations between the party auditing and WMG's internal… more
- Walbridge (Detroit, MI)
- Overview The Opportunity We have an exciting opportunity for a skilled Cost Analyst to join the Walbridge team. In this role you will manage a portfolio of ... + Cost Impact Analysis: Review and analyze cost impacts associated with contract claims , incentives, and penalties as well as assessing the financial implications of… more
- General Motors (Ypsilanti, MI)
- **Job Description** The Site Support Analyst provides hands-on technical support for IT hardware, software, and end-user services within the warehouse environment. ... + Coordinate with vendors for hardware repairs and warranty claims . + Track and manage IT assets to ensure...to feel they belong to one General Motors team. ** Benefits Overview** From day one, we're looking out for… more
- Aston Carter (Sacramento, CA)
- …and communicate Blue Diamond Growers' sustainability key performance indicators. The Analyst will support USDA data collection and reporting, reimbursement claims ... This is a Contract to Hire position based out of Sacramento, CA. Pay and Benefits The pay range for this position is $85000.00 - $85000.00/yr. 401k vacation holidays… more
- Molina Healthcare (OH)
- **JOB DESCRIPTION** **Job Summary** The Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. This position designs and ... plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and...the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal… more
- Molina Healthcare (OH)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom ... plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and...the intranet job listing Molina Healthcare offers a competitive benefits and compensation package Molina Healthcare is an Equal… more
- Amazon (San Francisco, CA)
- Description Amazon One Medical is hiring a Actuarial Manager Analyst . Actuarial rigor is one of the keys to our success. This candidate will responsible primarily ... of actuarial reserving, forecasting and medical economics -Expertise in working with medical claims data and using programming languages such as SQL, R, SAS, Python,… more
- Somatus (Mclean, VA)
- …+ Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting teammates physical and mental well-being + Community engagement ... the leader in value-based kidney care, has an immediate opening for an Analyst , Operations & Client Analytics to create impact among Somatus' clients and leadership… more
- Molina Healthcare (New York, NY)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more
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