- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations Analyst assumes a pro-active approach in ensuring the accuracy and ... methodologies, risk score calculations, enrollment, submissions, medical and pharmacy claims , and provider data. Incumbent is responsible for performing analyses… 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 ... member of the team. Make your mark in TPA Claims Our Claims teams are the proven...within established evaluation. Maintain diaries and complete tasks within required timeframes as set forth by department guidelines; ensure… more
- Fortrex (Atlanta, GA)
- **WHO YOU ARE:** We are seeking a detailed oriented Risk Management Analyst to join our team and play a crucial role in supporting insurance renewals, managing ... auto-liability and general liability claims , and overseeing certificates of insurance. In this role,...relationships, and continuous improvement. + **Achievement:** We manage our business to provide opportunities and stability for our team… more
- New York State Civil Service (New York, NY)
- NY HELP Yes Agency Insurance Fund, State Title Business Systems Analyst Trainee 1- Actuarial (NY HELPS) Occupational Category Financial, Accounting, Auditing ... other duties as needed Minimum Qualifications For appointment to Business Systems Analyst Trainee 1 level:* Reachable...Trainee 1 include but are not limited to Administrative Analyst Trainee 1, Claims Services Representative Trainee… more
- AIG (Jersey City, NJ)
- …and action plans, including opportunities for contribution. + Drives resolution of claims by collaborating with internal and external business partners to ... Claims Complex Director - Healthcare Professional Liability (HPL)...determinations, investigations, and trial and resolution strategies. + The analyst will investigate losses, orchestrate defense strategies for healthcare… more
- Adecco US, Inc. (Minneapolis, MN)
- Adecco is currently assisting a local Customer in their search for Senior Business Analyst in Remote. This is a great opportunity to further your existing skills ... as a Senior Business Analyst . while learning new ones to...claims data, or Medicare/Medicaid). * 2+ years in business analysis or related role. * Strong analytical and… more
- Highmark Health (Baton Rouge, LA)
- …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
- Highmark Health (Washington, DC)
- …+ Bachelor's Degree **EXPERIENCE** ** Required ** + 1 - 3 years of experience in a Business Analyst or Business Process Analyst role or experience in a ... reviews significant amounts of information and analyzes processes to support business unit needs. May assist with troubleshooting errors, conducting impact analyses,… more
- Arizona Public Service (Phoenix, AZ)
- Business Operations Analyst Senior Apply now...+ Previous experience with the systems specific to the business area may also be required . + ... Other and Succeed Together. Summary APS is seeking a Business Operations Analyst , Senior to act as...coordination with Customer Experience (CX) teams + Handle customer claims , complaints, and support access follow-ups + Assist maintenance… more
- Commonwealth Care Alliance (Boston, MA)
- …order to maximize productivity and to ensure regulatory compliance. The Senior Business Analyst , Clinical Operations reports to the Director, Clinical Operations ... )** + Bachelor's Degree in information systems or related quantitative field required ( Business , Computer Science, Mathematics, Finance, Economics, or similar)… more