• Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    …of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective ... claims management, coding rules and guidelines, and evaluating/analyzing claim outcome results for accurate industry standard coding logic and policies… more
    Commonwealth Care Alliance (05/28/25)
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  • IT Quality Analyst (Regression Tester)

    General Dynamics Information Technology (Menands, NY)
    …Required:** None **Job Family:** IT Quality Assurance **Skills:** Healthcare Claims ,Quality Assurance (QA),Structured Query Language (SQL) **Experience:** 2 + years ... of related experience **Job Description:** IT Quality Analyst (Regression Tester) Transform technology into opportunity as an...to the Quality Assurance Regression (QAR) baseline + Add claim 837 (I, D and P) test cases to… more
    General Dynamics Information Technology (08/01/25)
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  • Sr. Business Systems Analyst

    Prime Therapeutics (Eagan, MN)
    …to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across the organization ... and drives every decision we make. **Job Posting Title** Sr. Business Systems Analyst **Job Description** The Sr. Business Systems Analyst (BSA) is responsible… more
    Prime Therapeutics (07/25/25)
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  • Pricing Analyst - HPSI

    ARAMARK (Irvine, CA)
    **Job Description** The **Data Management Analyst , Billing** serves as a key contributor within the data management department, directly affecting $4.8 billion in ... This role is responsible for the processing of HPSI claim related data, as well as report generation and...in procuring 80% of new accounts. The Data Management Analyst , Billing assists in ensuring all supplier provided product… more
    ARAMARK (07/13/25)
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  • Senior Participant Services Analyst

    Insight Global (Burbank, CA)
    …customer service representative for the Health Fund. The Senior Participant Service Specialist/ Analyst will process health insurance claims and answers calls ... from the customer (participant, providers, physicians, hospitals etc.) Adhere to eligibility, claims and call policies and procedures while making sound claim… more
    Insight Global (07/12/25)
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  • AR Analyst

    Insight Global (Charlotte, NC)
    …correspondence, claim files, and maintain a current diary in compliance with company standards. Maintain a high level of claim and industry related expertise ... Description Insight Global is looking for an Account Receivable Analyst in the Charlotte, NC area. This group is...This group specifically receives $300-400 million a year in claims and not all the money goes to the… more
    Insight Global (07/30/25)
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  • Risk and Claims Specialist

    Billings Clinic (Billings, MT)
    …Risk Management Director and/or the Risk and Claims Coordinator and Risk and Claims Analyst . Works closely with Billings Clinic and its affiliate sites to ... coordinate general and medical malpractice claims insured by Billings Clinic's insurance company ....Risk and Claims Coordinator and Risk and Claims Analyst and affiliate site Leadership teams… more
    Billings Clinic (06/26/25)
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  • Functional Analyst ( Veterans Affairs)

    General Dynamics Information Technology (Fairfax, VA)
    …to transform the Veterans Benefits Administration (VBA) with greater visibility into claims processing. Together, we're building a future of fast, transparent ... claims , empowered teams, and striving for a zero backlog,...to Veterans and their families. \#Veteran_First As a Functional Analyst Senior Advisor you'll serve as a critical bridge… more
    General Dynamics Information Technology (07/30/25)
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  • Sr Analyst -Workers Compensation

    Lowe's (Mooresville, NC)
    **Your Impact** The Sr Analyst -Workers Compensation Claims will provide insight and support to drive the operational excellence of the Workers Compensation ... Will Do** + Evaluates monthly, quarterly, and annual performance of claims administrator and subcontracted vendors through analyses such as cost-benefit,… more
    Lowe's (07/30/25)
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  • Denials & AR Analyst I

    R1 RCM (Chicago, IL)
    …financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle ... automation, and workflow orchestration. As our Denials & AR Analyst I, you will help R1 clients by analyzing... I, you will help R1 clients by analyzing claims information so that they can resolve complex accounts.… more
    R1 RCM (08/01/25)
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