- R1 RCM (Salt Lake City, UT)
- …analytics, AI, intelligent automation, and workflow orchestration. As our R37 GenAI Lab Process Analyst in the Perfect Claim pillar, you will play a key role ... health systems and medical groups. We are the one company that combines the deep expertise of a global...Analyst :** + Analyze and optimize current edits in claim scrubbers to improve claim processing accuracy… more
- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- …establish claim processing standard operating procedures as needed to ensure claims are processed according to company policies and contractual obligations. ... The Senior Trade Analyst is responsible for the daily management of...fees outlined in GPO contracts. + Effectively resolve all claims in an accurate and timely manner. Proactively review,… more
- Zurich NA (Schaumburg, IL)
- Reinsurance Financial Analyst II 125618 Zurich Services LLC (a division of Zurich North America) is currently hiring a Reinsurance Financial Analyst on the ... reinsurance collateral of approximately $15 billion. The Reinsurance Financial Analyst analyzes and performs intermediate to complex reinsurance accounting… more
- AIG (Parsippany, NJ)
- …techniques, partner with pricing actuaries in assessing the impact of loss trends and claims emergence, and partner with claim department in assessing the impact ... Senior Actuarial Analyst - Excess Casualty At AIG, we are...major insurance operating companies, globally. We collaborate with Finance, Claims , Operations, Marketing and Risk Management, among other functions.… more
- Atlantic Health System (NJ)
- …coding by reviewing charge queues, collaborating with care centers, and resolving claim discrepancies. Works closely with internal and external teams to address ... escalated claim issues, maintain compliance with payer policies, and support...coding, ensuring accurate charges are released to the billing company as needed. + Collaborate with providers and practices… more
- Sedgwick (Fort Worth, TX)
- …Services & Insurance Performance Assurance Analyst **PRIMARY PURPOSE** **:** To monitor claims colleague technical activities at a claim file level with a ... meetings with national TPM and Quality leaders. + Maintains technical claims and jurisdictional expertise. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
- CVS Health (Richmond, VA)
- …for reviewing claims data and information. The Senior Network Relations Analyst is responsible for monthly Access and Availability monitoring as required by ... passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital… more
- CVS Health (Olympia, WA)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... with heart, each and every day. **Position Summary** The Dispute Repricing Analyst will be responsible for the accurate analysis and resolution of provider… more
- Zelis (Plano, TX)
- …A good understanding of public and private healthcare payment systems, medical claims , standard claim coding, claim editing, contracting, preferred-provider ... that shape who you are. Position Overview The Sr. Medicaid Reimbursement Regulatory Analyst will collaborate with the Zelis Regulatory Pricer Product team to further… more
- Zurich NA (Schaumburg, IL)
- Reinsurance Financial Analyst 124543 Zurich North America is seeking a Reinsurance Financial Analyst to join our Reinsurance team. This position will be based in ... contract terms and department standards + Handling and collection of reinsurance claims of moderate to high complexity + Reconcile complex detail reinsurance related… more
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