• Senior Quality Analyst

    Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
    …regions to validate results. + Detailed review of internal and external reporting. + Support quarterly claim audits and updates. + Assess the impact of ... configuration changes by processing claim adjustments, manual claim entry, void-reissue of payment, etc. + Support...Support new client implementations by validating benefits and claims logic were loaded correctly. + Develop and prepare… more
    Brighton Health Plan Solutions, LLC (10/04/25)
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  • Supply Chain Optimization Analyst

    Lactalis American Group Inc. (Buffalo, NY)
    Supply Chain Optimization Analyst Buffalo, NY (http://maps.google.com/maps?q=2375+South+Park+Avenue+Buffalo+NY+USA+14220) Job Type Full-time Description Ready for ... career. From day one, we offer the tools and support to help you succeed. As the world leader...of companies, is currently hiring a Supply Chain Optimization Analyst based in Buffalo, NY. The Supply Chain Optimization… more
    Lactalis American Group Inc. (09/30/25)
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  • Claims Complex Director - Healthcare…

    AIG (Jersey City, NJ)
    Claims Complex Director - Healthcare Professional Liability (HPL) Join us as a Claims Complex Director to take on key responsibilities within a world-class ... claims function. Make your mark in Claims ...determinations, investigations, and trial and resolution strategies. + The analyst will investigate losses, orchestrate defense strategies for healthcare… more
    AIG (10/08/25)
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  • Placement Supervisor (Human Resource…

    Commonwealth of Pennsylvania (PA)
    Placement Supervisor (Human Resource Analyst 2) Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5095164) Apply  Placement Supervisor (Human ... Resource Analyst 2) Salary $59,345.00 - $90,211.00 Annually Location Dauphin...interested in joining a collaborative team where you can support customers' hiring process from start to finish, this… more
    Commonwealth of Pennsylvania (10/13/25)
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  • Liability Analyst

    Family Dollar (Chesapeake, VA)
    …Manager and Director in the oversight of general liability, auto liability and other claims to reduce costs and improve outcomes. Support the TPA claims ... The Liability Analyst reports to the Liability Manager and is...or insurance broker Strong analytical skills related to investigations, claims strategies and claim reviews Excellent written… more
    Family Dollar (08/19/25)
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  • 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 ... user acceptance testing, and analyze post production reports for issues + Support collaboration between PI/ Claims and other internal stakeholders related to… more
    Commonwealth Care Alliance (08/26/25)
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  • Senior Information Systems Analyst

    The County of Los Angeles (Los Angeles, CA)
    SENIOR INFORMATION SYSTEMS ANALYST /EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4765385) Apply  SENIOR ... INFORMATION SYSTEMS ANALYST /EMERGENCY APPOINTMENTS HOMELESSNESS Salary $106,081.20 - $142,953.84 Annually Location Los Angeles County, CA Job Type Full time Job… more
    The County of Los Angeles (08/21/25)
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  • Medicare/Medicaid Claims Reimbursement…

    Commonwealth Care Alliance (Boston, MA)
    …Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring accurate, compliant, ... resolution of complex reimbursement issues - including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject matter expert on… more
    Commonwealth Care Alliance (08/31/25)
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  • Lead Analyst , Payment Integrity - REMOTE

    Molina Healthcare (Dayton, OH)
    **Job Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan ... and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed… more
    Molina Healthcare (09/28/25)
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  • Liability Analyst

    Monro Muffler/Brake (Fairport, NY)
    claims with secondary backup functions at inputting Workers' Compensation claims . The Liability Analyst will maintain strong relationships with Monro ... Analyst will understand and professionally input and communicate claims to the Risk Management and Monro Inc. leadership...Handle sensitive information in a confidential manner. + Inputting claims following the guidelines of Monro Inc. claim more
    Monro Muffler/Brake (10/16/25)
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