- Cognizant (St. Louis, MO)
- …is looking for a " **Healthcare QA Analyst -** **EDI** _-_ **Payer & Claims ( Remote )"** to join in our team of IT professionals in a permanent role. ... Digital Business Assurance in Gartner Magic Quadrant! **Healthcare QA Analyst -** **EDI** _-_ **Payer & Claims ( Remote )** **Location: Saint Louis, MO - Open… more
- Providence (WA)
- …Directors and Officers, Employment Practices, Fiduciary, Property, Cyber, Managed Care, and Auto Claims . The Senior Quality Analyst assists the Claims ... and regulations pertaining to self-insured health care organizations. The Senior Quality Analyst is also responsible for maintaining a claims quality assurance… more
- Molina Healthcare (Covington, KY)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... successful implementation of provider engagement programs. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze claims from compliance against contracts, billing, and processing guidelines… more
- Cognizant (St. Louis, MO)
- **QA Analyst in Healthcare Domain with Payer & Claims Testing experience ( Remote )** This is a remote position open to any qualified applicant in the ... We are seeking a highly skilled and motivated **QA Analyst in Healthcare Domain with Payer & Claims Testing experience** to join our dynamic team. This role… more
- Alight (IN)
- …through effective solutions and personal service. **Responsibilities** + Handling claims related to FMLA, disability (STD/LTD), parental leave, personal leave, ... of the leaves. + Managing and processing employee leave claims in compliance with federal, state, and company policies.... and Backend Operations (International Voice /Non-Voice/Blended process) + Analyst Level hires: **5 - 8 years** of work… more
- PrincePerelson & Associates (Brigham City, UT)
- **Insurance Claims Analyst (Contract)** $25.00hr. to $27.00hr. Logan, UT Monday- Friday 9:00 am to 5:00 pm MST Become a part of a company that transcends the ... Representative, you will be a key player within the Claims Processing Support Team. Your primary duty is to...policies and coverages + Review claim updates with the Analyst + Assist with Team Projects Skills and Experience… more
- TEKsystems (Earth City, MO)
- …and part of the larger JM Family Enterprises Inc., is seeking a Mechanical Claims Specialist to join our expanding customer contact team. In this role, you'll ... knowledge of vehicle mechanics to assess and process mechanical claims . This opportunity offers a refreshing change of pace,...connection and a quiet at-home workspace is required for remote and hybrid schedules. Experience with Labor guides -… more
- TEKsystems (Deerfield Beach, FL)
- …from the shop floor to a professional office setting? We're hiring Mechanical Claims Analysts to join a growing customer contact team supporting a leading automotive ... behind the scenes, helping customers and dealerships navigate mechanical claims with confidence and clarity. What You'll Do: +...work from home 3 days/week (Mondays & Fridays always remote ). + Monday-Friday: 8:00 AM-5:00 PM or 9:00 AM-6:00… more
- AmeriHealth Caritas (Newtown Square, PA)
- …at www.amerihealthcaritas.com. **Work Arrangement** ; ; ;.; This is a remote position; **Responsibilities:** + Research, analyze, and process projects or ... technical resolution.; + Consistently meets or exceeds production standards for Claims Recovery maintaining 99% financial and procedural accuracy.; + Identify and… more
- Providence (Portland, OR)
- …within the PHP claims editing system. In addition, the Coding Policy Analyst will be responsible for replying to provider and member appeals and providing ... **Description** **Coding Policy Analyst ** **_Remote_** The Coding Policy Analyst ...and assists with implementation of such changes to the claims adjudication and editing software. **Providence Health Plan** caregivers… more
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