• Lead Analyst , Configuration Oversight…

    Molina Healthcare (Provo, UT)
    **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims ... guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen....+ Assist in developing and refining internal SOPs and audit tools related to COB claim reviews. + Act… more
    Molina Healthcare (07/24/25)
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  • CO Medicaid Enterprise Systems (CMES) Integration…

    State of Colorado (CO)
    …Enterprise Systems (CMES) Integration Strategic Business Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5052356) Apply  CO Medicaid ... Enterprise Systems (CMES) Integration Strategic Business Analyst Salary $91,320.00 - $118,728.00 Annually Location Statewide, CO Job Type Full Time Job Number UHA… more
    State of Colorado (08/23/25)
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  • Claim Governance Analyst

    AIG (Atlanta, GA)
    …succeed + Proven claim adjudication or claim operations experience for multi-line commercial claims . Claim Audit or file review experience is desirable. + ... to manage risk. Join us as a Claim Governance Analyst to play your part in that transformation. It's...valued member of the team. Make your mark in Claims . Our Claims teams are the proven… more
    AIG (08/27/25)
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  • Sr. Analyst , Sales Operations (Scottsdale,…

    United Rentals (Scottsdale, AZ)
    …using company data, financial analysis, and contract interpretation to validate or dispute claims . + Audit Defense Execution + Develop clear, data-backed dispute ... Rentals!** As a Senior Manager of Sales Operations, the Senior Sales Operations Analyst - Contract Compliance serves as United Rentals' first line of defense in… more
    United Rentals (08/26/25)
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  • Health Care Financial Analyst /Community…

    The County of Los Angeles (Los Angeles, CA)
    HEALTH CARE FINANCIAL ANALYST /COMMUNITY PROGRAMS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4827547) Apply  HEALTH CARE FINANCIAL ... ANALYST /COMMUNITY PROGRAMS Salary $76,615.68 - $103,240.32 Annually Location Los...our communities by providing extraordinary care. DEFINITION: Prepares reimbursement claims for health and/or mental health care provided under… more
    The County of Los Angeles (07/27/25)
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  • Senior Compliance Analyst

    AdventHealth (Maitland, FL)
    …: Maitland, FL **The role you will contribute:** The Senior Compliance Analyst applies technical, analytical, and problem-solving skills to identify, quantify, and ... support executive decision-making regarding contract violations. The Senior Compliance Analyst will have expertise in Commercial and Governmental (Medicare,… more
    AdventHealth (08/07/25)
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  • HEDIS Analyst

    Medical Mutual of Ohio (OH)
    …business (Commercial, Marketplace, Medicare Advantage, and Medicaid), including HEDIS audit submission, Consumer Assessment of Healthcare Providers and Systems ... fully remote opportunity. Eastern Time Zones preferred.** **Responsibilities** **HEDIS Analyst II** + Coordinates and collaborates interdepartmentally to produce the… more
    Medical Mutual of Ohio (08/16/25)
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  • Senior Auditor/Forensic Analyst

    AutoZone, Inc. (Little Rock, AR)
    **Job Description** As a **Sr. Audit Recovery Auditor** , you will Utilize analytical and forensic email review skills to audit Merchandising negotiations to ... and communicate flawlessly with Merchandising and Vendors to successfully resolve claims and recover all vendor funding dollars due AutoZone. **Responsibilities**… more
    AutoZone, Inc. (08/28/25)
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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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  • Health Care Financial Analyst / Emergency…

    The County of Los Angeles (Los Angeles, CA)
    …assessment will be considered for permanent appointment to Health Care Financial Analyst . DEFINITION: Prepares reimbursement claims for health and/or mental ... HEALTH CARE FINANCIAL ANALYST / EMERGENCY APPOINTMENT HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4722417) Apply  HEALTH CARE… more
    The County of Los Angeles (07/25/25)
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