- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …with market share over $4B countrywide. The pricing services include data development, a reporting platform for self-service pricing reports, exposure management, ... analytics, rate maintenance, large account pricing, and product development. The Actuarial Analyst needs to be able to work with internal and external customers… more
- Subaru of America (Camden, NJ)
- ROLE SUMMARY The Senior Risk Management Analyst helps keep Subaru safe and protected by supporting our insurance, claims , and safety programs. You'll manage ... claim reporting, underwriting data , driver and vendor approvals, and the systems that...strengthen Subaru's enterprise risk and safety practices. CORE RESPONSIBILITIES Claims : + Addresses workers' compensation (WC), general liability (GL),… more
- State of Michigan (Lansing, MI)
- …physician review according to policy, the Utilization Reviewer actively monitors Medicaid claims data . Cases identified are prepared and assigned by the ... cases for immediate review. This position collaborates with the FC-PMOU Outreach Analyst and Data Specialist to gather data , prepare utilization reports, and… more
- Centene Corporation (Jefferson City, MO)
- …of care for members and improve their clinical outcomes. + Interpret and analyze data from multiple sources including claims , provider, member, and encounters ... opportunities for automation + Identify and perform root-cause analysis of data irregularities and present findings and proposed solutions to leadership and/or… more
- Centene Corporation (Lansing, MI)
- …advanced analytical support for business operations in all or some of the following areas: claims , provider data , member data , clinical data , HEDIS, ... a fresh perspective on workplace flexibility. **Position Purpose:** Responsible for analytic data needs of the business unit. Handle complex data projects… more
- Fifth Third Bank, NA (Grand Rapids, MI)
- …ensuring compliance with Uniform Commercial Code (UCC) and Regulation E and Regulation Z claims . The Analyst uses various bank and vendor systems to research ... Third Bank. GENERAL FUNCTION: Under general supervision, the Dispute Intake Analyst provides outstanding customer service while capturing accurate customer account… more
- BrightView (Blue Bell, PA)
- …you can grow to be your brightest. We're looking for a Quality Assurance Analyst . Can you picture yourself here? **Hybrid Schedule:** 4 Days Onsite in Blue Bell, ... Agency Resumes At This Time **Job Summary** + The Claims Manager is a key leader in the Risk...and risk mitigation strategies + Ensure reserve adequacy and data integrity throughout claim lifecycles; prepare and deliver regular… more
- CGI Technologies and Solutions, Inc. (Canton, MA)
- …system requirements. . Support gap analysis for existing payer systems ( claims , clinical data , provider, member, authorization) to determine interoperability ... **Senior Business System Analyst ** **Category:** Business Analysis (functional and technical) **Main...subject matter expertise (SME) on payer workflows such as claims processing, member onboarding, provider data management,… more
- Commonwealth of Pennsylvania (PA)
- Human Resource Analyst 1 Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5165374) Apply Human Resource Analyst 1 Salary $51,971.00 - ... looking for customer focused, detail-oriented, and compassionate Human Resource Analyst 1s who are eager to join our team....will be responsible for managing medical with lost time claims , modified duty, and indemnity claims for… more
- The County of Los Angeles (Los Angeles, CA)
- GEOGRAPHIC INFORMATION SYSTEMS ANALYST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/5047863) Apply GEOGRAPHIC INFORMATION SYSTEMS ... pursuing qualified candidates to fill the Geographic Information Systems Analyst position within the Department of Public Health. This...customer requirements; uses GIS tools and utilities to convert data to GIS formats and performs data … more