- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Program Integrity Analyst /Investigator Location: Hybrid | Eagan, Minnesota Career ... you will be responsible for prospective and retrospective investigations of suspected claims and the development of fraud, waste, abuse and over-payment recovery… more
- AIG (Atlanta, GA)
- …the way we help customers to manage risk. Join us as a Privileged Access Management Technical Analyst to play your part in that transformation. It's an ... of everything we do, from underwriting risks to processing claims . The Information Technology team equips our colleagues with...How you will create an impact The Privileged Access Management (PAM) Technical Analyst is responsible for… more
- Donegal Insurance Group (Marietta, PA)
- …Donegal Insurance Group has an opening for a Business Analyst /Quality Assurance Analyst . As a member of our Claims team, this position collaborates with ... Assists with the project in facilitating and formulating a solutions path + Analyst will elicit actual needs of the stakeholders and align the needs of… more
- LA Care Health Plan (Los Angeles, CA)
- …processes, management of the system configuration life cycle management project/ program plans, tracking of configuration change operational issues ... Core Systems Configuration Analyst III Job Category: Administrative, HR, Business Professionals...of managed care operations (including but not limited to, claims processing; provider contracting, network and data management… more
- City of New York (New York, NY)
- …ASSOCIATE STAFF ANALYST CIVIL SERVICE LIST ARE ELIGIBLE TO APPLY. Division/ Program Summary: The Division of Finance has central responsibility and authority for ... policy analysis, program development, performance tracking and improvement, financial management...and meet DOHMH's objectives. Position Summary: The Associate Staff Analyst will report to the Assistant Director and be… more
- Baylor Scott & White Health (Austin, TX)
- …internal and external sources to provide insight to decision-makers. This role supports program management activities around risk adjustment data management ... + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight...outbound encounter process. + Monitors and oversees the end-to-end claims encounter management workflow. + Identifies and… more
- Elevance Health (Columbus, GA)
- **Grievance/Appeals Analyst II** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... unless an accommodation is granted as required by law._ The **Grievance/Appeals Analyst II** is responsible for reviewing, analyzing and processing non-complex and… more
- Seton Education Partners (Bronx, NY)
- …The analyst directly supports campuses by monitoring the case management process for initials, annual, and re-evaluation IEP meetings. Another key responsibility ... Elementary School Special Education Compliance and Billing Analyst Bronx, New York Seton Education Partners seeks a mission-driven, detail-oriented leader to serve… more
- AIG (Atlanta, GA)
- …AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims Analyst TTPO Claims to play your part in that transformation. It's an ... and strong negotiation skills + Advanced experience and capabilities in litigation claims management , including ADR and mediation processes, involving auto/GL… more
- CVS Health (Tallahassee, FL)
- …The **Claim Field Analyst ** works with the grievance and appeal and claims operations department to trend provider claim issues or concerns that could be ... each and every day. **Position Summary** The **Claim Field Analyst ** acts as the primary resource for groups and...to establish, oversee, and maintain a proactive claim education program focused on assisting providers with claim denials, claim… more