- Axis (Alpharetta, GA)
- …in the selection process. Part of AXIS Claims Shared Services, the Claims Operations Analyst is responsible for the performance, oversight, and ongoing ... improvement of Claims support activities performed within our North America ...inefficiencies in process through reporting, feedback, or hands on processing , and working through potential process and/or technology solutions… more
- TXNM Energy (Albuquerque, NM)
- Sr Risk Analyst Location: Albuquerque, NM,...utility industry codes or rules as they apply to claims processing Strong accounting and finance skills ... This position is posted until filled. **DEPARTMENT** Department: Insurance **JOB DESCRIPTION** ** Sr Risk Analyst ** Salary Grade: G06 Minimum Midpoint Maximum… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The User Experience Analyst Sr . plays a critical role in leveraging data to drive strategic decision-making. This individual will be responsible ... communicate findings to both technical and non-technical audiences. The User Experience Analyst Sr . will work independently on complex projects and mentor… more
- Belcan (Mason, OH)
- …SQL queries and Excel to ensure the configuration properly adjudicates during claims processing , for member benefit, reimbursements and provider pay amounts. ... Sr . Data Analyst Job Number: 355869 Category: Business Analysis Description: Job Title: Sr . Data Analyst Location: Mason, OH Zip Code: 45040 Pay Rate:… more
- Prime Therapeutics (Montgomery, AL)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Sr - Strong SQL/GCP - Remote **Job Description** The Senior ... analysis to include 3 years of experience in Pharmacy Benefit Management (PBM), claims processing , healthcare, and/or related field. + Previous experience using… more
- Norstella (Montgomery, AL)
- Sr . Medical Analyst Company: MMIT Location: Remote,...and support patients in need. We are seeking a Senior Medical Analyst to join our team and ... to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records (EHRs). You… more
- CVS Health (Phoenix, AZ)
- …execution of network and mail pricing for CVS Health, a Fortune Company. The Sr . Analyst , you will ensure quality assurance for all client pricing ... role covers all delivery systems and adjudication platforms related to pharmacy claims adjudication. You will inspect the correct application of business rules,… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …and analytic problems through communication and collaboration. + Knowledge of BCBSMA claims processing system is preferred. + Proficient analytical and report ... activities as well as provide program-wide trend analysis. The Senior Data Analyst will use advanced analytics,...potential fraud risks. + Working knowledge of health insurance claims coding, including CPT, HCPCS, ICD-10, and DRG coding.… more
- PRGX (Grand Rapids, MI)
- …analyze the client's business operations. + Finds, supports, and documents audit and claims operations. + Produces claims using appropriate audit concepts for ... writing claims , updating claims management system, and billing claims to...with experience in retail or grocery procurement, and A/P processing . WORKING CONDITIONS The physical demands described here are… more
- AIG (Atlanta, GA)
- …AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Claims Law Firm Analyst to play your part in that transformation. It's ... will create an impact Full Time US-based employment, the Claims Law Firm Analyst shall be responsible...an annual spend of less than $500K for Insurance Claims processing and adjudication commodities. This shall… more