- JBS USA (Greeley, CO)
- …claims and deductions team. + Report and analyze claim data in order to reduce claims . (Data Analyst experience a plus) + Process and close claims . Review ... **Description** Claims Director Purpose and Scope/General Summary: We are...JBS USA is a leading global provider of diversified, high- quality food products, including a portfolio of well-recognized brands… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …(RHIA or RHIT) or a Nursing Degree. . Three (3) years' experience in claims auditing, quality assurance, or recovery auditing, of (MS/APR) DRG coding for ... II (in addition to Level I Qualifications) . Five (5) years' experience in claims auditing, quality assurance, or recovery auditing, of (MS/APR) DRG coding for… more
- Molina Healthcare (OH)
- **JOB DESCRIPTION** **Job Summary** The Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. This position designs ... on how to use reports related to Risk and Quality /HEDIS for Medicaid, Marketplace and Medicare/MMP. **Job Duties** +...plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and… more
- Molina Healthcare (OH)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops ... on how to use reports related to Risk and Quality /HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research,...plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Revenue Cycle Analyst - Medical Group - Albany, NY - FT** If you are looking for a Revenue ... remote 1 day a week. . This Revenue Cycle Analyst is needed for the medical group. Coding and...within the organization. (capital region area) **Position Highlights:** + Quality of Life: Where career opportunities and quality… more
- NTT DATA North America (Oklahoma City, OK)
- …organization, apply now. We are currently seeking a HC and Insurance Operations Analyst to join our team. **Position: Claims Case Manager** Must live ... or legally required benefits.** **Role Overview:** We are seeking a dedicated Claims Case Manager to provide comprehensive claim servicing to our insurance… more
- Mount Sinai Health System (New York, NY)
- …Sinai is one of the largest US health systems with a strong reputation for quality of care and research. We have over 38,000 employees working together to provide ... billions of dollars in high- quality care each year for millions of patients. We...System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be responsible for tracking, trending,… more
- The Hartford (Alpharetta, GA)
- …Disability and Absence Management Disability Team. The Short-Term Absence Management Disability Analyst quickly investigates claims to determine if the insured ... Ability Analyst - C410ANSr Ability Analyst -...create a positive team environment that achieves Group Benefit Claims culture initiatives and objectives Qualifications: + 1+ yeas… more
- UIC Government Services and the Bowhead Family of Companies (Washington, DC)
- **Overview** Senior Acquisition Program Cost Analyst /Estimator(SIOP-2025-23096): Bowhead seeks an experienced Senior Cost Analyst /Estimator to join our Shipyard ... will be performed on-site in Washington DC. **Responsibilities** The Senior Cost Analyst /Estimator will develop, review, and comment on the accuracy, integrity, and… more
- LA Care Health Plan (Los Angeles, CA)
- Business Analyst III Job Category: Claims Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and...quantitative role as a Business Analyst , Data Analyst , Programming Analyst , Claims processing,… more