• Specialist I, Occupational Health Nurse…

    LG Energy Solution (Holland, MI)
    health matters, reviewing such items as physicians' reports on employee health , workers' compensation insurance claims , medical restrictions on employee work, ... Title: Occupational Health Nurse, Specialist (Part Time or Full Time)...and manage work-related injuries and illnesses, including Workers' Compensation claims + Manage return to work approval process +… more
    LG Energy Solution (07/05/25)
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  • Statistical Analyst A/B (Department of General…

    University of Pennsylvania (Philadelphia, PA)
    …will use SAS and/or STATA programming skills to create analytical datasets from health care claims , administrative databases, clinical trials, and surveys to ... skills to create analytical datasets from clinical trials, surveys and health care claims , to construct and standardize outcome measures and other analytical… more
    University of Pennsylvania (08/03/25)
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  • Sr Advisor, Quality Data Analytics (HEDIS/ Star…

    Commonwealth Care Alliance (Boston, MA)
    …skills and ability to effectively interact with all levels of management. * Knowledge of health plan operations, health care claims and other relevant data ... to effectively interact with all levels of management. * Knowledge of health plan operations, health care claims and other relevant data sources (eg EMR,… more
    Commonwealth Care Alliance (07/24/25)
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  • Research Associate/Data Analyst

    Harvard University (Cambridge, MA)
    …IT technical standards, policies and Code of Conduct + Analyze electronic health records, administrative claims , and national survey data Basic Qualifications ... for the successful completion of research projects + Previous experience with health care claims (Medicare, Medicaid, and private insurance plans) strongly… more
    Harvard University (07/11/25)
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  • Benefits Specialist, Health & Insurance

    Colgate-Palmolive (New York, NY)
    …benefits programs ensuring effective and efficient service delivery + Resolve escalated health and insurance program claims and advocate for employees and ... the Benefits Specialist is responsible for the smooth operation of our health and insurance benefits programs. Providing unparalleled service to our employees and… more
    Colgate-Palmolive (08/08/25)
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  • Healthcare Analyst

    Beth Israel Lahey Health (Wakefield, MA)
    …Skills demonstrated ability in using Power BI or Tableau. + Knowledge of claims -based health care data, including medical terminology and standard coding systems ... the general supervision of the Manager, Clinical Analytics, the Health Care Analyst is responsible for providing high quality...by data testing, the quality and accuracy of BILHPN's claims and EMR data. Responsible for developing reports for… more
    Beth Israel Lahey Health (07/12/25)
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  • Manager, Fraud and Waste

    Humana (Juneau, AK)
    …- What it takes to Succeed** + Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience with ... **Become a part of our caring community and help us put health first** The Special Investigations Unit Manager leads and monitors investigations of allegations of… more
    Humana (08/09/25)
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  • Insurance Follow-up Specialist

    Mindful Support Services (Tempe, AZ)
    …payments to an EHR system + Navigating clearinghouse data and resolving rejected claims + Behavioral health medical billing experience (preferred) + Experience ... provide high-quality billing, marketing, and administrative services to independent mental health care providers across the Pacific Northwest. Since opening in 2011,… more
    Mindful Support Services (08/08/25)
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  • Benefits Administrator (Special Administrative…

    Municipality of Anchorage (Anchorage, AK)
    …as lead within the Benefits Team. Responsible for administration of the self-funded health plan, including health claims , Consolidated Omnibus Budget and ... Reconciliation Act (COBRA), Flexible Spending Accounts (FSA), Health Savings Accounts (HSA), Retirement plans, and liaison for employee wellness clinic. Responsible… more
    Municipality of Anchorage (08/08/25)
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  • Medical Director - Florida

    Humana (Providence, RI)
    health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex ... as a focus on collaborative business relationships, value based care, population health , or disease or care management. Medical Directors support Humana values, and… more
    Humana (07/29/25)
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