- Elevance Health (Indianapolis, IN)
- …not eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical ... into effective and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management, CPT, HCPCS… more
- Centene Corporation (Tallahassee, FL)
- …and visualization tools. **Provider:** Experience in provider contracting, claims pricing, financial reporting/analysis, data modeling, statistical modeling, data ... HBR Analytics:** Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity… more
- Centene Corporation (Jefferson City, MO)
- …clinical outcomes. + Interpret and analyze data from multiple sources including claims , provider, member, and encounters data. Identify and assess the business ... Microsoft PowerBI. Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity… more
- Centene Corporation (Jefferson City, MO)
- …tools. Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity ... with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired. Pay Range: $86,000.00 -… more
- TEKsystems (Minneapolis, MN)
- …analyst role. Skills Claims Analyst , CapRX, RxClaims, PBM, Analyst , research, Reprocessing, medical terminology, Claim , billing Top Skills Details ... Claims Analyst ,CapRX,RxClaims,PBM, Analyst ,research,Reprocessing, medical terminology Additional Skills & Qualifications 2+ years with health insurance … more
- New York State Civil Service (New York, NY)
- …Bureau in the Office of the New York State Attorney General (OAG) is seeking an experienced Medical Analyst to serve in the New York City office. The Medical ... NY HELP No Agency Attorney General, Office of the Title Legal Nurse|Review Medical Malpractice Claims for NYS (6402) Occupational Category Legal Salary Grade NS… more
- Elevance Health (Roanoke, VA)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Business Analyst III** is a member of ... **Business Analyst III** **Location** : This role requires associates...savings. This position plays a critical role in uncovering claims overpayments and guiding clients through implementation of data-driven… 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 ... with heart, each and every day. **Position Summary** The ** Claim Field Analyst ** acts as the primary...assigned. **Required Qualifications** + 3+ years of experience in medical billing and coding, specifically related to claims… more
- Bank of America (Phoenix, AZ)
- Senior Claim Analyst Phoenix, Arizona **To proceed...that were unable to be resolved by the initial claims analyst . Provides coaching and training to ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Phoenix/Senior- Claim - Analyst \_25040197-2) **Job Description:** At Bank of America,… more
- Chevron Corporation (Houston, TX)
- Chevron is accepting online applications for the position **Insurance & Claims Analyst ** through **10/17/2025** at **11:59 pm** **Central Time.** We are looking ... for an Insurance Risk & Claims Analyst to serve in a high...key areas: 1) Responsible for the management of third-party claim administrator handling of domestic liability claims … more