- Ascension Health (Glendale, WI)
- …the offer._ **Responsibilities** **We Are Hiring** We are hiring a full-time Senior Analyst to join the Ascension Data Sciences Institute Center of Excellence. The ... **What You Will Do** This position seeks an Ascension Wisconsin Senior Data Analyst to furnish strategic insights regarding network rates, market share and internal… more
- TelCom Construction (Clearwater, MN)
- …industry. We are currently hiring an individual to fill our Safety Analyst role reporting to our Clearwater, MN location. **Connecting you to great ... + Paid Time Off, Parental Leave, and Holidays + Insurance (including medical , prescription drug, dental, vision, disability, life insurance) + 401(k) w/ Company… more
- International Paper (Selma, AL)
- Financial Analyst Description: What if you were given the opportunity and responsibility to make a difference? At International Paper, you control your destiny. We ... products people depend on every day. **Position Title** **:** **Financial Analyst ** **Pay Rate** : $89,000- $118,600 _Multiple factors, including Individual… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …and Payment Integrity monitoring activities + Collaborate with other departments such as Claims , Medical Management, Internal Audit, Recovery and Legal teams + ... Position Purpose: The Analyst - Fraud, Waste & Abuse (FWA) provides...regulatory requirements + Maintain process integrity and ensure legitimate claims are processed efficiently + Implement and track corrective… more
- AmeriHealth Caritas (Manchester, NH)
- **Role Overview:** ;The Senior Provider Network Operations Analyst is responsible for maintaining current provider data and setting up provider reimbursement, as ... schedules for current reimbursement to providers + Participating in Provider Reimbursement medical policy and edit reviews + Requests/runs queries to identify root… more
- Beth Israel Lahey Health (Charlestown, MA)
- …a job, you're making a difference in people's lives.** The Revenue Cycle Denial Analyst is charged with coordinating the analysis and effective resolution of denied ... claims with the purpose of reducing overall denials and...comprehend and converse in English to communicate effectively with medical center staff, patients, families and external customers. **Knowledge:**… more
- Robert Half Finance & Accounting (Bristol, PA)
- Description We are looking for a meticulous Deductions Analyst to join our team in Bristol, Pennsylvania. In this role, you will be responsible for managing client ... deductions, analyzing trends, and ensuring accurate resolution of claims . This position is ideal for someone with a strong background in accounts receivable and a… more
- CareFirst (Baltimore, MD)
- …of regulated markets risk score methodologies, risk score calculations, enrollment, submissions, medical and pharmacy claims , and provider data. Incumbent is ... **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations Analyst assumes a pro-active approach in ensuring the accuracy and integrity of… more
- City of New York (New York, NY)
- …Compensation Division are responsible for all medically related issues for medical management of workers' compensation claims . Responsibilities include: Consult ... relates to the claimant's work injury and assist with medical case management of claims . Review and...the time of interview. To Apply Click "APPLY" MEDICOLEGAL ANALYST (LAW DEPT) - 06591 Qualifications 1. A valid… more
- The Cigna Group (Bloomfield, CT)
- …with corporate guidelines. + Conduct in-depth clinical summary reviews, including analysis of medical records and claims data. + Summarize and compile findings ... **Position Summary:** The Program Management Lead Analyst plays a key role within the Clinical...to support Market Medical Executives and Nurse Executives in client-facing engagements. +… more