- Molina Healthcare (Bellevue, WA)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex claims business problems and issues using data from internal and external sources to provide insight to ... analysis, task and workflow analysis. + Interpret customer business needs in the claims space and translate them into application and operational requirements… more
- Molina Healthcare (Grand Island, NE)
- …combination of education and experience **Required Experience** + 5-7 years of business analysis experience with an emphasis in claims payment accuracy ... the Nebraska Health plan SLT by providing subject matter expertise on complex claims related issues and service recovery efforts.** Analyzes complex business … more
- Providence (WA)
- …Directors and Officers, Employment Practices, Fiduciary, Property, Cyber, Managed Care, and Auto Claims . The Senior Quality Analyst assists the Claims ... regulations pertaining to self-insured health care organizations. The Senior Quality Analyst is also responsible for maintaining a claims quality assurance… 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...Work with claims handlers to understand the claims business area, and the cost drivers… more
- USAA (Chesapeake, VA)
- …all things Service to better serve USAA's members. They will closely collaborate with Claims leaders and business partners to deliver on Claims commitments ... position will be joining the Service Team within the Claims Actuary and Analytic community, which is part of...and deliverables** . Provide decision support for business areas across the enterprise. Staff in this area… more
- Molina Healthcare (Covington, KY)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... successful implementation of provider engagement programs. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze claims from compliance against contracts, billing, and processing guidelines… more
- NJM Insurance (Trenton, NJ)
- NJM Insurance Group's Claims & Medical Services Analytics group is seeking a Claims Insights Analyst . The Claims Insights Analyst applies a strong ... dashboards and visualizations to drive strategic decision making. The Claims Insights Analyst is a highly motivated,...This role may be filled at an Associate Insights Analyst , Insights Analyst , or Senior … more
- Amazon (New York, NY)
- …Risk Management & Claims team is seeking a highly skilled and detail-oriented Senior Risk Analyst with a background in logistics, supply chain, and data ... cargo regulations, and risk management in transportation. As a Senior Risk Analyst , you will partner with...KPIs, and benchmarking that will track the global cargo claims program - Reporting business metrics to… more
- CVS Health (Woonsocket, RI)
- …Identify and create custom solutions to support and meet on going business needs. Provide comprehensive reporting and key performance metrics for reconciliation, ... revenue cycle, and adjudication/ claims processes analysis. Facilitate effective solutions related to adjudication...and procedures to assist in new product development, create business cases from data driven strategic decision making to… more
- USAA (Phoenix, AZ)
- …Relocation assistance is not available for this position. Provide decision support for business areas across the enterprise. Staff in this area will be responsible ... approaches to draw conclusions and make 'insight to action' recommendations to answer business objectives and inspire change. The essence of work performed by the… more