- Elevance Health (Indianapolis, IN)
- …healthcare delivery. The ** Senior Health Economist (** Advanced Analytics Analyst Senior ) measures financial performance of core Carelon products leveraging ... ** Senior Health Economist - Managed Care** **Location:** This role requires... claims , authorization, and membership data to tell a detailed story to… more
- Highmark Health (Lincoln, NE)
- …5 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years of project leadership ... in a complex, matrixed environment (payer and/or provider preferred) + 3 years of providing analytical consultation to clinical, administrative, operational and financial stakeholders **Preferred** + Applied experience analyzing Social Determinants of Health… more
- AIG (New York, NY)
- …Drafter- US A&H Product Team Job Summary: The primary function for the Product Contract Analyst Senior role is to prepare and design new and enhanced product ... key partners in the following business functions - Underwriting, Distribution, Actuarial, Legal, Claims and Marketing to ensure the success of the strategic goals of… more
- Montana State University (Bozeman, MT)
- …opportunity to contribute as a member of our talented Network Services team. The Network Analyst Ill is a senior position within the team, is a subject matter ... position, please contact: Adam Edelman ###@montana.edu ### Classification Title Net Sys/Comm Analyst III Working Title Network Analyst III Brief Position… more
- Entergy (The Woodlands, TX)
- …Entity:** Entergy Services, LLC **_This position will be filled as a Total Rewards Analyst III, SR, or Senior Lead, depending on the qualifications and ... Utility! We are seeking a proactive and experienced HR Analyst with a strong focus on communications to join...discrepancies identified. + Reviews and responds to benefit eligibility claim request received from employees and retirees. + Supports… more
- Geisinger (Danville, PA)
- …coding, appropriate billing, and reimbursement. + Completes clinical reviews related to Claims , Claim Edits, Appeals and the Grievance process, assisting in ... claims when edits are applied by the Plan claim editing software from multiple vendors. Reviews are typically...dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the organization to develop sophisticated ... goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more advanced understanding...care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- Mount Sinai Health System (New York, NY)
- …requires onsite occasionally at 150 E 42nd Street Corporate Offices** The Data Science Analyst III is a senior role, collaborating with stakeholders from across ... goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more advanced understanding...care EMR such as Epic/Clarity, eCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- Principal Financial Group (Des Moines, IA)
- **What You'll Do** As a ** Claim Analyst 2 on our Specialty Product Team** , you'll have the opportunity to review, analyze, and make appropriate and accurate ... things you'll do:** + Analyze and adjudicate Specialty Product claims after determining and obtaining all appropriate claim... with recommendation for appropriate action to other resources ( senior claims personnel, Medical, Law, etc). +… more
- WTW (Miami, FL)
- **Description** We are seeking a highly motivated individual to join our Company as a Claims Analyst based in Miami. The candidate will have multiple claims ... such as supporting the effective management, analysis, and resolution of claims , ensuring accurate processing and timely communication between clients, reinsurers,… more
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