- Amazon (New York, NY)
- …developed and maintained by the Application Analyst cover the full claims lifecycle, encompassing processes such as claim categorization and assignment, ... to help architect, configure, and manage our Origami system , for Amazon's Global Risk Management and Claims...automation to 25+ insurance and risk programs. As a system analyst , you will drive architectural, configuration,… more
- CenterLight Health System (NY)
- JOB PURPOSE: The Claim Analyst will play a pivotal role in enhancing the efficiency and effectiveness of the claims department by evaluating and refining ... monitor TPA's open tickets. Collaborate with TPA to ensure timely update to claims system configuration to reflect payment integrity. + Ensure accurate logging… more
- BrightSpring Health Services (Louisville, KY)
- …proprietary system , and monitoring and evaluating events related to 3rdparty claims . The 3rdparty analyst will interact with appropriate departments to ... information and provide pharmacy operations support. The position specializes in pharmacy claim billing and reimbursement detail. Analyst are considered experts… more
- Teva Pharmaceuticals (North Wales, PA)
- Medicaid Claims Analyst Date: Jun 9, 2025 Location: North Wales, United States, Pennsylvania, 19454 Company: Teva Pharmaceuticals Job Id: 62333 **Who we are** ... people to make a difference with. **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which… more
- AIG (Atlanta, GA)
- …AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims Analyst IV to play your part in that transformation. It's an opportunity to ... efficiency. How you will create an impact The Casualty Claims Analyst IV within the Lexington and...and account issues. + Maintain and manage a diary system to efficiently manage and resolve assigned claim… more
- Highmark Health (Frankfort, KY)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... claims up to pre-determined dollar threshold. Completes pended claim letters for incomplete, invalid, or missing claim...of client reports submitted to the organization, efficiency of claim operations, and adequacy of systems and… more
- The Cigna Group (Bloomfield, CT)
- …of business within the Cigna Group is hiring a Claims System Senior Analyst . This highly technical systems role requires the review of our claims ... system per the specifications of the provider. The Claims System Senior Analyst will... will have in depth knowledge of the eviCore claims systems and products. As the Subject… more
- Providence (Renton, WA)
- …Directors and Officers, Employment Practices, Fiduciary, Property, Cyber, Managed Care, and Auto Claims . The Senior Quality Analyst assists the Claims ... and regulations pertaining to self-insured health care organizations. The Senior Quality Analyst is also responsible for maintaining a claims quality assurance… more
- Aston Carter (Parsippany, NJ)
- …Claims Analyst Job Description We are seeking a Medicaid Claims Analyst to review summary data for claim submissions to ensure rebate eligibility. The ... candidate will perform detailed validation on claims , review for suspect claims , and determine...and proposing, applying, and documenting proper payment amounts. The analyst will complete Medicaid analysis for assigned states/programs, provide… more
- AIG (Atlanta, GA)
- …expertise in the functionality, operation, and integration points of the Claims systems . + Work with NAM Claim Business Partners to create business ... customers to manage risk. Join us as a Senior Claims Business Analyst to play your part...support including, but not limited to in-depth data and system analysis, business requirements, process mapping, communication to stakeholders,… more