- Prime Therapeutics (Washington, DC)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Treasury Claims Analyst Senior - Remote **Job Description** The Senior Treasury ... for providing guidance to the Accounting, Finance, Information Technology and Claims operation functions, as well as Pharmacy Networks and Government Programs.… more
- TEKsystems (Ewing, NJ)
- …of the servicer and/or client + Files respective investor/insurer initial and final claims based on the respective guidelines for allowable limits + Reviews MI claim ... and research curtailment reasons for potential rebuttal + Files Appeal or Supplemental Claims ensuring all allowable advances and interest are recovered from the MI… more
- Cognizant (Santa Fe, NM)
- …IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge of the business ... understanding in both Medicare, dual and Mass Medicaid required **Location: Fully Remote ** **Salary and Other Compensation:** The hourly rate for this position is… more
- The Cigna Group (Bloomfield, CT)
- …of business within the Cigna group, is hiring Claim Systems, Technical Lead Analyst . For this highly technical and analytical role. You'll gather requirements across ... sponsors/requestors in understanding the impact of requested changes to end-to-end claims adjudication processes + Use your technical proficiency to provide training… more
- The Cigna Group (Bloomfield, CT)
- …improves our business solutions? Do you have a high degree of technical expertise in claims systems? EviCore, a line of business within the Cigna Group, is hiring a ... Claim Systems, Business Solutions Lead Analyst to provide focused support on implementations, expansions, and...work closely with external clients, internal stakeholders, project managers, claims systems, claims product and planning and… more
- UTMB Health (Galveston, TX)
- Senior EHR Clin Apps Analyst (Resolute Hospital and Professional Claims ), Remote - ITS-Clin Revenue Cycle **Galveston, Texas, United States** **New** ... Qualifications:** + Certified or Accredited in Epic Resolute Hospital Billing Claims and Remittance Administration and Epic Resolute Professional Billing Claims… more
- Lowe's (Mooresville, NC)
- **Your Impact** The primary purpose of this role is to serve as a high-risk claims analyst for the Legal department, handling high risks/high value cases and ... issues. The role will also serve as an escalation point for the Claims Management department to transfer cases that, through development, meet specific triggers,… more
- Commonwealth Care Alliance (Boston, MA)
- …of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective ... **Essential Duties & Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and necessary… more
- TEKsystems (Deerfield Beach, FL)
- …a leading North American provider of auto-dealership services, is looking to add Mechanical Claims Analyst to their Deerfield Beach, FL team. Description Are you ... shift gears in your career? We are seeking Mechanical Claims Analysts to join our expanding customer contact team....connection and a quiet at-home workspace is required for remote and hybrid schedules Experience with Labor guides -All… more
- TEKsystems (New Orleans, LA)
- 100% remote Must be certified within Epic Professional Billing and...- They are looking for a PB and PB Claims certified analyst for a 3 month+ contract ... Claims Must be willing to mentor newer analysts on...or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to… more
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