- Guardian Life (Bethlehem, PA)
- … Claims , you will play a key role in supporting the Life Insurance claims processing , product and system configuration on Claims management platform and ... **Overview** As Claims Technical Analyst in Individual Markets...will offer a depth and breadth of knowledge of claims processing systems including integration points, data… more
- New York State Civil Service (Albany, NY)
- …- Dormitory Authority of the State of New York Title Property-Casualty Insurance Claims Administrator (Risk Managment Claims Analyst ) Occupational Category ... Zip Code 12207 Duties Description Primary PurposeThe Risk Management Claims Analyst guides all aspects of the...* Serve on committees/teams as directed.* Review and recommend claims -related invoices and/or payments for processing and… more
- CenterLight Health System (NY)
- …+ Validate Diagnosis-Related Group (DRG) grouping and (re)pricing outcomes presented by the claims processing vendor to ensure accuracy. + Attend Joint Operating ... JOB PURPOSE: The Claim Analyst will play a pivotal role in enhancing...in MS Excel, Word, PowerPoint, and experience using a claims processing system or comparable database software.… more
- CDPHP (Albany, NY)
- …and invites you to be a part of that experience. The Risk Adjustment Claims Analyst will be responsible for identifying, interpreting, auditing and analyzing ... and identifying areas of opportunity as it relates to claims processing and encounter submission. They may...assist with explanation of the findings. The Risk Adjustment Claims Analyst will interpret the needs of… 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 ... claims examiners + Develops and delivers training to business units on claims processing process and is the subject matter expert + Serves as a subject… more
- Commonwealth Care Alliance (Boston, MA)
- …Revenue Integrity, Payment Integrity, and Analytics + 5+ years of Facets Claims Processing System **Required Knowledge, Skills & Abilities (must have):** ... of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective … more
- Molina Healthcare (Bellevue, WA)
- …claims projects + Assists with reducing re-work by identifying and remediating claims processing issues + Locate and interpret regulatory and contractual ... standard principles and applicable state specific policies and regulations to identify claims processing errors + Applies claims processing and technical… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Apr 19, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 60414 **Who we are** Teva ... us on our journey of growth! **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Apr 16, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 61400 **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
- Axis (Chicago, IL)
- …in the selection process. Part of AXIS Claims Shared Services, the Claims Operations Analyst is responsible for the performance, oversight, and ongoing ... improvement of Claims support activities performed within our North America ...inefficiencies in process through reporting, feedback, or hands on processing , and working through potential process and/or technology solutions… more
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