- WelbeHealth (CA)
- **Senior Applications Analyst - TPA Systems & Claims Processing ** WelbeHealth is a value-based healthcare organization that's transforming the future of ... independently to research, define, plan, and implement new TPA and claims processing system, supporting payer-side workflows including benefits, eligibility,… more
- Kelly Services (Mason, OH)
- …lifestyle isn't always easy** . That's where Kelly(R) comes in. We're seeking a **HYBRID Claims Analyst ** to work in Mason, OH. Sound good? Take a closer look ... hour **Why you should apply to be a** **HYBRID Claims Analyst :** + Competitive pay rate. +...+ High School Diploma or equivalent + Experience in Claims processing + Experience in Microsoft Office… more
- UMB Bank (Kansas City, MO)
- **Duties & Responsibilities :** Open to hybrid or remote working schedule The Sr Card Fraud Claims Analyst will be a member of the UMB Card Operations team and ... weekly reporting. Assisting with ongoing monthly audit and reporting of vendor claims processing to ensure compliance with Reg E and Reg Z regulatory… 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
- AIG (Atlanta, GA)
- …the way we help customers to manage risk. Join us as a Vendor Operations Claims Analyst to play your part in that transformation. It's an opportunity to ... experience as a valued member of the team. The Claims Analyst role will be supporting a...enabling upper management to present insights effectively. + Support processing / reporting of vendor exception submission requests from… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** ** Claims Analyst ** **Location:** Trinity Health PACE Corp Michigan, Livonia, MI **Status:** Full time ... work in the office each Wednesday. **Position Purpose:** The Claims Analyst is responsible for analyzing and...and eligibility. Prepares and maintains reports and records for processing . **Position Details:** HYBRID work environment - remote 4… more
- Commonwealth Care Alliance (Boston, MA)
- …certifications **Required Experience (must have):** + 3+ years in healthcare claims processing , provider reimbursement, or payment integrity. + Experience ... to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring accurate, compliant, and timely… more
- Magellan Health Services (Albuquerque, NM)
- …involved in member enrollment, provider information management, benefits configuration and/or claims processing . + Identifies the interdependencies of the ... The Claims Internal Resolution Analyst is responsible for coordinating the resolution of claims issues locally at the health plan by actively researching and… more
- The Cigna Group (Bloomfield, CT)
- … Analyst . This highly technical systems role requires the review of our claims processing system to ensure all configurations were input correctly into the ... system per the specifications of the provider. The Claims System Senior Analyst will have in depth knowledge of the eviCore claims systems and products. As… 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
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