- Commonwealth Care Alliance (Boston, MA)
- …the Sr . Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr . Analyst will be responsible for developing prospective ... Integrity, Payment Integrity, and Analytics + 5+ years of Facets Claims Processing System **Required Knowledge, Skills & Abilities (must have):** + Knowledge… 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 ... for issues which cannot be satisfactorily resolved by the Claims Examiner or Sr . Claims ...+ Develops and delivers training to business units on claims processing process and is the subject… more
- Axis (Red Bank, NJ)
- …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
- AdventHealth (Maitland, FL)
- …strongly preferred. + Managed Care, Patient Financial services, health insurance claims processing , contract management, or medical economics required + ... days at the office (Altamonte Springs, FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating… more
- Sedgwick (St. Paul, MN)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr . Data Analyst **PRIMARY PURPOSE** : To create comprehensive reporting ... and analysis of statistical data; to monitor data for processing and procedures issues; and to support performance initiative by providing technical support and… more
- DXC Technology (Madison, WI)
- **Job Description:** ** Sr . Analyst Data Center Support - On site Milwaukee, WI** **Data Center Support Duties** + Consists of site-specific tasks necessary to ... Equipment Manufacturer (OEM) Third Party Supplier. Process warranty repair claims through OEM Third Party Supplier 's warranty ...claims through OEM Third Party Supplier 's warranty processing system if applicable, in DXC's discretion. Test for… more
- Dart Container (Mason, MI)
- Sr Procurement Business Process & Systems Analyst Apply now " Date: May 1, 2025 Location: Mason, MI, US Company: Dart Container Are you a procurement pro with a ... bills of lading, contracts, invoices + Provide occasional assistance in processing requisitions and purchase orders. Follow requirements provided by planning group… more
- Molina Healthcare (Albany, NY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, ... of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare data, including… more
- Molina Healthcare (Albany, NY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare financial terms… more
- Molina Healthcare (Everett, WA)
- …payment methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule knowledge is ... experience **Required Experience** 5-7 years in SQL, Medicare, Networx, QNXT, claims processing and hospital claims payment method. **Preferred Education**… more
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