- Harbor Health Services, Inc. (Mattapan, MA)
- …annual Quality Improvement plan. Oversees the collection of quality measures and other data by the Quality Analyst for report to regulatory agencies, including ... functions and staff accountable for performance on such measures and prepares and presents data to PACE staff and Harbor leadership. Uses data to identify… more
- Molina Healthcare (Tacoma, WA)
- JOB DESCRIPTION **Job Summary** Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... claims -related regulatory and contractual requirements. * Tailors existing reports and/or available data to meet the needs of claims projects. * Evaluates … more
- TEKsystems (Moorestown, NJ)
- …We are seeking a highly analytical and detail-oriented professional to join our team as a Claims Data Analyst . This role is ideal for someone who thrives on ... space. They specialize in claims processing, enrollment, compliance, and data -driven solutions that help clients navigate complex healthcare and insurance… more
- Molina Healthcare (Dallas, TX)
- …Responsible for accurate and timely implementation and oversight of critical information on claims databases. Synchronizes data among operational and claims ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...and knowledge to research and resolve claim/encounter issues, pended claims and facilitate system update(s) as necessary. + Works… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Dec 4, 2025...with assigned states to get Medicaid Summary invoice, summary data file and Claim Level Invoice each quarter and ... to make a difference with. **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid Drug...review to ensure completeness of information received. Upload data into Medicaid systems and authorize transactions. Document errors… more
- Banner Health (Phoenix, AZ)
- …more experienced staff. Familiar with RMIS databases, generating reports and analyzing claims data . PREFERRED QUALIFICATIONS ARM (Associate of Risk Management) ... you. Banner Health is seeking a Risk & Insurance Analyst to join the department and assist with risk...department and assist with risk identification, mitigation, transfer, and claims management to protect one of the nation's largest… more
- Catholic Health Services (Melville, NY)
- …why Catholic Health was named Long Island's Top Workplace! Job Details The Claims Analyst is responsible for monitoring, analyzing, and reporting on professional ... supports the Risk Management team by maintaining oversight of active litigated claims , reconciling financial data provided by third-party administrators (TPAs),… more
- Robert Half Accountemps (Raleigh, NC)
- Description We are looking for a detail-oriented Medical Claims Analyst to join our team in Raleigh, North Carolina. This long-term contract position is ideal ... for someone with extensive experience in medical claims processing and a strong ability to manage repetitive...track progress effectively. * Perform clerical tasks such as data entry and filing with a focus on accuracy… more
- Carrington (Jackson, MS)
- …amazing team and work remote from home! The Loss Claim Recovery Analysis Analyst is responsible for performing financial reconciliation on all liquidated loans and ... external investors providing opportunity for investor rebuttals. Accountable for analyzing multiple data elements in order to apply the proper decision rationale and… more
- Centene Corporation (Columbus, OH)
- … (ie documenting business process, gathering requirements) or claims payment/analysis experience. Advanced knowledge of Microsoft Applications, including ... process improvements. + Lead the support of business initiatives through data analysis, identification of implementation barriers and user acceptance testing of… more
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