- Molina Healthcare (Sterling Heights, MI)
- …**Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial ... and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed… more
- AON (IL)
- Reinsurance Business Analyst Aon are looking to recruit an experienced Reinsurance Business Analyst to join our team in the US. This is a Hybrid position and can ... experience will not be considered for this position. The DXC SICS Application Analyst is responsible for maintaining and enhancing the DXC SICS (Swiss Insurance … more
- Molina Healthcare (Spokane, WA)
- …identify and troubleshoot claim discrepancies by utilizing benefit and provider contracts, regulatory requirements and various claims related resources + Strong ... Responsible for accurate and timely auditing of critical information on claims databases. Maintains critical auditing and outcome information. Synchronizes data… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical ... Essential Accountabilities: Level I . Analyzes and audits acute inpatient claims . Integrates medical chart coding principles, clinical guidelines, and objectivity in… more
- Elevance Health (Columbus, GA)
- …accreditation and regulatory standards and requirements. + As such, the analyst will strictly follow department guidelines and tools to conduct their reviews, ... **Grievance/Appeals Analyst II** **Virtual:** This role enables associates to...& Appeals Department from customer types (ie member, provider, regulatory , and third party) and multiple products (ie HMO,… more
- University of Miami (Miami, FL)
- …of Miami Health System IT Department has an opportunity for a full-time Epic Analyst 2. The Epic Analyst 2 assists Associate Epic Analysts on the ... to optimize the application's configuration, function, and access. The Epic Analyst 2 facilitates day-to-day application support and resolving application issues and… more
- AIG (Jersey City, NJ)
- Claims Complex Director - Healthcare Professional Liability (HPL) Join us as a Claims Complex Director to take on key responsibilities within a world-class ... claims function. Make your mark in Claims ...determinations, investigations, and trial and resolution strategies. + The analyst will investigate losses, orchestrate defense strategies for healthcare… more
- Fair Haven Community Health Care (New Haven, CT)
- …dental care, regardless of ability to pay. Job purpose The Senior Data Analyst turns clinical, operational, and financial data into insights that improve patient ... Reporting to the Director of Data, the Senior Data Analyst will effectively prioritize and execute tasks in a...and reports for clinical quality (ex. UDS, HEDIS), operations, regulatory , revenue cycle, and VBC performance. + Produce monthly… more
- HTC Global Services Inc (Troy, MI)
- …and a variety of other perks. The Epic Revenue Cycle Applications Analyst is responsible for the design, build, configuration, optimization, and support of ... charge capture and claim submission to payment posting and account resolution. The analyst acts as a subject matter expert (SME) in Epic billing workflows,… more
- ManpowerGroup (Vacaville, CA)
- …flows for workers' compensation insurance operations. + Analyze current workflows in claims handling, reserving, audits, and regulatory compliance to identify ... leader in the insurance industry, is seeking a Business Analyst to join their team. As a Business ...+ Deep understanding of workers' compensation insurance operations, including claims , reserves, self-insurance, and regulatory compliance. +… more