- Commonwealth Care Alliance (Boston, MA)
- … Sr . Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr . Analyst will be responsible for developing prospective ... specific to Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims , settlement, claims… 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 ...age, ancestry, national origin, mental or physical disability or medical condition, sexual orientation, gender identity or expression, marital… more
- Amazon (Seattle, WA)
- …Risk Management & Claims team is seeking a highly skilled and detail-oriented Senior Risk Analyst with a background in logistics, supply chain, and data ... ideal candidate will possess an in-depth understanding of insurance claims processes, global cargo regulations, and risk management in...cargo regulations, and risk management in transportation. As a Senior Risk Analyst , you will partner with… more
- CVS Health (Scottsdale, AZ)
- …Transmission (CET Files) on behalf of our Clients and their vendors. The Senior Analyst will have primary responsibility and ownership of the administration ... the creation of ongoing and ad hoc files. The Senior Analyst position will also be responsible...our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company… more
- Deloitte (Chicago, IL)
- …technology who wants to work in a collaborative environment? As an experienced Epic Billing and Claims Senior Analyst you will have the ability to share new ... * Certified in Epic Hospital Billing Administration/Professional Billing Administration and Claims * Experience in performing configuration changes and system builds… more
- Healthfirst (NY)
- …and interpret health insurance benefits and coverage details to apply appropriate medical codes. + Accurately assign procedure (CPT, HCPCS) and diagnosis codes ... and prevent claim denials and accurate claim adjudication + Collaborate with clinical, claims and benefits teams to clarify appropriate claim coverage and denials as… more
- NextEra Energy (North Palm Beach, FL)
- ** Sr Insurance Operations Analyst ** **Date:** May 8, 2025 **Location(s):** North Palm Beach, FL, US, 33408 **Company:** NextEra Energy At PALMS Insurance, a ... subsidiary and provides coverage to both affiliated and non-affiliated risks. As the Operations Analyst for Claims & Finance, you will be assisting the Claims… more
- Terumo Medical Corporation (Somerset, NJ)
- Sr . Tax Analyst , Indirect Date: Apr...go next!** **_Advancing healthcare with heart_** **Job Summary** The Senior Tax Analyst , Indirect Tax will work ... 08873 Company: Terumo Americas Holding, Inc. Department: TAH Tax Terumo Medical Corporation (TMC) develops, manufactures, and markets a complete, solutions-based… more
- AdventHealth (Maitland, FL)
- …3 days at the office (Altamonte Springs, FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating ... proposals, analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst must...of app provider types + Applies detailed understanding of medical coding systems affecting the adjudication of claims… more
- Molina Healthcare (Everett, WA)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Clinical Center of Excellence, Health ... tools to monitor trend drivers and provide recommendations to senior leaders on UM and CM improvements. Responsible for...+ Provide data driven analytics to Clinical COE, Finance, Claims , Medical Management, Network, and other departments… more
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