- Norstella (Dover, DE)
- Sr. Medical Analyst Company: MMIT Location: Remote, United States Date Posted: Jul 17, 2025 Employment Type: Full Time Job ID: R-1344 **Description** **Why ... support patients in need. We are seeking a Senior Medical Analyst to join our team and...extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records… more
- CVS Health (Dover, DE)
- …+ Determines coverage, verifies eligibility, benefits, identifies discrepancies, and applies all Medical Claim Management policies and procedures to assist in ... accurately and efficiently. + Customer service experience + Knowledge of Medical Terminology **Preferred Qualifications** + Claims processing experience +… more
- CVS Health (Dover, DE)
- …including Excel and Microsoft Word **Preferred Qualifications** -2-4 years experience as a medical assistant, office assistant or claim processor -ATV, HRP, or ... day. **Position Summary** -Responsible for initial review and triage of claims tasked for review. -Determines coverage, verifies eligibility, identifies and… more
- TEKsystems (Wilmington, DE)
- …accountability with those who fail to maintain these standards Skills Default Servicing, Loan Claim Filing, Private Investor Claims , Default Claims , MSP, MS ... and loss mitigation relevant documents based on a specific claim type in a timely and efficient manner. This...and/or client * Files respective investor/insurer initial and final claims based on the respective guidelines for allowable limits… more
- CVS Health (Dover, DE)
- …all with heart, each and every day. **Position Summary** The **PBM Data Analyst ** performs prescription claim and accumulator audits, verifies policy coverage, ... person contributes to the efficient and accurate handling of prescription claims for reimbursement through knowledge of prescription benefits and effective… more
- Robert Half Technology (Selbyville, DE)
- …Documents to clearly communicate project needs and expectations. * Knowledge of Claim Administration for handling insurance claims and related tasks. Technology ... Description We are offering an exciting opportunity for a Business Analyst within the IT industry, based in SELBYVILLE, Delaware. As a Business Analyst , you will… more
- Elevance Health (Wilmington, DE)
- **Research Programmer/ Analyst ** **Location:** Wilmington, DE (preferred). This role requires associates to be in-office 1 - 2 days per week, fostering collaboration ... diverse patient populations. Carelon Research's projects range from traditional claims -based retrospective analyses to large-scale, prospective studies in the areas… more
- Cognizant (Dover, DE)
- **About the role** As a QNXT Config Analyst , you will make an impact by conducting requirements using QNXT configuration. You will be a valued member of the ... side with client team to add PBPs. + Troubleshoot and remediate/workaround for claim pend issues. + QNXT Configuration for different State implementation + Ability… more
- Evolent (Dover, DE)
- …the mission. Stay for the culture. **What You'll Be Doing:** Senior Analyst , Healthcare Analytics Consultant The Client Analytics team provides a unique opportunity ... of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams (EAS, Specialty… more
- Evolent (Dover, DE)
- …science, or engineering) - Preferred + Professional experience in healthcare analytics (eg medical and pharmacy claims data, membership data, or other healthcare ... Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote** Evolent is seeking a Senior Analyst… more
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