- Highmark Health (Carson City, NV)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
- Highmark Health (Carson City, NV)
- …SUMMARY** This job is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a ... product offerings available to Organization members and be versed in claims payment methodologies, benefits administration, and business process requirements.… more
- Prime Therapeutics (Carson City, NV)
- …career? Come build the future of pharmacy with us. **Job Posting Title** IT Analyst **Job Description** The IT Business Systems Analyst is responsible for ... document the requirements and technical solutions for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business requirements and IT… more
- Evolent (Carson City, NV)
- …contribute to Evolent's broader mission. **Collaboration Opportunities:** The Senior Analyst , Performance Suite Analytics utilizes and develops analytic tools to ... in the Performance Suite where Evolent does not pay claims . + Support the design of data transfer protocols...total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits ) to qualifying… more
- Otsuka America Pharmaceutical Inc. (Carson City, NV)
- …benefits . Come discover more about Otsuka and our benefit offerings; https://www.otsuka-us.com/careers-join-otsuka . **Disclaimer:** This job description is ... can too._ In this exciting role, as a Sr. Analyst within OAPI supply chain team, you will work...posted for a minimum of 5 business days. **Company benefits :** Comprehensive medical, dental, vision, prescription drug coverage, company… more
- Baylor Scott & White Health (Carson City, NV)
- **JOB SUMMARY** The Sr. Data Governance Analyst plays a key role in advancing BSWH data governance initiatives and driving data-informed decision-making across the ... organization. The Data Governance Analyst provides data analytics, data management, data architecture support...work environment. + Knowledge of healthcare and health insurance claims processing domains. + Ability to write complex SQL… more
- Evolent (Carson City, NV)
- …positively contribute to Evolent's broader mission. **Collaboration Opportunities:** The Analyst , Performance Suite Analytics utilizes and develops analytic tools to ... articulating our value. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant… more
- Prime Therapeutics (Carson City, NV)
- …Come build the future of pharmacy with us. **Job Posting Title** Eligibility Analyst - REMOTE **Job Description** The Eligibility Analyst is responsible for ... files, outgoing eligibility files, verification of letters of authority and some claims analysis. + Other duties as assigned **Minimum Qualifications** + Bachelor's… more
- Cognizant (Carson City, NV)
- **Reimbursement Technical Analyst ** **Location: Remote** **Employment Type: Full-Time** **Job ID: 00066154621** **About the role** As a Reimbursement Technical ... Analyst Associate, you will make an impact by ensuring...analysts and other operational stakeholders to maintain and improve claims reimbursement systems. **In this role, you will:** +… more
- Humana (Carson City, NV)
- …and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer Business and System Support team ... it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible for maintenance and support of… more
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