- 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 clerical tasks effectively. The role requires… more
- Highmark Health (Raleigh, NC)
- … terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards....years of prior experience processing 1st dollar health insurance claims + 3 years of experience with medical… more
- Cognizant (Raleigh, NC)
- About the role As a **Quality Analyst with Healthcare - Claims & Membership experience** . You will make an impact by designing and executing end-to-end test ... strategies that ensure the quality and reliability of healthcare claims and membership applications. You will be a valued member of the Quality Engineering team and… more
- UNC Health Care (Kinston, NC)
- …we serve. Summary: **JOB PURPOSE** + Expedites the settlement of insurance claims by submitting accurate claims and performing appropriate follow-up activities ... calculator, and other office equipment. Basic accounting background and medical terminology preferred. Strong analytical ability preferred. Excellent customer… more
- Lowe's (Mooresville, NC)
- **Your Impact** The Sr Analyst -Workers Compensation Claims will provide insight and support to drive the operational excellence of the Workers Compensation ... Will Do** + Evaluates monthly, quarterly, and annual performance of claims administrator and subcontracted vendors through analyses such as cost-benefit,… more
- Baylor Scott & White Health (Raleigh, NC)
- …2 Years of Experience in Healthcare Analytics + 2 years working with ACA and Medical Claims , MMR, MOR, MAO-002, MAO-004 and RAPs/EDS data + Experience with ... + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight...outbound encounter process. + Monitors and oversees the end-to-end claims encounter management workflow. + Identifies and interprets encounter… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …professional and ancillary claims . + Minimum 3 years in auditing of claims adjudication. + Working knowledge of medical terminologies and coding a plus ... About The Role Brighton Health Plan Solutions is seeking a Senior Quality Analyst , who will oversee contract and benefit configuration to ensure accurate claims … more
- Elevance Health (Durham, NC)
- **Performance Quality Analyst II** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while ... is granted as required by law. The **Performance Quality Analyst II** is responsible for driving service quality excellence...Included are processes related to enrollment and billing and claims processing, as well as customer service written and… more
- Motion Recruitment Partners (Garner, NC)
- Senior Data Analyst / HEDIS Garner, North Carolina **100% Remote** Contract $60/hr - $70/hr Our client is looking for a Senior Data Analyst to support the team ... cases + Strong understanding of HEDIS measures and how claims and clinical data work to inform those measures...respective payers **You will receive the following benefits:** + Medical Insurance - Four medical plans to… more
- Prime Therapeutics (Raleigh, NC)
- …with data consolidation and modeling + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + ... and drives every decision we make. **Job Posting Title** Data and Reporting Analyst Assoc- REMOTE **Job Description** The Associate Data & Reporting Analyst … more