- Insight Global (Woonsocket, RI)
- Job Description Insight Global is seeking a business systems analyst to sit in Hartford, CT or fully remote but work east coast time zone. This person would ... systems that process close to 1 million in claims a day. Key Responsibilities Include: * Elicit and...day. Key Responsibilities Include: * Elicit and document detailed business and system requirements. * Manage and resolve open… more
- Prime Therapeutics (Providence, RI)
- …drives every decision we make. **Job Posting Title** Specialty & Home Delivery Program Claims Analyst - Remote **Job Description** The Specialty & Home Delivery ... Program Claims Analyst is responsible for serving as a subject...inquiries related to specific job function process or support systems and provide documentation and tracking to resolution +… more
- Cognizant (Providence, RI)
- **Facets Benefits and Claims Configuration Lead** **Location: Remote ** **Job ID: 00065904022** **About the role** As a Facets Benefits and Claims ... a valued member of our healthcare technology team and work collaboratively across business and technical stakeholders to ensure accurate claims processing and… more
- Lincoln Financial (Providence, RI)
- …Dover, NH (New Hampshire); Radnor, PA (Pennsylvania); Work from Home **Work Arrangement:** Remote : Work at home employee residing outside of a commutable distance ... a Glance** We are excited to bring on a Claims Customer Care Associate to join our claimant excellence...our claimant excellence team supporting Group Protection in a remote environment. Background Details The Claimant Excellence Team will… more
- Humana (Providence, RI)
- …understanding of Humana processes, as well as a focus on collaborative business relationships, value-based care, population health, or disease or care management. ... products, or other medical management organizations, hospitals/ Integrated Delivery Systems , health insurance, other healthcare providers, clinical group practice… more
- Prime Therapeutics (Providence, RI)
- …Title** Sr. AI Business Analyst - Remote **Job Description** **Are you a Business Systems Analyst with an AI background? We are standing up a new AI ... the requirements for changes to Prime's claims systems . **Responsibilities** + Ensure understanding of business ...within project + Educate and advance business systems analyst practice within the Claims IT… more
- GovCIO (Providence, RI)
- …Skills and Experience** + Bachelor's degree in engineering, Computer Science, Systems , Business or related scientific /technical discipline or equivalent ... testing strategy, planning, and execution across a portfolio of healthcare systems , ensuring compliance with regulatory standards and delivery of high-quality,… more
- Cognizant (Providence, RI)
- …with Medicare, Medicaid, and third-party guidelines. . Effectively document and log claims /appeals information on relevant tracking systems . Utilize critical ... determination We strive to provide flexibility wherever possible. Based on this role's business requirements, this is a remote position open to qualified… more
- Conduent (RI)
- …based on business need. **About the Call Center Representative role:** Claims inquires or debit card denials. Questions regarding documentation that has been ... culture where individuality is noticed and valued every day. ** Remote Call Center Representative** Our call center associates are...a day of training. Successfully learn to navigate 12-13 systems and average of 30-40 calls per day. Hours… more
- Highmark Health (Providence, RI)
- …supporting the Epic Resolute Hospital Billing application. Responsibilities include business / systems analysis, requirements definition and documentation, system ... provide standardized, comprehensive workflows. Corrects issues, conducts routine maintenance, updates systems with new functionality to meet the end user's needs,… more