• Analyst , Claims Research

    Molina Healthcare (Buffalo, NY)
    JOB DESCRIPTION Job Summary Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... inquiries and projects. * Interprets and presents in-depth analysis of claims research findings and results to leadership and respective operations teams. *… more
    Molina Healthcare (12/28/25)
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  • Senior Claims Business Analyst

    NTT America, Inc. (Little Rock, AR)
    …adaptable, and forward-thinking organization, apply now. We are currently seeking a Senior Claims Business Analyst to join our team in Little Rock, Arkansas ... possess in-depth expertise in Medicaid systems, particularly in all facets of claims adjudication and demonstrate a strong ability to translate complex business… more
    NTT America, Inc. (11/16/25)
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  • Research Analyst

    Center For Health Information And Analysis (Boston, MA)
    …at CHIA and be a driving force in health policy impact! We are seeking a Research Analyst to contribute to our growing research projects within the dynamic ... environment, offering a hybrid model that balances in-person and remote work. Our hybrid approach allows you to work...Strategy and Research team. The Research Analyst will work closely with… more
    Center For Health Information And Analysis (11/08/25)
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  • Biostatistician/ Research Data…

    Stanford University (Stanford, CA)
    Biostatistician/ Research Data Analyst (2-Year Fixed-Term), Emergency Medicine (US - Flexible Work Location) **School of Medicine, Stanford, California, United ... projects, with a focus on ensuring successful completion of extramurally funded research projects with diverse teams. The position will be primarily based inDr.… more
    Stanford University (12/17/25)
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  • Payment Integrity Analyst ( Remote )

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** The Payment Integrity Analyst is responsible for conducting research and analysis and reviewing billing requirements, ... new concepts that will target claim overpayment scenarios. Performs analysis on claims , provider data, enrollment data, medical policies, claim payment policies for… more
    CareFirst (12/30/25)
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  • Denial Analyst - Hospital Billing…

    Beth Israel Lahey Health (Charlestown, MA)
    …**Essential Responsibilities:** Responsible for prioritizing and managing to resolution denied claims with third party payers. Research , develop and maintain ... a difference in people's lives.** The Revenue Cycle Denial Analyst is charged with coordinating the analysis and effective...with coordinating the analysis and effective resolution of denied claims with the purpose of reducing overall denials and… more
    Beth Israel Lahey Health (11/01/25)
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  • Senior Analyst , Network Strategy, Pricing…

    Molina Healthcare (New York, NY)
    research , financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...basis using SQL, Excel, and other reporting software. + Research , develop, analyze and recommend cost savings opportunities in… more
    Molina Healthcare (12/28/25)
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  • Senior Analyst , Network Strategy, Pricing…

    Molina Healthcare (NM)
    research , financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...basis using SQL, Excel, and other reporting software. * Research , develop, analyze and recommend cost savings opportunities in… more
    Molina Healthcare (11/21/25)
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  • Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    …of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective ... 011250 CCA- Claims Hiring for One Year Term **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will… more
    Commonwealth Care Alliance (11/25/25)
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  • Contract Support and RCM Analyst

    Public Consulting Group (St. Paul, MN)
    …claim issue research . Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist with ... claim issue research . Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist with… more
    Public Consulting Group (12/02/25)
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