• Healthcare Claims Data…

    Zelis (TX)
    …We are seeking a detail-oriented and technically skilled analyst to support healthcare claims repricing and data validation efforts. In this role, ... data -driven insights. Success in this role requires deep familiarity with healthcare claims data , strong SQL proficiency, and a solid understanding of… more
    Zelis (06/03/25)
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  • Sr Claims Systems Data…

    Molina Healthcare (IA)
    …solution or configuration during warranty period. **KNOWLEDGE/SKILLS/ABILITIES** + Knowledge of healthcare claims and claim processing from receipt through ... functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received… more
    Molina Healthcare (05/18/25)
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  • Analyst , Claims Research

    Molina Healthcare (Cleveland, OH)
    …+ Locate and interpret regulatory and contractual requirements + Tailors existing reports or available data to meet the needs of the claims project + Evaluates ... **Job Description** **Job Summary** Serves as claims subject matter expert. Assist the business teams...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
    Molina Healthcare (05/16/25)
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  • Senior Quality Analyst , Claims…

    Providence (Renton, WA)
    …insurance codes, regulations, and our department's policies and procedures + Secure monthly claims data reports and provide quality assurance recommendations to ... claims files for quality assurance purposes + Experience working with claims data analytics + Experience in project management + Experience creating… more
    Providence (05/09/25)
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  • Lead Analyst , Configuration Information…

    Molina Healthcare (Austin, TX)
    …of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
    Molina Healthcare (05/18/25)
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  • Claims And Encounter Analyst

    CenterLight Health System (NY)
    … and Encounter Analyst enhances the efficiency and effectiveness of the claims department by analyzing data , refining processes, and ensuring compliance with ... focus on data -driven process improvement. JOB RESPONSIBILITIES: + Analyze claims data to identify risk-adjustable conditions and uncover opportunities to… more
    CenterLight Health System (06/06/25)
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  • Claims Analyst - Remote Pharmacy…

    TEKsystems (Minneapolis, MN)
    … Claims , RxClaims, Pharmacy benefits, Health insurance, Claims Analyst , Audit, support, analysis, workflow, claim, Healthcare , Medical Terminology Top ... Skills Details Claims , RxClaims, Pharmacy benefits, Health insurance, Claims Analyst , Audit,Support, analysis Additional Skills & Qualifications High school… more
    TEKsystems (06/06/25)
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  • Claims Analyst

    CenterLight Health System (NY)
    …returned monies and proper application of transaction by our TPA. + Perform in-depth claims analysis using multiple data sets, conduct root cause analysis, and ... JOB PURPOSE: The Claim Analyst will play a pivotal role in enhancing...managed care setting is strongly preferred. + Proficiency in data analytics, ie SAS, SQL. + Claims … more
    CenterLight Health System (04/26/25)
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  • Medicaid Claims Analyst

    Teva Pharmaceuticals (Parsippany, NJ)
    Medicaid Claims Analyst Date: May 18, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 60414 **Who we are** Teva ... journey of growth! **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug...with assigned states to get Medicaid Summary invoice, summary data file and Claim Level Invoice each quarter and… more
    Teva Pharmaceuticals (06/05/25)
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  • Medical Claims Analyst

    TEKsystems (Menasha, WI)
    Description As a Claims Analyst II you will be tasked...to 5pm Top Skills Details Insurance claims Claims processing Medical claims Data Entry ... & Qualifications MUST: - More than two years of claims processing experience required ( healthcare related) -...two years of claims processing experience required ( healthcare related) - Knowledge of current procedural terminology (CPT)… more
    TEKsystems (05/28/25)
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