- TEKsystems (Dallas, TX)
- TEKsystems is looking to hire several FULLY REMOTE Seasoned Medical Claims Analyst for a large healthcare client. **If you have 5+ years of completing a deep ... level of research within PBM claims , and have 3+ years of experience running queries...or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to… more
- CRC Insurance Services, Inc. (TX)
- …following job description:** Responsible for managing and resolving complex insurance claims involving litigation, coverage disputes, and high exposure. This role ... then hire attorney for coverage counsel for coverage analysis. 2. Settle claims within settlement authority, where applicable. 3. Work with adjusters, insureds,… more
- Insight Global (Brookfield, WI)
- …maximizing value from AI-driven solutions. Responsibilities include: * Act as the primary claims leader for the product, ensuring product strategy and client ... consultants to ensure successful implementation for our clients. We are seeking a seasoned claims professional to serve as the claim's leader for our customers… more
- NTT DATA North America (Ontario, CA)
- ** Senior Claims Examiner (Xcelys System)** **NTT DATA Services... Claims Examiner to join our team working 100% Remote and work on the PST hours of 8 am ... training on camera.** **Job Description** To serve as a senior -level adjudicator and SME for medical claims ...**About NTT Data :** NTT DATA is a recognized leader in IT and business services, including cloud, data… more
- WTW (Chicago, IL)
- **Description** As a Lead Auditor you will apply your audit, project management and client management skills to lead client audits. You will serve as the team ... leader and primary interface with administrators. You will review...will review discrepancy issues identified by field auditors, re-adjudicate claims , resolve open issues, and draft the final report.… more
- The Cigna Group (Nashville, TN)
- The Business Project Analyst is a key role working closely with the claims systems and configuration team, project management, and stakeholder SME's to develop, ... improve, monitor, and maintain EviCore Claims Systems. The work will be a mix of...issue cause and appropriate solutioning suggestions + **Facilitation** - lead and document idea sessions around problem resolution to… more
- NTT DATA North America (Ontario, CA)
- …remotely for a 3 month contract role. Start Date: ASAP 100% Remote **Team Lead ** -for Senior Claims Examiners on Xcelys System **Job Summary** The Xcelys ... sourcing strategy. NTT DATA Services currently seeks Xcelys Medical Claims Team Lead to join our team...NTT DATA Services: NTT DATA Services is a recognized leader in IT and business services, including cloud, data… more
- NTT DATA North America (Ontario, CA)
- NTT DATA is currently seeking ** Senior Medical Claims Examiners (3+ years of Xcelys required)** to join our US based team. This is a 100% remote role. **Must ... pm Pacific time zone** **Purpose** To serve as a senior -level adjudicator and SME for medical claims ...an overall sourcing strategy. NTT DATA is a recognized leader in IT and business services, including cloud, data… more
- TEKsystems (Chicago, IL)
- …is building a project team to support the coupon process within their claims system. They are currently developing automation that will allow uploaded coupons to ... automatically adjust claims with accurate billing. However, at present, a claim...or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to… more
- Prime Therapeutics (Baton Rouge, LA)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Sr . AI Business Analyst - Remote **Job Description** **Are you a Business ... development team, broader project team and various levels of management. With consistent Senior Leadership visibility, the IT BSA Sr is also responsible for… more
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