- TEKsystems (San Antonio, 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...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- TEKsystems (Orlando, FL)
- Senior Medical Claims Analyst ( Remote ) Contract Duration: Through January 2026 (with potential for extension) Location: Remote (US based) Schedule: ... About the Role We're seeking a detail-oriented and analytical Senior Claims Analyst to join our team....strong technical skills and a background in pharmacy or medical claims . You'll play a key role… more
- Providence (CA)
- **Description** ** Senior Professional Liability Medical Claims Manager This position works R** **_emote._** **Many states eligible.** **Providence caregivers ... people, we must empower them.** **Providence is calling a Sr . Professional Liability Medical Claims ...and take proper steps to pay vendors + Inform Senior Manager Operations of large or complex claims… more
- NTT DATA North America (Ontario, CA)
- …**Job Description** To serve as a senior -level adjudicator and SME for medical claims within the Xcelys environment. Provide subject-matter expertise on ... ** Senior Claims Examiner (Xcelys System)** **NTT...**Key Duties & Responsibilities** -Adjudication & Review -Process comprehensive medical claims using Xcelys and associated subsystems… more
- Insight Global (Brookfield, WI)
- …ensure successful deployment, adoption, and sustained optimization of the product across claims operations. * Provide expert guidance on medical management, ... intelligence (AI) to analyze structured and unstructured data to predict high-cost claims . The product team can assemble data from unstructured sources, build… 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. ... as a senior -level adjudicator and SME for medical claims within the Xcelys environment. Provide...for specific roles. The starting hourly range for this remote role is **$20.00 - $21.00/hourly** . This range… 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...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- CVS Health (Richardson, TX)
- …local to Richardson, TX and be willing to be hybrid, we may consider remote US for the right candidate. Within the application development area, you will: + ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- Sedgwick (Portland, OR)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr . Adjuster - Multiline ( Remote in Portland, OR) As an adjuster at ... + Apply your adjuster knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Two95 International Inc. (New York, NY)
- Job Title: Sr . Analytics Consultant Job type : Remote Work Type : 6+ Months Contract with extension Rate : $Market /Hour Requirements Job Description: Primary ... of healthcare data, including data from EMR/EHR and/or from medical and pharmacy administrative claims ; strong preference will be given to those with expertise… more