- Molina Healthcare (IA)
- …functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received ... support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains...claims to identify billing issues that will impact claims processing and payment. Monitor new solutions implemented to… more
- The Cigna Group (Nashville, TN)
- **Quality Assurance Claims Systems Auditor, Senior Analyst** Are you passionate about driving growth and improving lives? EviCore, a division of The Cigna ... Group is seeking a Quality Assurance Claims Systems Auditor, Senior Analyst....professional, you will independently navigate all aspects of our claims systems and processes, ensuring data… more
- The Hartford (Columbus, OH)
- Sr Data Scientist - GD07AE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... Step into the future with The Hartford as a Data Scientist / Sr Data ...Join a team that's pioneering AI-driven solutions in underwriting, claims processing, and customer service, transforming how we operate… more
- The Hartford (Chicago, IL)
- Sr Data Scientist - GD07AEData Scientist - GD08AE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages ... Step into the future with The Hartford as a Data Scientist / Sr Data ...Join a team that's pioneering AI-driven solutions in underwriting, claims processing, and customer service, transforming how we operate… more
- Capital One (New York, NY)
- Sr . Distinguished Engineer - Fraud Technology (Remote-Eligible) As a Sr . Distinguished Engineer at Capital One, you will be a part of a community of technical ... on our customers' lives. We are looking for a Senior Distinguished Engineer to define, architect and drive the...Define and drive technical strategy and roadmap for our systems and platforms that power Fraud defenses and Fraud… more
- Terumo Medical Corporation (Somerset, NJ)
- Sr . Manager, Market Intelligence Date: May 22, 2025 Req ID: 4800 Location: Somerset, NJ, US, 08873 Company: Terumo Medical Corporation Department: TIS Strategic ... Medical Corporation is comprised of two strategic business divisions: Terumo Interventional Systems and Terumo Medical Products. We believe that the future is bright… more
- Point32Health (MA)
- …in service to our members, partners, colleagues and communities. **Job Summary** The Senior Business Data Analyst will be responsible for completing complex ... (All-Payer Claims Database) submissions. The individual will manage internal data reconciliations and data transfers between Point32Health and external… more
- Boehringer Ingelheim (Ridgefield, CT)
- …corrections. + Ensures relevant documentation is available in internal and external systems . **Requirements** ** Sr AD level Education Requirements:** + Master's ... Experience developing and conducting epidemiology/RWE studies. + Experience with secondary data analysis, including studies using healthcare claims and/or… more
- Molina Healthcare (Dayton, OH)
- …Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business ... rules as they apply to each database. Validate data to be housed on provider databases and ensure...and best practices while suggesting improvement processes to ensure systems are working more efficiently and improve quality. +… more
- USAA (Boston, MA)
- …what truly makes us special and impactful. **The Opportunity** As a dedicated Sr . Field Auto Appraiser, you will within defined guidelines and framework responsible ... for the investigation, negotiation, evaluation and appraisal of vehicle damage claims for both repairable and total loss vehicles to ensure estimate accuracy in… more