- Acosta Group (Jacksonville, FL)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be ... responsible for analyzing claims and making decisions about their validity. The position..., assesses the reason for the escalation, and provides resolution in priority order as directed by the Supervisor… more
- Acosta Group (Tampa, FL)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be ... responsible for analyzing claims and making decisions about their validity. The position..., assesses the reason for the escalation, and provides resolution in priority order as directed by the Supervisor… more
- Acosta Group (Jacksonville, FL)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be ... responsible for analyzing claims and making decisions about their validity. The position..., assesses the reason for the escalation, and provides resolution in priority order as directed by the Supervisor.… more
- AON (Chicago, IL)
- …Eligibility for benefits is governed by the applicable plan documents and policies. #LI-MB1 #LI- HYBRID 2544115 Workers' Compensation Claims Analyst Aon has a ... claims are within the reserve threshold. The Analyst will follow-up with Med-only Resolution Manager...the overall Risk Management objectives. This will be a hybrid position in Chicago, IL. The Analyst … more
- Ramsey County (St. Paul, MN)
- Claims Analyst Print (https://www.governmentjobs.com/careers/ramsey/jobs/newprint/4536137) Apply Claims Analyst Salary $63,652.00 - $94,277.52 Annually ... in the department or County. To perform the daily claims management function for resolution of tort,...Training and Experience Rating = 100% The examination for Claims Analyst will consist of a training… more
- The Hartford (Scottsdale, AZ)
- Claims Analyst FL - CV08CE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... as we help shape the future. As a Hartford Global Specialty - Financial Lines Claims Analyst in our Employment Practices Liability ("EPL") unit, you will be… more
- CareFirst (Baltimore, MD)
- …strategy and delivery of two key analytic tools that will be built using provider and claims data. The Analyst will sit on the Value and Sales Enablement team ... and sales enablement. The purpose of a Sr. Data Analyst is to find meaning in data as a...who is willing and able to work in a hybrid model. The incumbent will be expected to work… more
- Henry Ford Health System (Troy, MI)
- …Medicare Advantage, Medicare-Medicaid Program (MMP), and Medicaid lines of business. Analyst must identify trending issues on an ongoing basis and provide ... root/cause analysis when required. The Analyst will work with HAP's medical directors, nurses, pharmacists, Legal department, and other subject matter experts to… more
- The Cigna Group (Tucson, AZ)
- Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager, Director, and Other ... Coordinated Care Organization (financial understanding, provider network building, conflict/issue resolution , contracting, claim payment, meetings, training, etc.). **RESPONSIBILITIES:** +… more
- Acosta Group (Jacksonville, FL)
- **DESCRIPTION** The Client Relationship Analyst is responsible for supporting the National Solutions Manager in all reporting, financial and operational ... set up in Campbell's systems + Monitor monthly aged claims and partner with business manager, business manager assistant...outstanding deductions and plans to resolve and bring to resolution + System Administrator for the TPM System. Assist… more
- Houston Methodist (Katy, TX)
- …our Continuing Care Hospital:** **701 S. Fry Rd. Katy, TX 77450** **. ( Hybrid position)** At Houston Methodist, the CBO Regulatory Compliance Specialist position is ... events as well as the accountability of ensuring completion with corrected claims , and/or data extraction in preparation of audits. **PEOPLE ESSENTIAL FUNCTIONS** +… more
- Virtua Health (Mount Laurel, NJ)
- …optimize reimbursement within budget guidelines. Participate in ongoing coordination and resolution of revenue issues as they arise. Assists in troubleshooting and ... Financial Services staff for reporting problems and denials on individual claims . Assist in researching coding issues, provide guidance and recommend solution… more
- Evoqua Water Technologies (Groveport, OH)
- …of inefficiencies and take initiative to implement process in place for resolution . **Additional Details** TRAVEL REQUIREMENTS: 10% \#LI- Hybrid Evoqua Water ... is now hiring for a Logistics and Supply Chain Analyst to work in the Atlanta, GA area. Other...50% + En Route, Pickup, or delivery, shipment issue resolution 15% + Invoice Resolution 10% +… more
- Corewell Health (Grand Rapids, MI)
- …the provider's negotiated contract to determine correct configuration of the claims payment system(s). Knowledge of facility and physician reimbursement methods will ... analysis and business decision-making abilities to determine correct configuration. Analyst will take the lead, and serve as a...the lead, and serve as a liaison on problem resolution for internal and external customers. Essential Functions +… more
- Proofpoint (Sunnyvale, CA)
- …of the Fortune 100 trust us as a security partner. **The Role** The Benefits Analyst position will handle a range of duties related to the pension and disability ... duties and projects as assigned. + This is a hybrid postion; 3 days week in our Sunnyvale, CA...for accuracy and assists in corrective action if needed. ** Claims Processing** + Ensure the processing of pension and… more
- Elevance Health (Plano, TX)
- …Acts as a liaison between contracting and internal departments coordinating claims denial interventions, tracking resolution , and implementing ongoing solutions. ... **Risk Management Analyst ** A proud member of the Elevance Health...the home setting. Location: **This position will work a Hybrid Model (remote and office). Ideal candidates must live… more
- Hartford HealthCare (Farmington, CT)
- …responding to the needs of our communities and our patients. The Denial Analyst role reviews accounts post payment via work queues; verify payer information, review ... collaborating with clinical teams, business partners and insurance payers. Hybrid -Telecommuting Position *_Position Responsibilities:_* 1. Identifying, reviewing and interpreting… more
- HUB International (Chicago, IL)
- …**Job Description:** Reporting to the Sr Manager, Business Analysis, the Business Analyst plays a key role in ensuring HUB's Retirement, Planning, and Wealth ... subject matter experts to manage the implementation of changes and issue resolution + environment (ie Carrier Systems, Enterprise Applications). + Provides for… more
- CVS Health (Hartford, CT)
- …manage complex lawsuits against CVS from the initiation of suit through resolution , including pharmacy, healthcare and premises lawsuits. - Analyzing case files and ... and trial as necessary to oversee and assist in the defense or resolution of cases. Required Qualifications2+ years of litigation experience, ideally with a law… more
- Centene Corporation (Phoenix, AZ)
- …process improvement. + Collaborate with internal departments to facilitate encounter resolution process to meet department and individual encounter resolution ... workflows or solutions, including automating processes and improving encounter resolution methodology + Identify requirements for development projects and support… more