- Molina Healthcare (Racine, WI)
- …Operations teams . Interprets, communicates, and presents, clear in-depth analysis of claims research results, root cause analysis, remediation plans and fixes, ... SKILLS & ABILITIES: . 2-5 years of experience in medical claims processing, research , or a related field . Demonstrates familiarity in a variety… more
- New York State Civil Service (Albany, NY)
- …- Dormitory Authority of the State of New York Title Risk Managment Claims Analyst Occupational Category Other Professional Careers Salary Grade NS Bargaining ... City Albany State NY Zip Code 12207 Duties Description Primary PurposeThe Risk Management Claims Analyst guides all aspects of the claims administration and… more
- City of New York (New York, NY)
- …is seeking a Claiming Analyst who will be responsible for child-specific level claims that entail extensive research , and use of various State and City data ... staff work collaboratively to manage the ACS budget, submit monthly revenue claims , process payments to provider agencies/vendors, monitor the financial health of… more
- Wolters Kluwer (Riverwoods, IL)
- …highly skilled Business Analyst to join the Mediregs team focusing on claims processing and the RCM process. The ideal candidate will have a strong understanding ... for our customers. **Additional Information:** https://www.wolterskluwer.com/en/solutions/mediregs **Key Responsibilities:** + Research , analyze and interpret CMS rules and claims… more
- Brink's (Atlanta, GA)
- …equal opportunity to participate and grow. Job Description Job Summary: The Claims Analyst will investigate reconciliation discrepancies to reduce claim ... escalations, provide support to respond to branch cases and claims + "Boots on the ground" identify/ research /resolve...VA team for support + Escalate to assigned Variance Analyst any claims not resolved within 25… more
- Commonwealth Care Alliance (Boston, MA)
- …of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective ... Medicaid regulations. The role will also be responsible for timely review and research , as necessary on all new and revised coding logic, related Medicare/Medicaid… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Jan 22, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 60414 **Who we are** Teva ... us on our journey of growth! **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… more
- Bank of America (Phoenix, AZ)
- Sr Claims Analyst (Debit Fraud Claims ) Phoenix, Arizona **Job Description:** **Class Start Date: 04/07/2025** **Work Schedule: Monday - Friday (8:00 AM to ... claims and escalations including in-depth analysis for fraud and non-fraud claims , handling complex decisions based on analytical research , established… more
- Bank of America (Newark, DE)
- Wealth Management Fraud & Claims - Sr. Fraud Analyst Newark, Delaware **Job Description:** At Bank of America, we are guided by a common purpose to help make ... on complex transactions. Job expectations include performing functions related to research and resolution of fraudulent activity, service support, and delivering… more
- TEKsystems (Tampa, FL)
- Claims Analyst In-Office: Tampa, FL 33609 Pay Rate: $23/hr Anticipated Start Date: 2/17/2025 Contract Position Description + This person will be on the bill ... in the backlog of appeals. + The Bill Review Analyst position holds accountability for accurate and timely review,...recoupment process. * Assists in the preparation of bills research reports #eastpriority25 Pay and Benefits The pay range… more