- Wolters Kluwer (Riverwoods, IL)
- …Location:_** Riverwoods, IL (USA) **About the Role:** We are seeking a highly skilled Business Analyst to join the Mediregs team focusing on claims ... contribute to software maintenance and final acceptance testing. The Business Analyst works closely with a cross-functional...tools (eg, SQL, Excel, Tableau). + Recent experience with healthcare claims software (eg, Epic, Cerner, or… more
- Commonwealth Care Alliance (Boston, MA)
- …under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for ... **Essential Duties & Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and necessary… more
- Molina Healthcare (Racine, WI)
- **Job Description** Job Summary Serves as claims subject matter expert. Assist the business teams with reviewing claims to ensure regulatory requirements are ... appropriately applied. Manages and leads major claims projects of considerable complexity and volume that may be initiated through provider inquiries or complaints,… more
- Molina Healthcare (Albuquerque, NM)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...in research, review and audits for adjudication rates of claims + Must be able to work in cross… more
- Guardian Life (Boston, MA)
- Join the dynamic team at Guardian Life as a ** Business Intelligence Analyst III** and be part of a data-driven environment. This role focuses on improving risk ... changes and IT projects. + Provide design support for the development of business intelligence solutions for Dental and Disability Claims , collaborating closely… more
- UPMC (Pittsburgh, PA)
- …level with UPMC Corporate Finance? We are seeking a dynamic and detail-oriented **Associate Claims Payable Analyst ** to join our team. This role is crucial in ... position is perfect for you! **Purpose:** As an Associate Claims Payable Analyst , you will be responsible...about finance and eager to contribute to a leading healthcare organization, apply today and help us make a… more
- Centene Corporation (Jefferson City, MO)
- … process analysis, preferably in healthcare (ie documenting business process, gathering requirements) or claims payment/analysis experience. Advanced ... implement process improvements. + This role will focus on claims configuration for the state of Georgia Behavioral Health....in related field or equivalent experience. 6+ years of business process or data analysis preferably in healthcare… 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
- UPMC (Pittsburgh, PA)
- **Purpose:** The function of the Associate Accounts Receivable Claims Analyst is to ensure all HRA, FSA , ASO & Stop Loss related reporting & reconciliation, ... claims utilization billing, and employer group reimbursements are completed...High School diploma or GED + Bachelor's Degree in Business Administration- Accounting, Finance or related field preferred +… more
- VNS Health (Manhattan, NY)
- …Public Administration or related field, preferred Work Experience: + Two years' experience with claims in a healthcare setting required + A year of experience ... OverviewWorks directly with management on highly visible projects to understand business needs and challenges of managed care payors and to develop innovative… more