- Cognizant (Santa Fe, NM)
- …and IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge ... you on our team. **Purpose:** This position is responsible for working with business partners within one business function to align technology solutions with… more
- Molina Healthcare (San Antonio, TX)
- …network management, credentialing, benefits, prior authorizations, fee schedules, and other business requirements + Proficient in claims software and audit ... accurate and timely implementation and maintenance of critical information on all claims and provider databases, validate data housed on databases and ensure… 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...position will be a communicator to internal and external business partners and a problem solver/agent for change to… 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...position will be a communicator to internal and external business partners and a problem solver/agent for change to… more
- Molina Healthcare (Flint, MI)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits,… more
- AIG (Atlanta, GA)
- …office only. It is 4 days in office and one day from home. About the role: The Claims Business Analyst partners with North America Claims , North America ... business problems. It is critical for the Business Analyst to understand the challenges stakeholders...* Establish strong and collaborative relationships with North America Claims and functional support teams. * Engage with key… more
- AmeriHealth Caritas (Newtown Square, PA)
- …(8) to ten (10) years of relevant Healthcare Claims experience as a Business Systems Analyst in a fast-paced environment. + HealthCare Claims experience ... and other administrative services. Discover more about us at www.amerihealthcaritas.com. The ** Business Systems Analyst Lead** is critical to helping businesses… 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 ... **Essential Duties & Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and necessary… more
- Centene Corporation (Austin, TX)
- … business process analysis, preferably in healthcare (ie documenting business process, gathering requirements) or claims payment/analysis experience. ... flexibility. **Position Purpose:** Perform various analysis and interpretation to link business needs and objectives for assigned function. Role is focused on… more
- Adecco US, Inc. (Las Vegas, NV)
- We are looking for a Compensation Claims Analyst For a company that supports and administers claims adjustments for self-insured companies that do not have ... department. **We Offer:** Rate: $45.00 p/h On-site or remote M-F: 8 - 4:30 Short-term growth and development...degree preferred. Professional certification relevant to the line of business preferred. **Experience:** Five years of claims … more