- Healthfirst (NY)
- … business rules within the claims processing system. + Identify claims configuration and contract implementation defects and improve departmental performance ... are adequately implemented based on technical planning documents. + Ensure post implementation accuracy of claims configuration implementations and mass claim… more
- Zurich NA (Stevens Point, WI)
- Claims QA Analyst 120717 Travel Guard meets the diverse needs of leisure and corporate travelers alike through its comprehensive portfolio of travel insurance ... of trends and improvement opportunities with follow-up to ensure implementation of meaningful continuous improvement and/or action plan in...development and skill enhancement - Provide support to Complaints Analyst & Claims STP Analyst ,… more
- Hartford HealthCare (Hartford, CT)
- …**Professional Non-Clinical* **Organization:** **Hartford HealthCare Corp.* **Title:** * Claims Analyst * **Location:** *Connecticut-Hartford-100 Pearl Street ... Manages a robust caseload, from inception to closure, of Hartford HealthCare's claims and suits through HHC's Legal Department. Responsible to assist in the… 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
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Feb 20, 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
- Elevance Health (Latham, NY)
- The **EDI Operations Analyst I** is responsible for Responsible for functioning as provider liaison for all electronic connectivity. **How you will make an impact:** ... + Assists in the development or modification of claims filing procedures, which includes the analysis of business and clients' needs and requirements. + Provides… more
- NJM Insurance (Trenton, NJ)
- …NJM's West Trenton Workers Compensation Department (WCC) is seeking a Business Process Analyst (based on credentials, this role can also be filled as an Associate, ... Analyst or Senior level) who supports the business process...business continuity and technology initiatives for the Workers Compensation Claims business unit. The focus of this position is… more
- Molina Healthcare (Troy, MI)
- **JOB DESCRIPTION** **Job Summary** Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains ... claims databases. Synchronizes data among operational and claims systems and application of business rules as they...execution of some test plans. + Participates in the implementation and conversion of new and existing health plans.… more
- Fairview Health Services (Minneapolis, MN)
- **Job Overview** The Senior Application PB/HB Claims Analyst role with Epic Hospital and/or Professional billing (HB and/or PB) will provide technical expertise ... through the testing process and ultimately into production. Provide implementation /production support as required. + Evaluate and understand dependencies between… more
- Tufts Medicine (Burlington, MA)
- …Profile** **Summary** This role focuses on the design, development, and implementation of information technology (IT) solutions in order to meet the organization's ... and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and… more