- The Cigna Group (Bloomfield, CT)
- … solutions ? Do you have a high degree of technical expertise in claims systems ? EviCore, a line of business within the Cigna Group, is hiring a Claim ... Systems , Business Solutions Lead Analyst...Systems , Business Solutions Lead Analyst to provide focused...work closely with external clients, internal stakeholders, project managers, claims systems , claims product and… more
- The Cigna Group (Bloomfield, CT)
- … within The Cigna Group, is hiring a Project Manager Advisor for the Claim Systems Business Solutions Team. You'll manage the end-to-end project delivery of ... claims business implementation/change requests, product roadmap, strategy...service, cost to process, productivity, and throughput capacity for claims systems supporting claim products and services… more
- AmeriHealth Caritas (Newtown Square, PA)
- …/ Education:** + At least eight (8) to ten (10) years of relevant Healthcare Claims experience as a Business Systems Analyst in a fast-paced environment. ... and other administrative services. Discover more about us at www.amerihealthcaritas.com. The ** Business Systems Analyst Lead** is critical to helping businesses… more
- The Cigna Group (Bloomfield, CT)
- …EviCore, a line of business within the Cigna Group is hiring a Claims System Senior Analyst. This highly technical systems role requires the review of ... Analyst will have in depth knowledge of the eviCore claims systems and products. As the Subject...understand, and evaluate processes, procedures, job aids and identify solutions for procedural gaps + Analyze business … more
- The Cigna Group (Bloomfield, CT)
- Ready to work with a team that improves our business solutions ? Do you have a high degree of technical and analytical expertise? EviCore a line of business ... and data validation + work closely with external clients, internal stakeholders, project managers, claims systems , claims product and planning and claims … more
- State of Colorado (CO)
- …We are looking for a Fee-for-Service Claims & Payment Models Business Analyst for the Business Solutions Division of the ... Solutions Division of HIO manages and enhances computerized claims processing and information management systems that... Systems Business Analyst + Documenting business requirements for large scale medical claims … more
- Eliassen Group (Tallahassee, FL)
- **Senior Manual Tester with accounting or claims systems experience.** **Anywhere** **Type:** Contract **Category:** Quality Assurance (QA) **Industry:** ... in validating the accuracy of financial data and ensuring seamless integration between systems . _Due to client requirement, applicants must be willing and able to… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …Health Plan Solutions (BHPS) is seeking an experienced Healthcare Claims Examiner skilled in the interpretation of Hospital and Ancillary contracts, Medical ... claims processing and procedures. + 1+ year computer medical billing or claims adjudication systems experience. + Excellent written and oral communication,… more
- Apex Health Solutions (Houston, TX)
- …to develop mitigation plans. Utilizes a detailed understanding of insurance, processes, and business systems to drive the research and analysis of the defined ... to Manager/Sr Manger monthly with limited direction, translates regulatory and business requirements to technical specifications for claims configuration… more
- Centene Corporation (Austin, TX)
- …existing processes + Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations + Identify ways ... business process analysis, preferably in healthcare (ie documenting business process, gathering requirements) or claims payment/analysis experience.… more