Under minimal supervision, formulates and defines Resolute Hospital Billing/Claims scope and objectives through research and fact-finding to develop or modify moderately complex information systems. B...
read moreTracking and assisting with consumer complaints related to claims matters, in collaboration with the claims business teams. Provide technical analysis and investigation of claim compliance functions, ...
read moreYou’ll work with some of the best claims and underwriting minds in the industry addressing challenging claims and sophisticated coverage issues, and helping our businesses develop products to address ...
read moreThe Claims Data Analysts mission will be to provide support to the IA Claims Analytics Team, the Claims Departments Operations and Management Teams and Departments as needed. Work with the Claims Depa...
read moreThe Business Analyst will be responsible for leading the business and functional requirements definition for Policy / Billing / Claims administration as well as downstream systems and reporting. The b...
read moreUnder minimal supervision, formulates and defines Resolute Hospital Billing/Claims scope and objectives through research and fact-finding to develop or modify moderately complex information systems. B...
read moreAll candidates must also have no less than 12 years of working on construction projects (infrastructure preferred but not required) - and no less than 7 years of experience with change orders and cons...
read moreIn this role, the Claims Compliance Remediation Analyst will be responsible for supporting the Director of Claims Support to ensure claims rules, guidelines, documents, policies and procedures, report...
read moreThe Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes validating, verifying, disputing when necessary, and remitting payment for assigned state Medicaid agencies, ...
read moreHealthcare Claims Integrity Analyst – Hybrid. Innova Solutions has an immediate need for a Healthcare Claims Integrity Analyst to work hybrid in NYC:. A minimum of 5 years’ working experience within c...
read moreHealthcare Claims Integrity Analyst – Hybrid. Innova Solutions has an immediate need for a Healthcare Claims Integrity Analyst to work hybrid in NYC:. Identify overpayment/underpayment opportunities b...
read moreWe're hiring a Senior Analyst to join our Claims Platform Configuration team. The Senior Analyst, Claims Platform Configuration supports the business by improving the consistency, accuracy, and effici...
read moreTitle: Medicaid Claims Analyst. The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes validating, verifying, disputing when necessary, and remitting payment for as...
read moreSenior Financial Analyst - Disability Claims. Work closely with Claims Examiners and Managers to support the analysis of disability claims with a financial component. Conduct complex routine and non-r...
read moreMakes the final decision on claims validity for escalated claims. This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person ...
read moreThe Claims Analyst III will handle and analyze general liability claims under general supervision and moderate exposure claims involving litigation. Analyze and process third-party property damage cla...
read moreInvestigates, adjusts and settles claims of moderate to high complexity. Investigate, adjust and settle claims of moderate to high complexity within a pre- determined authority level. Bachelor’s degre...
read moreThe position of Epic Analyst requires an individual that possesses functional knowledge and skills in EPIC products that are used to conduct clinical operations. The Epic Analyst will be responsible f...
read moreJoin us as a Senior Claims Analyst to take on key responsibilities within a world-class claims function. The ability to influence claims and non-claims stakeholders to effectively direct claims strate...
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