Analyst, Data Exchange - Claims Operations
$88K - $111K *
Unlock the potential of data exchange by ensuring accuracy and reliability in pharmacy benefit services. Collaborate with teams to optimize data feeds, troubleshoot issues, and enhance operational qua...
2 weeks ago
Senior Revenue Integrity Analyst
$80K - $95K *
Explore advanced revenue analysis and month-end controls to ensure accurate invoicing and financial reporting. Collaborate across functions to resolve discrepancies, mentor junior analysts, and drive...
1 week ago
$80K - $95K *
Drive the future of finance data analysis by ensuring accuracy and usability of financial data. Collaborate with finance and data teams to enhance reporting processes and validate data integrity for i...
Yesterday
$105K - $125K *
Transform coding quality and efficiency as a senior expert in radiology coding. Collaborate with cross-functional teams to enhance processes, provide guidance, and drive best practices, ensuring excep...
3 days ago
$96K - $116K *
Champion innovative medical policy solutions by analyzing data, ensuring quality, and collaborating across clinical operations. Drive enhancements in payment policy management while supporting diverse...
Yesterday
Operations Business Analyst IV - Claims adjudication and/or Facets claims adjudication (preferred)
$94K - $164K *
Champion operational excellence by leading business analysis initiatives, driving process improvements, and aligning solutions with strategic goals to enhance efficiency and effectiveness across the o...
5 days ago
Commercial Auto Claims Consultant
$72K - $141K *
Unlock potential by managing complex commercial auto claims, guiding resolutions, and ensuring quality outcomes. Collaborate with stakeholders to navigate investigative processes and promote effective...
Reposted 1 week ago
$99K - $118K *
Transform your career by leveraging your clinical and coding expertise to defend appeals for healthcare claims. This role demands independent analysis, strong communication, and proficiency in AI tool...
Yesterday
Claims Module Senior Business Analyst
$85K - $111K *
Drive the claims module for health care projects, providing domain expertise and analysis. Collaborate with teams to ensure quality processes, meet customer expectations, and assist in implementation...
2 weeks ago
Auditor Clinical Validation Outpatient Specialty Clinical
$95K *
Advance your career by auditing outpatient and specialty claims, ensuring coding accuracy and compliance. Leverage your clinical and coding expertise to enhance audit processes and contribute to quali...
2 weeks ago
Application Analyst, PB Claims and Remittance
$80K - $95K *
Manage and optimize Epic Professional Billing workflows, focusing on Claims and Remittance. Serve as a key resource for end-users, troubleshooting issues and enhancing billing processes to ensure accu...
2 weeks ago
Senior Claims Adjuster (Workers' Compensation)
$78K - $119K *
Unlock potential by managing complex workers' compensation claims, driving investigations, and shaping strategies. Build relationships, ensure compliance, and mentor others while making a direct impac...
Yesterday
Complex Claims Advisor | Dedicated Client | East Coast States
$90K - $100K *
Unlock potential by managing complex claims with a focus on legal inquiries and resolutions. Collaborate with clients and experts to deliver innovative solutions while enjoying flexibility and profess...
2 days ago
Senior Analyst, Government Programs Operations - Analysis & Efficiencies
$90K - $113K *
Unlock potential by analyzing complex datasets to drive efficiency, accuracy, and operational enhancements across Medicare, Medicaid, Exchange, and Commercial plans while collaborating with cross-func...
4 weeks ago
$80K - $110K *
Champion data-driven insights by analyzing financial trends and forecasts. Collaborate with stakeholders to enhance business intelligence and ensure data integrity, while making informed decisions to...
1 week ago
Product Analyst / Senior Product Analyst
$80K - $130K *
Join a team that's driving product strategy through data analysis and insights. Collaborate with cross-functional teams to enhance product performance, uncover growth opportunities, and influence stra...
1 week ago
Staff Analyst, Analytics - Pharmacy Payment Integrity & Analytics
$121K - $172K *
Join a dynamic Analytics team to enhance pharmacy claims integrity and operational excellence. Utilize SQL and large datasets to validate claims, investigate discrepancies, and collaborate with cross...
1 week ago
$76K - $142K *
Advance your career by investigating and resolving property claims, collaborating with vendors, and utilizing technology to assess damages. Provide exceptional service while managing claims efficientl...
2 weeks ago
Senior Casualty Claims Adjuster
$72K - $109K *
Lead the charge in managing claims by verifying coverage, initiating customer contact, and resolving complex issues. Collaborate with legal teams and ensure compliance while mentoring junior staff and...
1 week ago
EHR Applications Analyst II, Claims
$70K - $105K *
Collaborate with cross-functional teams to enhance EHR workflows, improve operations, and optimize patient care through effective configuration and analysis of Professional Billing Claims applications...
5 days ago
Senior Business Analyst - Claims module
$85K - $111K *
Advance your career by leading the Claims Domain for MMIS health care projects. Drive analysis, documentation, and quality processes while collaborating with clients and development teams to meet cust...
1 week ago
$88K - $115K *
Join a team that's dedicated to analyzing healthcare risks and enhancing financial performance in value-based care. Collaborate across departments to deliver actionable insights and support innovative...
Today
DRG Quality Analyst IV - Healthcare
$85K - $110K *
Optimize clinical DRG audits by ensuring accuracy and consistency in coding. Mentor auditors, recommend process improvements, and conduct quality reviews to enhance performance and compliance in a rem...
Today
Claims Specialist II, Workers Compensation
$69K - $129K *
Manage and resolve complex workers' compensation claims through effective investigation and negotiation. Ensure compliance with state laws while delivering excellent customer service, promoting timely...
Reposted today
$94K - $164K *
Champion innovative business analysis strategies to drive enterprise alignment, enhance decision-making, and deliver measurable outcomes. Collaborate with leadership to shape initiatives that support...
4 days ago