Claims Analyst Jobs in Fresno, CA

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...

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...

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...

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...

Manage and resolve complex workers' compensation claims through effective investigation and negotiation. Ensure compliance with state laws while delivering excellent customer service, promoting timely...

Champion innovative business analysis strategies to drive enterprise alignment, enhance decision-making, and deliver measurable outcomes. Collaborate with leadership to shape initiatives that support...

Unlock your potential by driving business application solutions and leading requirements elicitation. Collaborate across teams to enhance processes and systems, ensuring alignment with business object...

Elevate billing processes by overseeing design and governance within Oracle, ensuring efficiency and accuracy in invoicing. Collaborate with cross-functional teams to drive improvements and mentor jun...

Engage in the management of complex workers' compensation claims, driving investigations and strategies from start to resolution. Build relationships, ensure compliance, and mentor team members while...

Join a dynamic team to develop and support SQL-based ETL processes, ensuring data quality and integration performance across business applications. Collaborate with technical teams to enhance data exc...

Unlock your potential as an Actuarial Analyst II, driving impactful analyses for Medicare Advantage pricing and financial performance. Collaborate with cross-functional teams to identify trends and en...

Analyze financial data and drive forecasting processes to support business leaders. Collaborate with cross-functional teams to enhance reporting accuracy and efficiency. Deliver insights through finan...

Innovate with us to drive profitable growth as you leverage analytics and insights to enhance personal insurance products. Collaborate cross-functionally to optimize digital experiences and improve bo...

Analyze health care data to drive insights and support business decisions, collaborating with stakeholders to enhance product quality and trends. Utilize strong analytical skills in a fast-paced envir...

Drive coding quality and compliance by analyzing data, supporting audits, and enhancing documentation practices. Collaborate with teams to ensure accurate coding and adherence to regulatory standards...

Champion the management and execution of complex e-discovery projects, collaborating with legal teams to ensure successful outcomes. Oversee multiple projects while mentoring a team, maintaining quali...

Join a team that's dedicated to managing complex commercial liability claims. You'll negotiate settlements, investigate coverage, and ensure compliance while maintaining high standards in a fast-paced...

Unlock potential by supporting compensation programs through analysis, reporting, and administration. Collaborate with HR and finance teams to ensure accurate employee compensation data and streamline...

Analyze and resolve complex medical coding issues, ensuring compliance and accuracy in claims. Lead audits, develop training, and collaborate with stakeholders to enhance processes and drive improveme...

Champion client advocacy by expertly managing property & casualty claims, ensuring seamless communication between clients and carriers while analyzing risks and negotiating effective solutions to enha...

Take ownership of comprehensive audits on construction projects, focusing on compliance and cost control. Utilize your expertise to mentor others, communicate findings, and support procurement process...

Analyze complex commercial claims, ensuring thorough investigations and effective resolutions. Collaborate with internal and external parties to manage litigated and non-litigated claims, leveraging s...

Unlock potential by leading research and analysis to identify system impacts, dependencies, and business needs. Collaborate with stakeholders to enhance processes and deliver clear requirements in a d...

Lead the charge in case management by overseeing complex pharmacy reimbursement processes, ensuring timely completion of cases, and advocating for patients while collaborating with healthcare provider...

Empower clients by expertly assessing commercial damage claims, negotiating settlements, and delivering exceptional service in diverse environments. Join a dynamic team dedicated to providing top-notc...