Business Analyst III- Medicaid Overpayment Recovery
$73K - $110K *
Innovate data analysis practices by leading efforts to identify Medicaid overpayment recovery opportunities, validate findings, and collaborate with stakeholders to enhance business decisions in a hyb...
Reposted yesterday
$95K - $115K *
Empower your career by joining a dynamic team handling complex cyber claims. Collaborate with industry experts to assess risk, manage vendor relationships, and provide exceptional service while drivin...
4 days ago
$110K - $140K *
Elevate your career by joining our dynamic claims team, where you'll manage complex cyber claims, collaborate with top-tier vendors, and support underwriting efforts, all while contributing to innovat...
Reposted 1 week ago
Complex Clinical Claims Analyst
$100K - $110K *
Seeking a detail-oriented analyst to perform complex clinical and coding reviews of facility claims, ensuring adherence to medical guidelines and fostering optimal performance through expert analysis...
Yesterday
Expert Claims Review Business Analyst
$71K - $90K *
Drive impactful business outcomes by enhancing analytics solutions in an Agile context. Collaborate with cross-functional teams to deliver user-centered results and optimize processes, ensuring the su...
Yesterday
Auditor Clinical Validation DRG
$95K *
Empower the auditing process by analyzing inpatient claims and ensuring coding accuracy. Leverage your clinical expertise and advanced coding knowledge to drive quality and productivity in chart valid...
1 week ago
Content Analyst II - Drug and Biological Policy
$100K - $125K *
Join a dynamic clinical operations team, driving quality assurance and policy maintenance for Drug and Biological policies. Your expertise will enhance our coding processes and support client inquirie...
3 weeks ago
$95K - $115K *
Help us analyze and optimize medical policies while providing key insights across clinical operations. Collaborate with teams to ensure effective policy development and quality assurance, enhancing ou...
1 week ago
$100K - $140K *
Engage with cross-functional teams to translate business strategies into actionable solution requirements, ensuring effective delivery and alignment with organizational goals in healthcare economics...
Today
$75K - $95K *
Lead the charge in effective property claims management, overseeing teams, ensuring compliance, and driving operational excellence to enhance customer satisfaction and facilitate successful claim reso...
3 days ago
$89K - $170K *
Champion complex actuarial projects and analyses to support risk contracts, pricing, and management reports while providing mentorship to junior analysts in a flexible, hybrid work environment...
3 weeks ago
$75K - $95K *
Lead the management of complex commercial general liability claims, overseeing investigations, evaluations, and litigation, while mentoring junior analysts and ensuring optimal claims outcomes in alig...
2 days ago
Claims Module Senior Business Analyst
$85K - $111K *
Shape the future of healthcare with your expertise in claims processing and business analysis. Drive innovation and provide domain knowledge while leading projects, collaborating with teams, and enhan...
Today
$61K - $106K *
Optimize business processes as a Business Analyst II by translating needs into software requirements. Enhance project outcomes through EDI expertise, effective stakeholder communication, and innovativ...
Reposted yesterday
Audit & Reimbursement III and Senior
$63K - $125K *
Analyze Medicare cost reports and reimbursement processes to ensure compliance and optimize efficiency. Collaborate on audits, provide training, and enhance financial strategies within the healthcare...
2 weeks ago
Auditor Clinical Validation Outpatient Specialty Clinical
$95K *
Unlock your potential by auditing outpatient claims. Leverage your clinical and coding expertise to enhance accuracy and improve treatment quality while contributing to innovative auditing solutions i...
3 weeks ago
$101K *
Support the Clinical Chart Validation team by reviewing appeals and claims, applying coding guidelines, and providing expert feedback to ensure accurate recovery determinations and maintain compliance...
2 days ago
$70K - $95K *
Support a team that evaluates and manages construction claims, ensuring effective strategies for investigation, negotiation, and resolution, while communicating findings with stakeholders and adapting...
1 week ago
$100K *
Lead the charge in managing reinsurance claims, ensuring precision in reporting and compliance while optimizing recoveries and collaborating cross-functionally for the best outcomes in a complex, dyna...
Reposted today
$75K - $100K *
Join a dynamic team driving claims operations and reporting! Manage claim processes, enhance data quality, and implement continuous improvements to deliver reliable insights for leadership and carrier...
3 weeks ago
Complex Denials Consultant (Complex Claims)
$90K - $112K *
Unlock potential by guiding healthcare providers through complex claims disputes. Represent clients in WC, MVA, TPL, and VA claims while ensuring compliance with state laws. Collaborate with teams to...
2 weeks ago
$83K - $104K *
Advance your career by expertly managing complex construction defect claims, fostering collaboration with clients and internal teams, resolving coverage questions, and ensuring compliance with legal r...
Yesterday
Senior Claims Consultant, National Accounts
$92K - $154K *
Shape the future of claims management by leading strategy for large accounts, providing analytics and insights, and fostering strong relationships with clients and stakeholders for optimal claim resol...
3 weeks ago
Senior Analyst, Rebate and Audit - SMC
$88K - $110K *
Champion financial rigor by executing advanced analyses for rebate contracts, driving process optimization, and collaborating with cross-functional teams to enhance client relations and contract manag...
4 weeks ago
$66K - $100K *
Join a team that's driving efficiency in claims operations by resolving complex system issues, improving workflows, and delivering user training. Collaborate with IT and help desk teams to enhance pro...
1 week ago