Business Analyst II- Data Mining Overpayment and Operations/Payment Integrity-WGS Commercial Claims
$70K - $95K *
Analyze and translate business needs into software requirements, focusing on identifying overpayment recovery opportunities. Collaborate with teams to streamline operations and ensure optimal solution...
3 days ago
$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...
6 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
$66K - $114K *
Contribute to actuarial analysis by applying statistical tools, validating data, and updating models, while collaborating in a hybrid work environment to enhance team dynamics and ensure accurate rate...
3 days ago
$66K - $114K *
Join a dynamic team as you conduct actuarial analysis, developing models and refining data to inform rate determinations. Enjoy a blend of in-office and virtual work designed to foster collaboration a...
6 days ago
$50K - $111K *
Join a team that's transforming claims processing by investigating liability and efficiently managing claims within our established frameworks while adhering to accuracy and compliance standards...
Today
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...
3 days ago
Expert Claims Review Business Analyst
$71K - $90K *
Join a team that's driving business innovation and delivering analytics solutions. Collaborate within an Agile framework, enhancing communication between stakeholders and applying critical thinking to...
3 days ago
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...
3 days ago
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
$70K - $105K *
Join a team that supports business decisions through data-driven actuarial analysis, pricing, and forecasting. Collaborate across functions to ensure compliance and accuracy, while advancing your prof...
3 days ago
$94K - $170K *
Unlock potential by leading complex actuarial projects and pricing strategies that support Individual and Small Group ACA markets. Collaborate on innovative solutions, ensuring compliance and training...
1 week ago
$94K - $170K *
Shape the future of health insurance pricing strategies by performing complex actuarial studies, developing rating models, and ensuring compliance with regulations. Collaborate with teams to drive com...
1 week 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...
4 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...
2 days 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...
4 days 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 2 days ago
$66K - $94K *
Transform commercial real estate loan servicing through effective processes, ensuring regulatory compliance and delivering accurate financial reporting while collaborating closely with borrowers and m...
1 week ago
$70K - $95K *
Join a team that evaluates and manages insurance claims, ensuring compliance and minimizing risk. You will analyze coverage, conduct investigations, communicate with stakeholders, and negotiate settle...
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...
4 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...
3 days ago