Claims Compliance Analyst Jobs in USA

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Benefits Analyst - Open to Remote

Date: 2023-12-01 (Loaded Cached)

Job Description: Ensuring COBRA eligibility notices and enrollments are completed by the third-party vendor for compliance. Respond to inquiries regarding eligibility, coverage,…

Company: Coherent Corp.
Hiring Organization: Coherent Corp.
Salary: TBD
Location: Warrendale, PA 15086
Street Address: TBD

Locality: Warrendale, PA 15086
Region: disclosed when applied
Postal code: disclosed when applied


Job Details




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Analyst, Provider Relations Contract

Date: 2023-12-01 (Loaded Cached)

Job Description: Support pharmacy audits and network compliance initiatives. 1 to 3 years related analyst experience. 1 to 3 years related analyst experience.

Company: Rite Aid
Hiring Organization: Rite Aid
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Trading Assistant, Emerging Markets, Analyst

Date: 2023-12-01 (Loaded Cached)

Job Description: Ensure timely settlement to reduce risk of interest claims. Assist with reporting under Dodd Frank and EMIR, as well as confirm compliance with local market…

Company: Morgan Stanley
Hiring Organization: Morgan Stanley
Salary: TBD
Location: Boston, MA 02110
Street Address: TBD

Locality: Boston, MA 02110
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Economic Development Analyst 1

Date: 2023-12-01 (Loaded Cached)

Job Description: Maintaining the necessary files to demonstrate the Commonwealth's compliance with all applicable federal and state compliance requirements.

Company: Commonwealth of PA
Hiring Organization: Commonwealth of PA
Salary: TBD
Location: Dauphin County, PA
Street Address: TBD

Locality: Dauphin County, PA
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Paid Family Medical Leave Claim Analyst 2

Date: 2023-12-01 (Loaded Cached)

Job Description: Provide customers with updates regarding medical conditions, restrictions & limitations, job duties, policy provisions, claim decisions, status, and all other…

Company: Principal Financial Group
Hiring Organization: Principal Financial Group
Salary: TBD
Location: Des Moines, IA 50392
Street Address: TBD

Locality: Des Moines, IA 50392
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



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Claims Compliance Analyst

Date: 2023-12-01 (Loaded Cached)

Job Description: Additionally, the role will participate in TPA/MGA onboarding and compliance assessment, assist with Medicare reporting compliance, and work with our SIU vendor…

Company: Munich Re America
Hiring Organization: Munich Re America
Salary: TBD
Location: Princeton, NJ
Street Address: TBD

Locality: Princeton, NJ
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Project Financial Analyst I

Date: 2023-12-01 (Loaded Cached)

Job Description: Assists in completing lien waivers and release of claims forms. Reviews (according to and/or in compliance with company-wide project fundamentals) project set…

Company: Woolpert, Inc.
Hiring Organization: Woolpert, Inc.
Salary: TBD
Location: United States
Street Address: TBD

Locality: United States
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Payment Operations Analyst (PayCenter- Zelle)

Date: 2023-12-01 (Loaded Cached)

Job Description: Performs compliance reviews of various applications and processes. Minimum of 2 years of experience in a financial institution, payment operations, or analyst…

Company: Jack Henry & Associates
Hiring Organization: Jack Henry & Associates
Salary: TBD
Location: Allen, TX 75013
Street Address: TBD

Locality: Allen, TX 75013
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Intelligence Analyst I

Date: 2023-12-01 (Loaded Cached)

Job Description: Disseminate information, work directly with agents and analysts to facilitate intelligence collection on specific threats to national security.

Company: Yulista Management Services
Hiring Organization: Yulista Management Services
Salary: TBD
Location: Huntsville, AL
Street Address: TBD

Locality: Huntsville, AL
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Incident Management Analyst (Remote - Home Based Worker)

Date: 2023-12-01 (Loaded Cached)

Job Description: Stepping into the role of an Incident Management Analyst, you will handle complex requests and provide guidance/coaching to less experienced analysts.

Company: Allstate
Hiring Organization: Allstate
Salary: TBD
Location: Chicago, IL
Street Address: TBD

Locality: Chicago, IL
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Risk Assessment Analyst (Mid-Level)

Date: 2023-12-01 (Loaded Cached)

Job Description: Knowledge of relevant industry regulations and compliance requirements. Compliance Monitoring: Monitor changes in health insurance payor regulations and…

Company: Intone Networks
Hiring Organization: Intone Networks
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Coding Analyst

Date: 2023-12-01 (Loaded Cached)

Job Description: Educates Department Managers, Practice Managers and/or providers on compliance and coding regulations. Responsible for reviewing compliance regulations and…

Company: Northside Hospital Inc.
Hiring Organization: Northside Hospital Inc.
Salary: TBD
Location: Atlanta, GA 30319
Street Address: TBD

Locality: Atlanta, GA 30319
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Jr. Financial Analyst

Date: 2023-12-01 (Loaded Cached)

Job Description: The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting…

Company: Chubb
Hiring Organization: Chubb
Salary: TBD
Location: San Juan, PR
Street Address: TBD

Locality: San Juan, PR
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Claims Operations Analyst

Date: 2023-12-01 (Loaded Cached)

Job Description: Process other claim support tasks in support of claim handler adjusting processes as experience is achieved. Evaluate, review, and analyze policies compared to…

Company: Berkshire Hathaway Specialty Insurance
Hiring Organization: Berkshire Hathaway Specialty Insurance
Salary: TBD
Location: Atlanta, GA
Street Address: TBD

Locality: Atlanta, GA
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Clinical & Population Health Analyst

Date: 2023-12-01 (Loaded Cached)

Job Description: Supports Senior and Lead level analysts with consultative, technical, subject matter and business expertise mentorship to colleagues across the enterprise.

Company: Highmark Health
Hiring Organization: Highmark Health
Salary: TBD
Location: Pennsylvania
Street Address: TBD

Locality: Pennsylvania
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



340B Compliance - Data Analyst - Retail Pharmacy-Specialty

Date: 2023-12-01 (Loaded Cached)

Job Description: Monitor and audit claims to ensure compliance. Ensure compliance with 340B Program requirements for qualified patients, drugs, and locations in coordination…

Company: The University of Mississippi Medical Center
Hiring Organization: The University of Mississippi Medical Center
Salary: TBD
Location: Jackson, MS 39216
Street Address: TBD

Locality: Jackson, MS 39216
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Business Data Analyst

Date: 2023-12-01 (Loaded Cached)

Job Description: Collect, clean, and analyze various data sets related to annuities and insurance products including policy information claims, data market trends and customer…

Company: Capgemini
Hiring Organization: Capgemini
Salary: TBD
Location: Charlotte, NC 28211
Street Address: TBD

Locality: Charlotte, NC 28211
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Provider Network Quality Analyst

Date: 2023-12-01 (Loaded Cached)

Job Description: Analyze and resolve complex claims scenarios within established time frames. Performs routine quality audits for network operations, and claim testing for PPO…

Company: CVS Health
Hiring Organization: CVS Health
Salary: TBD
Location: Austin, TX
Street Address: TBD

Locality: Austin, TX
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Sr Analyst, Global Trade Operations - OS&D Logistics Initiatives

Date: 2023-12-01 (Loaded Cached)

Job Description: Interface with internal stakeholders and IT to develop an automated transportation claim management process. Establish monthly rhythm with Logistics Sourcing to…

Company: Cardinal Health
Hiring Organization: Cardinal Health
Salary: TBD
Location: United States
Street Address: TBD

Locality: United States
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Operations Claim Analyst

Date: 2023-12-01 (Loaded Cached)

Job Description: Under moderate supervision this position, in partnership with claim professionals and leadership is responsible for ensuring accurate financial controls and…

Company: The Travelers Companies, Inc.
Hiring Organization: The Travelers Companies, Inc.
Salary: TBD
Location: Richardson, TX
Street Address: TBD

Locality: Richardson, TX
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Compliance Review/Claims Analyst (Remote) - Surgery

Date: 2023-12-01 (Loaded Cached)

Job Description: Knowledge of compliance and third party regulations. Provides education to new providers and residents on proper documentation & billing compliance.

Company: Washington University in St Louis
Hiring Organization: Washington University in St Louis
Salary: TBD
Location: St. Louis, MO 63110
Street Address: TBD

Locality: St. Louis, MO 63110
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



LEGAL ANALYST

Date: 2023-12-01 (Loaded Cached)

Job Description: Ability to maintain confidentiality of privileged information in compliance with applicable laws. The Legal Analysts work collaboratively with a team of…

Company: Office of the State Public Defender
Hiring Organization: Office of the State Public Defender
Salary: TBD
Location: United States
Street Address: TBD

Locality: United States
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Business Analyst II - Medicare Programs

Date: 2023-12-01 (Loaded Cached)

Job Description: Then monitor compliance via report and data validation. Responsible to support the development and implementation of required activities to ensure compliance…

Company: Hawaii Medical Service Association
Hiring Organization: Hawaii Medical Service Association
Salary: TBD
Location: Honolulu, HI 96814
Street Address: TBD

Locality: Honolulu, HI 96814
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Call Center Quality Analyst

Date: 2023-12-01 (Loaded Cached)

Job Description: This position is critical to overall operational compliance with the Government (federal and state agencies); the Analyst must immediately report suspected,…

Company: UST
Hiring Organization: UST
Salary: TBD
Location: United States
Street Address: TBD

Locality: United States
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



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