Medical Claim Analyst Jobs in USA

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Medical Claim Analyst

Date: 2023-05-27 (New)

Job Description: They start the CCR process with claim submission with a complete review of the claim and claim history. Review provider and member claims to determine if they…

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

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


Job Details




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Phone Claim Analyst (Supplemental Health)

Date: 2023-05-27 (New)

Job Description: Communicates with external and internal customers to obtain specific claim information in order to finalize claims and to explain claim handling.

Company: Mutual of Omaha
Hiring Organization: Mutual of Omaha
Salary: TBD
Location: Remote
Street Address: TBD

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


Job Details



Disability Analyst (Trainee - Level 1) - #ARSD1140

Date: 2023-05-27 (New)

Job Description: Starting July 25, 2023, our disability analyst trainees will earn $50,000 per year. After an onboarding training program, analysts maintain a caseload in a fast…

Company: Dept for Aging & Rehab Svcs
Hiring Organization: Dept for Aging & Rehab Svcs
Salary: TBD
Location: Fairfax, VA
Street Address: TBD

Locality: Fairfax, VA
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Medical Claims Processing Analyst

Date: 2023-05-27 (New)

Job Description: Goal of 100% clean claim rate. Experience with claim processing and outsourcing a plus. The DQCC Billing Specialist is responsible for all aspects of clean…

Company: Medusind Inc.
Hiring Organization: Medusind Inc.
Salary: TBD
Location: Georgia
Street Address: TBD

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


Job Details



Business Analyst 2

Date: 2023-05-27 (New)

Job Description: As a Business Analyst 2, your work will involve highly complex IT systems to include the Seed to Sale System and Call Center System.

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



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Medical Economics Analyst-REMOTE

Date: 2023-05-27 (New)

Job Description: Analyze network pricing strategies and historical claims data to advise on impacts of various scenarios. Work with the Company's analytics team to understand…

Company: Amedisys, Inc.
Hiring Organization: Amedisys, Inc.
Salary: TBD
Location: Tennessee
Street Address: TBD

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


Job Details



Junior Financial Data Analyst

Date: 2023-05-27 (New)

Job Description: Provide backup to reconciliation duties performed by other financial data analyst. Reconcile and research variances between paid claims and the check register.

Company: Humana
Hiring Organization: Humana
Salary: TBD
Location: Bethesda, MD 20817
Street Address: TBD

Locality: Bethesda, MD 20817
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Junior Financial Data Analyst

Date: 2023-05-27 (New)

Job Description: Provide backup to reconciliation duties performed by other financial data analyst. Reconcile and research variances between paid claims and the check register.

Company: Humana
Hiring Organization: Humana
Salary: TBD
Location: Glen Allen, VA 23060
Street Address: TBD

Locality: Glen Allen, VA 23060
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Human Services Analyst

Date: 2023-05-27 (New)

Job Description: The ideal candidate is detail-oriented, with strong communication, critical thinking, and analytical skills. This is a professional, management position located…

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



Quality Assurance/Audit Analyst

Date: 2023-05-27 (New)

Job Description: Review medical records to determine compliance with payer medical necessity guidelines. Strong knowledge of anatomy, physiology, and medical terminology…

Company: ACU-Serve
Hiring Organization: ACU-Serve
Salary: TBD
Location: Akron, OH 44308
Street Address: TBD

Locality: Akron, OH 44308
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Healthcare Data Analyst: Claims / Authorizations (Remote)

Date: 2023-05-27 (New)

Job Description: Providence Health Plan is seeking a Healthcare Data Analyst: Claims / Authorizations who will: Be responsible for designing, implementing, and coordinating data…

Company: Providence Health Plan
Hiring Organization: Providence Health Plan
Salary: TBD
Location: Washington State
Street Address: TBD

Locality: Washington State
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Medical Data Analyst

Date: 2023-05-27 (New)

Job Description: Experience with population health and ROI, risk or claims data is required. The Consultant needs to be from a Data Analyst background with skills like…

Company: SNVETECH LLC
Hiring Organization: SNVETECH LLC
Salary: TBD
Location: Remote
Street Address: TBD

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


Job Details



Business Analyst, Claims Recoveries

Date: 2023-05-27 (New)

Job Description: Experience with Tableau, SQL along with medical claims background a plu. Designs, produces and analyzes customer operations data.

Company: Sentara Healthcare
Hiring Organization: Sentara Healthcare
Salary: TBD
Location: Richmond, VA 23173
Street Address: TBD

Locality: Richmond, VA 23173
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



IT Analyst

Date: 2023-05-27 (New)

Job Description: POSITION DUTIES AND RESPONSIBILITIES • Provide high level application support and troubleshooting of corporate claims processing applications (QNXT).

Company: Sentara Healthcare
Hiring Organization: Sentara Healthcare
Salary: TBD
Location: Glen Allen, VA 23060
Street Address: TBD

Locality: Glen Allen, VA 23060
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Asst Short Term Disability Claim Analyst

Date: 2023-05-27 (New)

Job Description: Obtain, analyze, and investigate medical, financial and contractual information to make effective and timely claim decisions.

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



Healthcare Data Analyst: Claims / Authorizations (Remote)

Date: 2023-05-27 (New)

Job Description: Providence Health Plan is seeking a Healthcare Data Analyst: Claims / Authorizations who will: Be responsible for designing, implementing, and coordinating data…

Company: Providence Health Plan
Hiring Organization: Providence Health Plan
Salary: TBD
Location: Oregon
Street Address: TBD

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


Job Details



Performance Analyst - Remote

Date: 2023-05-27 (New)

Job Description: Performs ongoing episodic claims reconciliation process with contracted payors. Performs historical claims episode analysis and review in partnership with the…

Company: Amedisys, Inc.
Hiring Organization: Amedisys, Inc.
Salary: TBD
Location: Tennessee
Street Address: TBD

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


Job Details



Healthcare Analyst II

Date: 2023-05-27 (New)

Job Description: Evaluate the effectiveness of medical cost reduction initiatives. Identify and quantify opportunities to reduce medical costs within the markets.

Company: CareSource
Hiring Organization: CareSource
Salary: TBD
Location: Remote
Street Address: TBD

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


Job Details



Long Term Disability Claim Analyst

Date: 2023-05-27 (New)

Job Description: Obtain, analyze, and investigate medical, financial and contractual information to make effective and timely claim decisions.

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



Analyst I

Date: 2023-05-27 (New)

Job Description: Medical and prescription drug claims and encounters. HSAG offers a competitive benefit package that includes medical, dental, vision, tuition reimbursement, and…

Company: Health Services Advisory Group, Inc.
Hiring Organization: Health Services Advisory Group, Inc.
Salary: TBD
Location: Arizona
Street Address: TBD

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


Job Details



Insurance Fraud Investigator

Date: 2023-05-27 (New)

Job Description: Low-cost premium medical insurance options. Partner with senior analysts to handle escalated or highly complex cases as needed. 2+ w/Bachelor's degree.

Company: Delta Dental Ins.
Hiring Organization: Delta Dental Ins.
Salary: TBD
Location: Mechanicsburg, PA 17055
Street Address: TBD

Locality: Mechanicsburg, PA 17055
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Epic Tapestry Analyst - Remote

Date: 2023-05-27 (New)

Job Description: The Epic Tapestry Analyst facilitates end-user meetings and provides level of operational and application build expertise in completing assignments to meet…

Company: CEDARS-SINAI
Hiring Organization: CEDARS-SINAI
Salary: TBD
Location: Los Angeles, CA
Street Address: TBD

Locality: Los Angeles, CA
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Dispute Support Specialist

Date: 2023-05-27 (New)

Job Description: Accuracy and completeness of documentation: The Dispute Support Specialist must ensure that all necessary information and documentation is entered into the…

Company: Cpm Federal Credit Union
Hiring Organization: Cpm Federal Credit Union
Salary: TBD
Location: South Carolina
Street Address: TBD

Locality: South Carolina
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Claims Specialist - Disability

Date: 2023-05-27 (New)

Job Description: We provide customized Independent Medical Exam and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the…

Company: DANE STREET LLC
Hiring Organization: DANE STREET LLC
Salary: TBD
Location: Remote
Street Address: TBD

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


Job Details



Healthcare Reimbursement Analyst

Date: 2023-05-27 (New)

Job Description: Experience with healthcare data such as claims and encounters, claim code sets, nursing facility minimum data set (MDS), and cost report data.

Company: Dept of Med Assistance Svcs
Hiring Organization: Dept of Med Assistance Svcs
Salary: TBD
Location: Richmond, VA
Street Address: TBD

Locality: Richmond, VA
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



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