to reduce medical claim expense and identify and recover medical claim expense dollars from liable parties. Gathers data.... What you will do Performs reviews and processing of claims to insurance carriers for payment to ensure accurate and timely claim submissions...
Job Title: Claims Compliance AnalystJob Description The Claims Compliance Analyst is responsible for coordinating...-compliant claims to the Claims Director. Responsibilities Assist in developing an audit control checklist to prevent untimely...
Job Title: Claims Compliance AnalystJob Description The Claims Compliance Analyst is responsible for coordinating...-compliant claims to the Claims Director. Responsibilities Assist in developing an audit control checklist to prevent untimely...
and/or members by seeking a partnership approach that will meet the company goals and vision. The Claims Compliance Analyst... will coordinate Health Plan’s audits activities with preparation and provide preliminary results on non-compliant claims to the Claims...
and/or members by seeking a partnership approach that will meet the company goals and vision. The Claims Compliance Analyst... will coordinate Health Plan’s audits activities with preparation and provide preliminary results on non-compliant claims to the Claims...
and Claims Analytics Solutions and Data Analyst III serves as a Subject Matter expert (SME), technical and analytic integrator...-domain data (membership, encounters, providers, claims, quality metrics) into interpretable and actionable insights used...
and Claims Analytics Data Analyst III serves as a Subject Matter Expert (SME) contributor responsible for leading complex..., deployment, and post-implementation evaluation, ensuring high-quality, reproducible, and impactful outputs. The Analyst III...
and Claims Analytics Data Analyst III serves as a Subject Matter Expert (SME) contributor responsible for leading complex..., deployment, and post-implementation evaluation, ensuring high-quality, reproducible, and impactful outputs. The Analyst III...
of what's next. We are seeking a data-driven Risk Analyst to support and elevate our risk management capabilities. You will manage casualty claims..., and workers' compensation. This role involves leading internal and external claims processes and teams to positive results, deep...
and Deputy Director of the PMO/forensics & Claims, this role is responsible for developing forensic analyses and providing.... This role is also responsible for reviewing and analyzing Contractors' Time Impact Analyses and claims and assisting with the...
) Nearest Major Market: Los Angeles Job Segment: Claims, Medical, Insurance, Healthcare Apply now Start Please wait... communities and residents and to support the safety net required to achieve that purpose. Job Summary The Medical Cost Drivers...
, Dental and Vision Wellness Program Paid Sick Leave Nearest Major Market: Los Angeles Job Segment: Medical, Claims... communities and residents and to support the safety net required to achieve that purpose. Job Summary The Medical Cost Drivers...
representative for the Health Organization. The Claims Specialist/Analyst will process health insurance claims and answers calls... and written communication skills · Knowledge of medical terminology · Ability to research and verify claims payment, benefits...
medical claims knowledge and provider contracts Certified auditor in auditing BSC provider contracts or claims audit... Configuration Analyst will report to the QC Pricing Analytics Contract Configuration, Manager. In this role, you will conduct audits...
experience 0-2 years of prior audit experience of auditing BSC contracts Requires strong medical claims knowledge and experience... Configuration team is responsible for performing an in-line audit for all negotiated provider contacts. The QC Configuration Analyst...
Job Title: Risk Management Analyst Pay Information: Non-Exempt - $59,000 - $73,800 per year Location: Remote first... competitive medical, dental and vision plans, including FSA and HSA account options 401(k) plans, with a generous match and safe...
reporting for end-to-end prior authorization. This includes Network Management, Medical Management, and Claims and Pharmacy... and deliver better service for our customers and contain the rising cost of healthcare. The Data Analyst - Health, Principal...
Description The City of Fremont's City Attorney's Office is recruiting for Deputy Risk Manager (Management Analyst... liability claims, workers' compensation, and claims investigation. The candidate is comfortable taking a deep dive into safety...
. Job Description We are looking for a Legal Operations Analyst to join the Allstate Protection Plans’ Legal Team. In this role, you will work cross-functionally... to drive projects that directly impact our customers’ claims experience. You won’t be just “taking orders”, you’ll...
. Job Description We are looking for a Legal Operations Analyst to join the Allstate Protection Plans' Legal Team. In this role, you will work cross-functionally... to drive projects that directly impact our customers' claims experience. You won't be just “taking orders”, you'll...