CLAIMS ADJUSTMENT ANALYST jobs in USA, United Kingdom

Health or from Harris County taxpayers. Skills / Requirements JOB SUMMARY: The Claims Adjustment Analyst supports the... claims processing. The Claims Adjustment Analyst applies relevant rules and regulations specific to coding, providers, plan...

work arrangements 7 holidays per year PTO buy back and selling excess, when eligible Medicare Risk Adjustment... Analyst (REMOTE IN THE US) up to $86K annually as new hire Direct Hire as an employee of Company Remote within the...

Risk Adjustment Data Analyst III is a seasoned analyst responsible for playing an active role in submission, monitoring... and contributing to the end to end Risk Adjustment Data Submission and Validation within key regulator guidelines for acceptable data...

Sr. Data Analyst, Claims Processing Engineering Operations Reveleer Reveleer is a healthcare data and analytics... Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform enables...

Sr. Data Analyst, Claims Processing Engineering Operations Reveleer Reveleer is a healthcare data and analytics... Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform enables...

Job Description Job Summary Responsible for supervising the Company's Liability claims including oversight of the... 3rd party claims administrator and approving cost-effective claim settlements. Oversees moderately complex Liability...

-year college degree is required. Substantial knowledge the claims adjustment process. Excellent negotiation...Job Summary Supervise Company’s third-party administrators (“TPAs”) and their handling of claims made against the...

Job Description: Senior Financial Analyst The Global Casualty Home Office Finance team is a dedicated group... Receivables and Collections Management (CRCM), Program Adjustment Unit (PAU), Richmond Operations Center (ROC), and IT...

to lead nationally in innovating equitable whole-person health. The Sr. Data Insights & Reporting Analyst will conduct data.... This role provides actionable data insights to internal stakeholders and reports to the Risk Adjustment Programs Manager...

Job Title: Supply Chain Analyst Reports to: CFO FLSA Status: Full-time, exempt Job Description: This position... inventory discrepancies and prepare appropriate documentation and inventory adjustment requests Communicate with carriers, 3PLs...

a Senior Actuarial Analyst with experience in the healthcare industry. What You’ll Do: Develop and maintain actuarial... on bid pricing outcomes Analyze healthcare claims data, enrollment data, and other relevant information to detect trends...

physically, emotionally and academically, nurtured by family and community." Job Title: Grants Analyst (Management Analyst 5... Opportunity: We're looking for a Grants Analyst (Management Analyst 5) to provide grant oversight of the federal Social Security...

management, corporate actuarial, and MA risk adjustment. Role spans all areas of Emerging Markets, including P&C and health... Responsibilities by Job Title: Actuarial Analyst: Perform routine actuarial analyses requiring the application of acceptable...

Sr. Data Analyst, EDI Engineering Operations Reveleer Reveleer is a healthcare data and analytics company that uses... Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform enables plans...

Sr. Data Analyst, EDI Engineering Operations Reveleer Reveleer is a healthcare data and analytics company that uses... Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform enables plans...

, claims investigation, adjustment and workers’ compensation; including claims processing, insurance record keeping, safety...Job Title: Risk Management Analyst Job Summary: Under the direction of the Risk Manager or his/her designee...

department to resolve payment issues Perform claims adjustment/correction in CHAMPS, Medi, Waystar, web-DENSI, and commercial...Job Title Hospice Billing Analyst I Location Remote/Nationwide, USA Additional Location(s) Employee Type Employee...