CLAIMS QUALITY ANALYST NATIONAL jobs in USA, United Kingdom

to claims adjudication. In this role, you'll be responsible for all aspects of quality assurance within the claims job family.... At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities, and removing barriers to quality care...

. At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities, and removing barriers to quality care...’s best work.SM While working remotely, you are responsible for managing work inventory, coaching, and addressing quality issues...

, support and opportunities you'd expect from a Fortune 6 leader. The Claims QA Auditor performs quality assurance functions... Responsibilities: Responsible for all aspects of quality assurance from a sample of random claims, check run reviews and Health Plan...

health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Senior Workflow Analyst... and the Workflow tool in Facets Collaborate with claims department and configuration teams to understand auto adjudication...

to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system.... Growing together. In this position the Broker Agent Service Senior Analyst will play a key role in supporting Government...

’s best work.SM As a National Recovery Resolutions Analyst, you will be responsible for working escalated commercial complex... resolution process. The National Recovery Resolutions Analyst will execute on resolution processes to resolve and close out...

with claims / quality data or in value/risk-based arrangements *All employees working remotely will be required to adhere..., religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity...

Design, configure and build various product / benefit components in Facets with emphasis on BPA Research claims issues... on opportunities Consistently meet established productivity, schedule adherence, and quality standards while maintaining expected...

potential discrepant pharmacy claims Assess pharmacy site’s physical premises, compliance with regulatory requirements... findings to pharmacy network providers Reviews and assesses quality and accuracy of audits conducted (QC) You’ll...

potential discrepant pharmacy claims Assess pharmacy site’s physical premises, compliance with regulatory requirements... findings to pharmacy network providers Reviews and assesses quality and accuracy of audits conducted (QC) You’ll...

: This technical analyst position is required in order to create a critically needed Service Division Claims Business Technical team... timeliness and quality goals. Responsible for coordination throughout the Service Division of all Claims Operations' technical...

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims Management Analyst, Technical... mindset to investigate, evaluate, and negotiate claims, ensuring high quality claims handling and a high standard of customer...

JOB DESCRIPTION Chubb North America Claims seeks a Claims Data Analyst to assist with, and manage the day-to-day.... Perform data analysis for the claim organization, utilizing a blend of technical claims handling skills and other technical...

Claims Analyst – Medical Review RN Work from Home within the Continental United States @Orchard LLC is supporting... communities. Our client is seeking an experienced Medical Review RN (Claims Analyst II) to join their Investigation clinical...

Claims Analyst - Medical Review RN Work from Home within the Continental United States @Orchard LLC is supporting... communities. Our client is seeking an experienced Medical Review RN (Claims Analyst II) to join their Investigation clinical...

Sr. Data Analyst, Claims Processing Engineering Operations Reveleer Reveleer is a healthcare data and analytics... company that uses Artificial Intelligence to give health plans across all business lines greater control over their Quality...

Sr. Data Analyst, Claims Processing Engineering Operations Reveleer Reveleer is a healthcare data and analytics... company that uses Artificial Intelligence to give health plans across all business lines greater control over their Quality...