SENIOR CLAIMS QUALITY ANALYST jobs in UNITED STATES, United Kingdom #6

by bringing technology and/or data and insights to the forefront of decision making via fit-for-purpose solutions. The Senior... across clinical development processes. Leverages subject matter expertise across RWD assets (Claims data, electronic health record...

AbbVie

vendor-supplied software packages and make recommendations to IT management. In coordination with Project Leads and senior... architecture. Extensive knowledge of systems programming, graphical user interfaces, control languages, development, quality...

BlueCross BlueShield Of South Carolina

Big Island of Hawaii dedicated to delivering high-quality patient care. We are currently undertaking a significant..., East Hawaii Medical Group is hiring highly skilled EHR Senior Systems Analysts to join our dynamic team. Job Summary...

Hilo Medical Center

, product quality, relevance and timeliness. To accomplish these goals, you will need to: Draft policy language and develop..., claims, underwriting and/or submitting filings with insurance regulators. Experience involving analyzing and development...

ISO

, product quality, relevance and timeliness. To accomplish these goals, you will need to: Draft policy language and develop..., claims, underwriting and/or submitting filings with insurance regulators. Experience involving analyzing and development...

Underwriting Solutions

, compliance, quality, and financial goals. Engages in cross-functional collaboration to support operational aspects... data accuracy Compatible with a dynamic work environment Working knowledge of medical claims and coding. Education...

CVS Health

experience or an equivalent combination of education and experience is required. Experience in multi-line claims management.../claims management business and technology SQL knowledge is strongly preferred DevOps management is preferred A basic...

ICONMA

position includes identify new audit concepts, write specifications used to identify claims paid in error, audit paid claims... data through multiple tools and methods, and perform quality assurance checks on existing concepts. In your role...

Gainwell Technologies

position includes identify new audit concepts, write specifications used to identify claims paid in error, audit paid claims... data through multiple tools and methods, and perform quality assurance checks on existing concepts. In your role...

Gainwell Technologies

activities and reports on its results. - Provides oversight to data quality and provides feedback to various areas in order... to business processes and system infrastructure to improve data quality availability and access. - Manages customer...

CVS Health

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...

UnitedHealth Group

with manageable risks and resource requirements to ensure quality and timely project delivery. Establish strong working.... Experience in healthcare and reimbursement/claims preferred. Ability to work collaboratively with diverse teams...

Vizient

and execute data extracts from various source systems to support the preparation of the data calls. Identify data quality... management information and/or conformance to established data quality standards. Respond to any statistical agent data inquiries...

Chubb

and reimbursement issues required. Quality Assurance, project management and leadership skills required. Skills: Ability to promote...): Epic Clarity/WEBI Cerner MedAssets Electronic claims management products Huron/Stockamp – TRAC/ONTRAC Advisory Board...

Legacy Health

with other leaders. Essential Functions and Responsibilities : Coordinate response to quality and patient safety Senior Leadership...Job Summary: The Quality & Patient Safety lead has oversight and responsibility over quality, risk management...

Cigna

Job Description: Chubb is hiring a Financial Crimes Compliance Quality and Model Risk Analyst! We are seeking... a highly skilled and experienced Mid-Senior Level Compliance Professional with expertise in model risk management for financial...

Chubb

with other leaders. Essential Functions and Responsibilities: Coordinate response to quality and patient safety Senior Leadership...Job Summary: The Quality & Patient Safety lead has oversight and responsibility over quality, risk management...

Cigna