NewCredit Analyst Nucor Steel HertfordCredit AnalystCofield, NCFull timeNucor Steel Hertford is seeking a Credit Analyst in Cofield, NC to evaluate customer credit risk, manage accounts receivable, support cash collection, and assist with customer claims resolution. Candidates must possess a Bachelor’s degree in Finance, Accounting, or a related field (or equivalent experience), proficiency in Microsoft Excel and Office, and legal authorization to work in the U.S. without sponsorship.
NewHR Specialist - Leave Analyst (Remote) System OneHR Specialist - Leave Analyst (Remote)Charlotte, NCRemote$30 / hourPartner with leave and disability vendors to monitor claim activity, resolve escalations, ensure adherence to service level agreements, and provide positive employee experience. Ability to learn and use technology to perform job requirements, including MS Office, Workday, CostPoint, TESS, Chat platform, and case management via Service Cloud/Salesforce.
IT Infrastructure Engineer IV, Database (EPIC/IRIS) Kaiser PermanenteIT Infrastructure Engineer IV, Database (EPIC/IRIS)Greensboro, NC$109,400Essential Responsibilities: Completes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating and assigning resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks, as appropriate; and recognizing and capitalizing on improvement opportunities. Translates business and functional requirements into technical specifications that support integrated and sustainable designs for designated infrastructure systems by partnering with Business Analysts to understand business needs and functional specifications.
Claims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTERaleigh, NCRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.
Senior Construction Claims Analyst (Full Time) Mcdonough Bolyard Peck IncSenior Construction Claims Analyst (Full Time)Raleigh, NC$107,000–$150,000 / yearMBP is looking for Senior Construction Claims Analyst * in Tampa, FL, Raleigh, NC, or Washington DC areas, with significant experience developing and/or providing review and analysis of construction claims, specifically related to delay, productivity, and cost impacts. Additional experience in one or more of the following desired: construction management, cost estimating, value engineering, risk management, constructibility review, and/or contract administration.
Construction Claims Analyst/Lead Construction Claims Analyst (Full Time) Mcdonough Bolyard Peck IncConstruction Claims Analyst/Lead Construction Claims Analyst (Full Time)Raleigh, NC$82,000–$115,000 / yearMBP is looking for Construction Claims Analyst/Lead Construction Claims Analyst * in Tampa, FL, Raleigh, NC, or Washington DC areas, with significant experience developing and/or providing review and analysis of construction claims, specifically related to delay, productivity, and cost impacts. Additional experience in one or more of the following desired: construction management, cost estimating, value engineering, risk management, constructibility review, and/or contract administration.
Senior Construction Claims Analyst (Full-Time) MBPSenior Construction Claims Analyst (Full-Time)Raleigh, North Carolina$107,000–$150,000 / yearFull timeOverview: MBP is looking for Senior Construction Claims Analyst * in Tampa, FL, Raleigh, NC, or Washington DC areas, with significant experience developing and/or providing review and analysis of construction claims, specifically related to delay, productivity, and cost impacts. Additional experience in one or more of the following desired: construction management, cost estimating, value engineering, risk management, constructibility review, and/or contract administration.
Construction Claims Analyst/Lead Construction Claims Analyst (Full-Time) MBPConstruction Claims Analyst/Lead Construction Claims Analyst (Full-Time)Raleigh, North Carolina$82,000–$115,000 / yearFull timeOverview: MBP is looking for Construction Claims Analyst/Lead Construction Claims Analyst * in Tampa, FL, Raleigh, NC, or Washington DC areas, with significant experience developing and/or providing review and analysis of construction claims, specifically related to delay, productivity, and cost impacts. Additional experience in one or more of the following desired: construction management, cost estimating, value engineering, risk management, constructibility review, and/or contract administration.
Financial Analyst 1 Telnet IncFinancial Analyst 1Mooresville, NC$24–$26 / hourContractorThis role focuses on processing high-volume pricing claims, performing financial audits, investigating pricing discrepancies, and collaborating with internal finance teams to improve business processes. The ideal candidate will have strong analytical skills, advanced Excel knowledge, and the ability to work in a fast-paced, deadline-driven environment.
Sr QA Analyst, Claims HF Management ServicesSr QA Analyst, ClaimsNorth CarolinaThe Sr QA Analyst Claims is the subject-matter-expert (SME) in Claims, test automation, test data creation automation and enterprise test strategy definition, and embodies Healthfirst’s Culture Drivers promoting and reinforcing behavior consistent with Healthfirst culture. Applicants must have a Bachelor's degree in Computer Science, Computer Information Systems, Business Administration or related field and 7 years of experience in the job offered or in a quality assurance analyst occupation.
Sr Epic Resolute (Billing & Claims) Certified Analyst UNC HealthSr Epic Resolute (Billing & Claims) Certified AnalystMorrisville, NC$41.45–$59.58 / hourThis position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job. This role supports external partner clinics using UNC Health's Epic platform, with a focus on professional billing (PB), claims management, and end-to-end revenue cycle workflows, with strong alignment to ambulatory operations.
Sr QA Analyst, Claims HealthfirstSr QA Analyst, ClaimsNC$148,990–$165,000 / yearThe Sr QA Analyst Claims is the subject-matter-expert (SME) in Claims, test automation, test data creation automation and enterprise test strategy definition, and embodies Healthfirst's Culture Drivers promoting and reinforcing behavior consistent with Healthfirst culture. Minimum Qualifications: Applicants must have a Bachelor's degree in Computer Science, Computer Information Systems, Business Administration or related field and 7 years of experience in the job offered or in a quality assurance analyst occupation.
Financial Analyst (Claims) Pyramid Consulting, IncFinancial Analyst (Claims)Mooresville, NC$25–$30 / hourBy applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Room for the role to grow into broader financial/business analytics work overtime.
EPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full Time SolutionHealthEPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full TimeNCEpic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.
Financial Analyst (Claims) Pyramid, IncFinancial Analyst (Claims)Mooresville, NC$25–$30 / hourFull timeResponsibilities; Core focus is financial operations processing — primarily claims, chargebacks, and invoice Mostly claims-related, including chargebacks tied to invoices Requires close coordination with the sales team to gather and align information Background preference leans toward finance or economics-focused candidates On prior FP&A/financial ops experience (invoicing, billing, accounting). By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners.
Data Exchange Analyst - Claims Operations Capital Rx, Inc.Data Exchange Analyst - Claims OperationsCharlotte, NC$96,800–$121,000 / yearThis role is responsible for executing and monitoring outbound eligibility, claims, formulary, and network reporting; supporting manual claims activities; assisting with custome data feed configurations; and participating in historical data loads and connectivity setups for JUDI Rx clients. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
NewData Exchange Analyst - Claims Operations Judi HealthData Exchange Analyst - Claims OperationsCharlotte, North CarolinaThis role is responsible for executing and monitoring outbound eligibility, claims, formulary, and network reporting; supporting manual claims activities; assisting with custome data feed configurations; and participating in historical data loads and connectivity setups for JUDI Rx clients. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
Operations Claims Specialist Pacific LifeOperations Claims SpecialistCharlotte, North CarolinaAs part of the Claims processing team, you’ll move Pacific Life, and your career, forward by ensuring accurate, timely, and compliant processing of insurance claims while delivering exceptional service to customers and internal partners. We’re actively seeking a talented Operations Claims professional to join our Operations Claims processing team within the Consumer Markets Division (CMD) in Omaha, NE or Charlotte, NC.
Data Exchange Analyst - Claim Ops (Tpa) Capital Rx, Inc.Data Exchange Analyst - Claim Ops (Tpa)Charlotte, NC$96,800–$121,000 / yearKey Responsibilities: Data Integration & Mapping: Design, develop, and maintain data mappings and transformations for incoming and outgoing healthcare data files: 837/835 - claims & remittance, 270/271 - eligibility and responses, 278 - Prior Auth, 276/277 - claim status, 999/TA1 - file level acknowledgement as well as proprietary formats. Position Summary: The Data Exchange Analyst is a crucial member of our Data Operations team, responsible for ensuring the accurate, efficient, and secure exchange of healthcare data between Capital Rx - JUDI Health and its various partners, including employers, providers, and other TPAs.
Data Exchange Analyst - Claims Operations Capital Rx LLCData Exchange Analyst - Claims OperationsCharlotte, NC$96,800–$121,000 / yearJudi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Judi Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and. This role is responsible for executing and monitoring outbound eligibility, claims, formulary, and network reporting; supporting manual claims activities; assisting with custome data feed configurations; and participating in historical data loads and connectivity setups for JUDI Rx clients.
Data Exchange Analyst - Claim Ops TPA Capital Rx LLCData Exchange Analyst - Claim Ops TPACharlotte, NC$96,800–$121,000 / yearKey Responsibilities: Data Integration & Mapping: Design, develop, and maintain data mappings and transformations for incoming and outgoing healthcare data files: 837/835 - claims & remittance, 270/271 - eligibility and responses, 278 - Prior Auth, 276/277 - claim status, 999/TA1 - file level acknowledgement as well as proprietary formats. Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Judi Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and.
NewData Exchange Analyst - Claim Ops (TPA) Judi HealthData Exchange Analyst - Claim Ops (TPA)Charlotte, North CarolinaDesign, develop, and maintain data mappings and transformations for incoming and outgoing healthcare data files: 837/835 - claims & remittance, 270/271 – eligibility and responses, 278 – Prior Auth, 276/277 – claim status, 999/TA1 – file level acknowledgement as well as proprietary formats. The Data Exchange Analyst is a crucial member of our Data Operations team, responsible for ensuring the accurate, efficient, and secure exchange of healthcare data between Capital Rx – JUDI Health and its various partners, including employers, providers, and other TPAs.
Data Exchange Manager - Claims Operations Capital Rx, Inc.Data Exchange Manager - Claims OperationsCharlotte, NC$150,800–$188,500 / yearThe role oversees analysts and specialists responsible for healthcare data integrations, client onboarding, EDI transactions, eligibility feeds, claims exchanges, configuration setup, data quality monitoring, and operational issue resolution. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
Auto Claims Adjuster Allstate Insurance CompanyAuto Claims AdjusterNC$47,500–$69,800 / yearThrough our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products. National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers' evolving needs.
Claims Adjuster Trainee - North Carolina Allstate Insurance CompanyClaims Adjuster Trainee - North CarolinaWinston Salem, NC$22.84–$29.57 / hourAnalytical Decision Making, Auto Insurance Claims, Automobile Accidents, Call Center, Conceptual Thinking, Customer Service, De-Escalation, Detail-Oriented, Drafting Witness Statements, Insurance Industry, Insurance Policies, Investigative Thinking, Logical Thinking, Multitasking, Negotiation, Stress Management. In this role, you'll be responsible for investigating and verifying the details of automobile accidents, including obtaining police reports, collecting witness statements, confirming coverage, and determining liability.
Data Exchange Manager - Claims Operations Capital Rx LLCData Exchange Manager - Claims OperationsCharlotte, NC$150,800–$188,500 / yearJudi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Judi Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and. The role oversees analysts and specialists responsible for healthcare data integrations, client onboarding, EDI transactions, eligibility feeds, claims exchanges, configuration setup, data quality monitoring, and operational issue resolution.
Claims Operations Quality Assurance Specialist Pacific LifeClaims Operations Quality Assurance SpecialistCharlotte, North Carolina$32–$37 / hourPerform detailed quality audits of claims transactions across Pay QA, Set-Up QA, and Follow-Up QA, including claim payment accuracy, interest review and calculation, post-death interest, initial claim setup, documentation, beneficiary/payee information, follow-up requirements, and completion of required claim actions. How you’ll help move us forward: Consistently apply sound judgment and accountability when evaluating pay accuracy, interest review and calculation, post-death interest, claim setup completeness, follow-up activity, documentation quality, and adherence to claims procedures.
Assistant Vice President Claims Application Technical Lead - Claims Technology American International GroupAssistant Vice President Claims Application Technical Lead - Claims TechnologyCharlotte, NCIn this role, you will serve as a senior business-facing technology leader, acting as the primary conduit between Claims stakeholders and technology delivery teams to ensure initiatives are clearly defined, strategically aligned, and delivered with measurable business impact. The role is responsible for ensuring Claims technology solutions are grounded in business need, operational efficiency, and aligned to our Claims Technology North Star, supporting scalability, simplification, and improved Claims outcomes globally.
NewData Exchange Manager - Claims Operations Judi HealthData Exchange Manager - Claims OperationsCharlotte, North CarolinaThe role oversees analysts and specialists responsible for healthcare data integrations, client onboarding, EDI transactions, eligibility feeds, claims exchanges, configuration setup, data quality monitoring, and operational issue resolution. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
Claims Director MegaCorp LogisticsClaims DirectorWilmington, NC$125,000–$150,000 / yearThis role provides strategic leadership for claims operations, team performance, process improvement, and complex claim resolution while partnering with internal and external stakeholders to minimize risk, maximize recovery opportunities, and ensure exceptional customer service. Develop and maintain claims reporting, dashboards, analytics, KPIs, and operational insights for leadership while identifying trends related to cargo loss, shortages, damages, carrier performance, customer disputes, documentation gaps, and claim outcomes.
Claims Director Megacorp Logistics LLCClaims DirectorWilmington, NC$125,000–$150,000 / yearThis role provides strategic leadership for claims operations, team performance, process improvement, and complex claim resolution while partnering with internal and external stakeholders to minimize risk, maximize recovery opportunities, and ensure exceptional customer service. Develop and maintain claims reporting, dashboards, analytics, KPIs, and operational insights for leadership while identifying trends related to cargo loss, shortages, damages, carrier performance, customer disputes, documentation gaps, and claim outcomes.
Lost Time Claims Specialist, Workers'''' Compensation Encova Mutual Insurance GroupLost Time Claims Specialist, Workers'''' CompensationNCOur current footprint includes: Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia, Wisconsin. Consults with assigned claim director, return to work specialists, nurse case managers, internal/external medical, and legal on current and/or recommended treatment, litigation or rehabilitation plans to ensure claims outcomes are achievable and appropriate.
Sr Analyst-Workers Compensation Lowe's Companies IncSr Analyst-Workers CompensationMooresville, NCThe role is responsible for maintaining visibility into claim and litigation activity, tracking action plans, identifying claim handling gaps, supporting claim reviews and roundtables, and providing practical insights that improve outcomes, reduce exposure, and strengthen vendor accountability. Manager - Workers' Compensation Program Operations, Sedgwick, Legal, defense counsel, HR, Safety, Operations, Managed Care, and other internal stakeholders to ensure complex, high-exposure, litigated, and escalated claims are actively monitored and progressing toward timely resolution.
NewStaff Analyst, Analytics - Jumbo Insights Capital Rx LLCStaff Analyst, Analytics - Jumbo InsightsCharlotte, NC$150,800–$188,500 / yearThis role requires strong PBM industry knowledge, advanced data analysis skills, and the ability to translate complex pharmacy benefit, claims, and performance data into clear, actionable insights for clients and internal stakeholders. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
Code Edit Analyst Vidant Medical CenterCode Edit AnalystGreenville, NCRemote$28.58–$41.66 / hourThe not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations. The analyst will assist Billing Manager and other team members in the coordination of reports concerning audit outcomes such as code errors, revenue impact for the facility, and data processing errors.
Risk Management Analyst Central Piedmont Community CollegeRisk Management AnalystCharlotte, NC$60,415–$73,014 / yearMeets with leadership, faculty and staff to identify and assess risk and ensure that they are in alignment and in compliance with CPCC strategic plan Manage the Enterprise Risk Management (ERM) Budget including assisting with Budget Prep, creating BOs, paying invoices and monthly reconciliation of lines of coverage expenses to budget. The Risk Analyst will also procure and manage Property/Casualty Insurance, including the review of all insurance policies for adequacy and compliance, conducts periodic claims reviews with broker, reviews contracts identifying risks and originates contracts as requested; reviews ARMS and manages the ERM budget providing monthly reconciliation.
Insurance Consumer Analyst I State of North CarolinaInsurance Consumer Analyst INC$39,671–$48,410 / yearThis requires extensive knowledge of Medicare, Medicare Supplements, Long-Term Care insurance, Medicare Managed Care, Medicare Prescription Drug Plans, medical claims procedures, and Medicare fraud, waste, and abuse. Extensive knowledge on Medicare Supplement, Medicare Managed Care, Medicare Drug Plans, and Long-Term Care insurance products because individuals will have to compare and differentiate between products in order to advise consumers.
NewSenior Analyst, Analytics - Jumbo Insights Capital Rx LLCSenior Analyst, Analytics - Jumbo InsightsCharlotte, NC$124,000–$155,000 / yearThis role combines required deep expertise in pharmacy claims analysis, data analysis, reporting frameworks, and coding best practices with business acumen to provide actionable insights that inform decision-making across client, operational, and leadership teams. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
NewSenior Analyst, Analytics - Business Insights Capital Rx LLCSenior Analyst, Analytics - Business InsightsCharlotte, NC$92,100–$115,000 / yearBy delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels. The ideal candidate will have a strong background in executing analytics projects, collaborating with cross-functional teams, and providing actionable insights to support business decisions.
Systems Analyst - Payer Encounter Management Platform VeradigmSystems Analyst - Payer Encounter Management PlatformRaleigh, North Carolina$69,852–$97,094 / yearResponsibilities include taking a proactive leadership role working with the Engineering team and Customers to triage and resolve highly complex, technical, and application-related issues which impact product performance in customer-specific environments, or issues that directly hamper a broader customer adoption of Veradigm’s Encounter Management Platform. In addition to working with customers, the Systems Analyst will routinely partner with our Development, Sustaining Engineering and Sales Engineering organizations to resolve support issues, document bugs, provide UAT on product builds, and ensure that new and newly upgraded server installations are successful.
NewOperations Analyst, Government Programs EGWP Capital Rx LLCOperations Analyst, Government Programs EGWPCharlotte, NC$78,800–$98,500 / yearPosition Responsibilities: Support EGWP program setup, implementation and go-live readiness across assigned internal functions and delegate oversight, which includes enrollment, claims processing, member services, member communications, CAHPS activities and associated member service STARs activities. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
Sr Test Analyst PBM Elevance HealthSr Test Analyst PBMWINSTON, NCIf this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a 'sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Temporary HR Analyst (Leave of Absence & Workers' Compensation) The ResourceTemporary HR Analyst (Leave of Absence & Workers' Compensation)Winston Salem, NCThis is an excellent opportunity for an HR professional who thrives in a fast-paced environment, enjoys employee relations and compliance-focused work, and has experience managing sensitive employee matters. Coordinate with employees, management, payroll, and third-party administrators regarding leave requests and return-to-work activities.
Commercial Insurance Analyst - Remote CSAA Insurance GroupCommercial Insurance Analyst - RemoteNCRemote$110,700–$123,000 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers, Nebraska - Home Teleworkers {+ 20 more}. Pursuit or completion of industry-relevant continuing education, including graduate degrees, MBS, risk and insurance designations from The Institutes (AINS, AIC, ARM, CPCU, etc.), or actuarial exams and designations (ACAS, FCAS, CERA).
Credit Analyst Nucor CorporationCredit AnalystCofield, North CarolinaThe Credit Analyst is responsible for evaluating customer credit risk, monitoring accounts receivable exposure, and supporting timely cash collection while maintaining strong internal and external customer relationships. The role of Credit Analyst is primarily to: Review customer credit applications and analyze financial statements to determine the level of risk involved with extending credit to a new customer.
NewStaff Analyst, Analytics - Jumbo Insights Capital Rx, Inc.Staff Analyst, Analytics - Jumbo InsightsCharlotte, NC$150,800–$188,500 / yearThis role requires strong PBM industry knowledge, advanced data analysis skills, and the ability to translate complex pharmacy benefit, claims, and performance data into clear, actionable insights for clients and internal stakeholders. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
Disability Analyst State of North CarolinaDisability AnalystWake County, North CarolinaAt this level, analysts assess impairment severity, propose statements of residual functional capacity, determine applicants’ ability to work, adjudicate Initial, Reconsideration, Age 18 Redetermination Cases, Continuing Disability Reviews, train agency policy, mentor staff, and conduct work unit quality review. Medicaid disability claims can be filed by contacting a county Department of Social Services office (https://www.ncdhhs.gov/divisions/social-services/local-dss-directory).
Insurance Regulatory Analyst II State of North CarolinaInsurance Regulatory Analyst IIWake County, North CarolinaThe employee conducts detailed reviews of property and casualty insurance rate filings, focusing on the mathematical accuracy of statistical data, the proper application of rating principles, and compliance with statutes and departmental regulations Their work includes preparing and distributing correspondence through SERFF, and when filings involve unusually complex or technical issues, they coordinate additional review by senior analysts or division leadership. Bachelor's degree in business or economics or a related program from an appropriately accredited institution and four years of experience in policy and rate examinations, underwriting, claims adjusting work, or financial/marketing analysis; or an equivalent combination of training and experience.
NewSr Test Analyst PBM (Business Analyst Iii) Elevance HealthSr Test Analyst PBM (Business Analyst Iii)Durham, NCIf this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a 'sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Healthcare Appeals Analyst (Remote) Zp Group LlcHealthcare Appeals Analyst (Remote)Cary, NCRemote$70,000–$80,000 / yearLocation: Remote (Eligible in Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, Ohio, Oklahoma, Pennsylvania, North Carolina, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, and Wyoming). The Clinical Appeals Analyst provides clinical expertise and consultation to support the Appeals Department in reviewing and resolving complex member and provider appeals.