NewProgram Analyst U.S. Department of CommerceProgram AnalystWashington, DC$121,785–$158,322 / yearCurrent federal employees with competitive status (career or career-conditional), CTAP/RPL/ICTAP eligible candidates in local commuting area, VEOA eligible, 30 percent or more Disabled Veterans, Military Spouses, Interchange Agreement, People with Disabilities, Peace Corps and VISTA, Reinstatement eligible candidates and NOAA Corps under honorable conditions after 3+ years of continuous service. n n Telework eligiblen Yes-as determined by the agency policy.n n n Remote jobn Non nn n Relocation expenses reimbursedn n Non n nn n Salaryn n $121,785 - $158,322 per yearn n nn n Pay scale & graden n.
COB & Recovery Analyst Network Health LLCCOB & Recovery AnalystMenasha, WINetwork Health is seeking a COB and Recovery Analyst who will use their advanced knowledge of refunds and recoveries and Medicare Part D coordination of benefits to maintain and drive improvements to our refund and recovery operations and Medicare Part D COB process. Investigates potential refunds and processes requests from Providers and Members due to overpayment or inaccurate payments due to COB or various other reasons.
NewAnalyst, Revenue Cycle Apidel TechnologiesAnalyst, Revenue CycleFully RemoteRemoteContractorReview and work assigned patient accounts receivable (A/R) claims to resolve outstanding balances, including followup on unpaid claims, denials, and underpayments. Investigate claim issues by analyzing payer responses, correcting billing or coding errors, and initiating rebills or appeals as needed.
Lead Healthcare Business Analyst System OneLead Healthcare Business AnalystReston, VirginiaAs the Lead Business Analyst, you’ll act as a strategic partner to the business, helping define solutions that improve member experiences, streamline internal operations, and ensure compliance. Partner with business leaders to understand goals, issues, and operational needs across health?insurance functions such as claims, enrollment, benefits, provider data, and authorizations.
Warranty Analyst Workhorse Group IncWarranty AnalystWixom, MIYou will use your analysis skills to provide insights too leadership and cross-functional teams on top problems, repeat problems, drivers of long downtimes, and other areas as requested to help improve our products and eliminate vehicle downtime. Your role is key to maintaining our commitment to our service providers and dealers to be paid on time and correctly for work that they complete on our behalf and provide consistent and accurate records to the accounting team for warranty claim repayment.
Health Systems Data Analyst Confederated Tribes of Warm SpringsHealth Systems Data AnalystWarm Springs, ORHelp managed care program (MCP) patients with the medical referral processes and alternate resources, and to assist the medical providers with matters related to referrals, medical claims and payments. High school diploma or equivalent, with (3) years of medical office experience, Medial terminology claims processing and highly experienced with computers and phone etiquette.
NewPharmacy Financial Analyst RWJ Barnabas Health Medical IncPharmacy Financial AnalystWest Orange, NJ$62,476–$88,248 / yearRWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.
Claim Intake Department Segmentation Technician American International GroupClaim Intake Department Segmentation TechnicianAtlanta, GAYou’ll work with some of the best claims and underwriting minds in the industry with segmenting new excess and specialty lines claim files and helping our businesses develop products to address the rapidly evolving risk environment. Accurately and constantly document the claim file in a clear concise manner, memorializing the investigation conducted to date, conversations with external contacts, and what information is needed to provide a value driven determination for future handling.
NewSenior Business Analyst Vizient IncSenior Business AnalystIrving, TX$118,893–$155,500 / yearUses the following tools and technologies: SQL Server (SSMS), Relational Database Management Systems, Advanced SQL, Alteryx, ETL/ELT Data Processing Frameworks, Data Warehousing Architectures, Healthcare Claims and Discharge Data, CMS Qualified Entity (QE) Data, ICD-9-CM, ICD-10-CM, ICD-10-PCS, CPT/HCPCS Diagnosis and Procedure Coding Systems. Must also have 36 months of experience with each of the following: 1) Working with large-scale healthcare data systems, including CMS Qualified Entity (QE) claims data, ICD-9-CM, ICD-10-CM, ICD-10-PCS, CPT/HCPCS diagnosis and procedure codes, healthcare claims data, insurance adjudication processes, and clinical data management.
NewBusiness Systems Analyst ISO CLAIMS PARTNERS INCBusiness Systems AnalystWoburn, MAFull timeIn this highly visible role, you will serve as a key connector among business stakeholders, Product Owners, project teams, and technology partners-turning complex ideas into clear use cases, business requirements, and user stories that guide successful delivery. Unsolicited resumes sent to Verisk, including unsolicited resumes sent to a Verisk business mailing address, fax machine or email address, or directly to Verisk employees, will be considered Verisk property.
NewOperations Analyst, Government Programs (Egwp) Capital Rx, Inc.Operations Analyst, Government Programs (Egwp)New York, NY$78,800–$98,500 / 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. Position 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.
NewHuman Resources Analyst (20763987) City of Burlingame CaliforniaHuman Resources Analyst (20763987)Burlingame, CA$115,611.04–$140,464.96 / yearThe Department is responsible for recruitment and retention, classification and compensation systems, workers' compensation and employee safety, labor and employee relations, employment policies and procedures, benefits administration for active and retired employees, employee development and training, employee engagement initiatives, employee recognition activities, and maintaining positive working relationships with labor groups, staff (active and retired), and the public. The Mission of the Human Resources Department: Create an environment where differences are valued and where all City employees are a productive part of a high performing team delivering quality services to our community members.
NewBenefits and Leave Analyst/Confidential San Joaquin Delta CollegeBenefits and Leave Analyst/ConfidentialStockton, CA$7,204–$8,858Demonstrate sensitivity to and understanding of the diverse academic, socioeconomic, cultural, disability, gender identity, sexual orientation, linguistic, and ethnic backgrounds, and disabilities of community college students and staff as demonstrated by skills and abilities in cultural responsiveness and cultural humility. Occasionally stand/walk, reach/work above shoulders, grasp lightly/fine manipulation, grasp forcefully, use a telephone, sort/file paperwork or parts, lift/carry/push/pull objects that weigh up to 30 pounds.
NewRevenue Cycle Analyst CFSRevenue Cycle AnalystHouston, TXThis is a newly created role designed to maximize patient revenue cycle performance, strengthening vendor accountability, and serving as the bridge between the organization's third-party billing partner, internal stakeholders, and a health system IT partner. If you have a strong physician revenue cycle background, enjoy solving complex billing issues, and thrive on improving processes across clinical, operational, and technical teams, this is an opportunity to make a significant impact.
Senior Telecom Expense Analyst TEOCOSenior Telecom Expense AnalystFairfaxExperience with tools such as Microsoft Access, SAP BusinessObjects, or KNIME • Familiarity with telecom billing concepts and invoice auditing • Strong plus: knowledge of wholesale/access billing, particularly with major carriers. The Senior Telecom Analyst will work under the direction of management to analyze client invoice data, identify vendor overbillings, supporting the claims reconciliation process, as well as review/approve key invoices.
Logistics Analyst Envision Innovative SolutionsLogistics AnalystAberdeen Proving Ground, MD$70,000–$79,000 / yearThere are differentiating factors that can impact a final salary/hourly rate, including, but not limited to, Contract Wage Determination, relevant work experience, skills and competencies that align to the specified role, geographic location, education and certifications as well as Federal Government Contract Labor categories. Founded in 2006, we specialize in cybersecurity, information assurance, systems engineering, enterprise IT and network support, C4ISR, and software development, with internal R&D in extended reality (XR)—including VR, AR, and MR—for training and simulation.
Configuration Analyst Avalon Health Services LLCConfiguration AnalystTampa, FLOur flexible solutions span routine and genetic testing management, automated adherence, and end-to-end diagnostics support-driving measurable value, reduced waste, and improved clinical outcomes. Our proprietary Diagnostic Insights Platform delivers evidence-based policies, curated lab networks, and real-time analytics that simplify complex diagnostics, accelerate innovation adoption, and optimize diagnostic investments.
Business Analyst II Elevance Health IncBusiness Analyst IINorfolk, VAFor URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. If 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.
Associate Analyst, Provider Configuration Molina Healthcare IncAssociate Analyst, Provider ConfigurationCASynchronizes data within multiple claims systems and validates data stored within provider databases - ensuring adherence to business and system requirements as it pertains to contracting, network management and credentialing. Provides entry level analyst support for provider configuration activities including accurate and timely maintenance of critical provider information on all claims and provider databases.
Patient Financial Services Training Analyst (Non-Exempt) Cape Fear Valley Health SystemPatient Financial Services Training Analyst (Non-Exempt)The following qualifications, or equivalents, are the minimum requirements necessary to perform the essential functions of this job: Education and Formal Training : High school diploma or equivalent is required. Provide system and content-based education, analysis, reporting and hospital Patient Access/Patient Accounts expertise to support all facility PFS roles and facility departments.
Treasury Analyst (Temporary - 6 months) FormFactorTreasury Analyst (Temporary - 6 months)Livermore, CaliforniaThe Treasury team is responsible for global cash forecasting and management, credit and collections, letter of credit, bank account management, debt management, foreign exchange hedging, property/casualty/E&O/cyber insurance programs, investments and other projects to support the business. The ideal candidate needs to have the ability and interest to perform credit and collections analysis and reporting, bank account and online banking portal administration, insurance administration, SOX documentation and recordkeeping, Excel modeling and other administrative projects and assigned.
Medical Coding And Billing Analyst Centerlight Management ServicesMedical Coding And Billing AnalystNew YorkAudio Hearing and Motor Skills (language) Requirements – Must be able to listen attentively and document information from patients, community members, co-workers, clients, providers, etc., and intake information through audio processing with accuracy. Additionally, the role includes analyzing and optimizing diagnosis data submission processes, presenting performance results to leadership, and supporting HCC/RAF optimization strategies.
NewSenior Case Manager I, LTD Sun Life Financial IncSenior Case Manager I, LTDWellesley Hills, MA$72,500–$108,800 / yearAt Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation.
Senior Human Resources Analyst-Employee and Labor Relations County Of MarinSenior Human Resources Analyst-Employee and Labor RelationsSan Rafael, CA$123,094.40–$148,740.80 / yearQualifying experience includes at least two years of professional/journey level human resources work in a large and varied organization that involved advising managers and supervisors on a variety of complex human resources subjects, interpretation and application of human resources laws and policies, and conducting analyses of human resources related data and information. It conducts and/or provides support to meet and confer processes and successor bargaining, responds to union requests for information, advises departments regarding subjects of bargaining and strategies to support effective labor relations, and researches and evaluates claims, grievances, and complaints.
Data Analyst WellSky CorpData AnalystOverland Park, KSThis role builds and maintains claims-based data extracts and performance measures, translates CMS methodologies and regulatory rules into production analytics, and partners with product and engineering to deliver trusted, data-driven insights. Develop and maintain performance measures such as HHVBP claims-based measures, MSPB-PAC, Functional Items, hospitalization/ER/PPH/DTC rates, utilization and efficiency metrics, length of stay, and composite/percentile scores.
Sr. Data Analyst - HEDIS Quality Measures UnitedHealth Group IncSr. Data Analyst - HEDIS Quality MeasuresDetroit, MI$91,700–$163,700 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Provide consultative expertise related to the dual Medicaid/Medicare programs, including familiarity with how these programs run, and the data generated and utilized by these programs.
Revenue Cycle Applications Analyst Lawrence General HospitalRevenue Cycle Applications AnalystLawrence, MAWe are seeking an Applications Analyst with experience supporting healthcare financial systems, preferably within the Meditech environment, to partner with Patient Financial Services and Health Information Management teams to optimize workflows and improve system performance. EDUCATION AND RELATED EXPERIENCE: Required: 23 years of experience as a Systems Analyst, Revenue Cycle Applications Analyst, or Project Lead supporting patient accounting/billing, claims, and reimbursement workflows.
Insurance Analyst/Associate-Insurance & Risk Specialist - Remote 3 Days a Week with Benefits-Legal Dept - Rye New York New York Blood Center IncInsurance Analyst/Associate-Insurance & Risk Specialist - Remote 3 Days a Week with Benefits-Legal Dept - Rye New YorkRye, New YorkRemotePart timeOverview: Founded in 1964, New York Blood Center (NYBC) has served the tri-state area for more than 60 years, delivering 500,000 lifesaving blood products annually to 150+ hospitals, EMS and healthcare partners. Experience supporting the development or execution of risk management strategies, including identifying exposures, documenting risks, or assisting with mitigation plans.
Workers Compensation Analyst Keurig Dr Pepper IncWorkers Compensation AnalystChicago, IL$62,500–$82,900 / yearRequirements: Bachelor's degree with a minimum of 3-5 years of experience handling workers' compensation claims or a Master's degree with a minimum of 1-3 years of experience handling workers' compensation claims. Partners with claims adjusters, nurse case managers, EHS, Risk Management, managers, and employees and works with team to develop claims strategy.
Customer Support Analyst Workoo TechnologiesCustomer Support AnalystChandler, ArizonaYou'll be actually called to research study complex concerns pertaining to participant prescription and/ or even drug store benefits throughout several databases which demands fluency in computer system navigating and toggling while with certainty as well as compassionately employing along with the customer. Basic knowledge of Microsoft Office Word (capacity to open and also browse a word file) and also Microsoft Excel (ability to open up as well as get through a spread sheet).
Business Analyst, Specialty Product Solutions Amatriot Group, LLCBusiness Analyst, Specialty Product SolutionsPlano, TX$75,000–$92,000 / yearOperating as a key member of the ClaimCenter team within the broader Claims Technology and Operations organization, this individual will play a central role in supporting ongoing platform enhancements through detailed requirement gathering, analysis, and solution design. This position will serve as a critical liaison between claims business stakeholders and technical delivery partners, ensuring that operational needs are clearly understood, accurately translated, and effectively implemented within ClaimCenter solutions.
Insurance Expert Weekday AIInsurance ExpertRemoteThis is a unique opportunity to apply your Insurance expertise toward shaping advanced AI systems that replicate real-world workflows across insurance models, policy pricing, risk assessment, and claims operations. Education: Degree in Actuarial Science, Mathematics, Statistics, Risk Management, or a related field (ASA, ACAS, or equivalent preferred).
NewEncounters Data Analyst III CareSourceEncounters Data Analyst IIIOH$83,000–$132,800 / yearCareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. Job Summary: Encounters Data Analyst III is responsible to perform analysis of all data into, out of and within CareSource in support of Encounters Revenue and Remediation efforts.
Payment Integrity Analyst III - Trainer CorVel Healthcare CorporationPayment Integrity Analyst III - TrainerFort Worth, TXRemote$73,345–$113,247 / yearPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role.
Logistics Analyst Traeger IncLogistics AnalystSalt Lake City, UTOwn daily shipment visibility and appointment compliance across vendor portals and our TMS; surface and escalate exceptions within defined SLA windows, including international shipments where you'll work delays and delivery issues with forwarders and brokers. Data Literacy & Metrics: reads and interprets operational data - OTIF, cost per shipment, transit times, carrier scorecards - with confidence; spots anomalies and explains what they mean in context, not just reporting the numbers.
Insurance Risk Management Analyst Allied Moving Services AustraliaInsurance Risk Management AnalystNYRemote$66,400–$83,000 / yearFrom corporate relocation and household goods to home sale and commercial moving and storage, our portfolio of brands (including Sirva, Allied, northAmerican, Global Van Lines, Alliance, and Sirva Mortgage) provide everything needed to move talent and deliver experience. As a leading global relocation management and moving services company, we bring together personalized program solutions, expansive global reach, innovative technology, and an unmatched supply chain to transform businesses of any size and empower talent moving to their next opportunity.
Sr. Benefits Analyst Workers'' Compensation Space Exploration Technologies CorpSr. Benefits Analyst Workers'' CompensationHawthorne, CAITAR REQUIREMENTS: To conform to U.S. Government export regulations, applicant must be a (i) U.S. citizen or national, (ii) U.S. lawful, permanent resident (aka green card holder), (iii) Refugee under 8 U.S.C. § 1157, or (iv) Asylee under 8 U.S.C. § 1158, or be eligible to obtain the required authorizations from the U.S. Department of State. Coordinate and facilitate claims process by acting as a liaison between the injured employee, employee's leadership team, insurance third party administrator, medical provider, and consultant.