Expert Claims Review initiatives centered around handling of medical pre-payment and post-payment claims for accurate claim payment review through our suite of solutions. Business Analyst - Expert Claims Review (ECR) is ultimately responsible for enabling high quality user stories under our ECR prod...
Pharmacy Claims Analyst- Hybrid (Quincy, MA). The Pharmacy Business System Analyst will be involved in all aspects of running a pharmacy claim processing system. Under the direction of the Director of Pharmacy Technology and Informatics or designee, the Pharmacy Business System will drive operationa...
This role has direct responsibility of managing the claim in its entirety while maintaining service level targets and achieving established claims goals. This role has direct responsibility of managing the claim in its entirety while maintaining service level targets and achieving established claims...
The business analyst will be focused on supporting our long-term care wellness and preferred provider strategies in an agile delivery model by providing key analysis and project support to implement key initiatives. ...
Expert Claims Review initiatives centered around handling of medical pre-payment and post-payment claims for accurate claim payment review through our suite of solutions. Business Analyst - Expert Claims Review (ECR) is ultimately responsible for enabling high quality user stories under our ECR prod...
GI Claims Fraud & Recovery Reporting Analyst. Join us as a GI Claims Fraud & Recovery Reporting Analyst to play your part in that transformation. Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service diffe...
The Business Systems Analyst is accountable for working closely with Claims leaders and understanding their needs and wants for enhancing the claims system used by BHSI. The claim system utilizes the Duck Creek Platform, this role will require the individual to become familiar with it along with the...
Our Claims team is an industry leader, drawing daily on its unparalleled levels of expertise to offer our clients the highest levels of stewardship to drive total cost of claim improvement and consistent outcomes. TPAs in investigating, evaluating, and negotiating large limit primary general and aut...
This position serves as a business analyst focused on identification, solution design and resolution of Medicaid claims-related work within the Medicaid Management Information System (MMIS). This position will focus on issues related to claims adjudication within the MMIS, including research of clai...
The Pharmacy Business System Analyst will be involved in all aspects of running a pharmacy claim processing system. Under the direction of the Director of Pharmacy Technology and Informatics or designee, the Pharmacy Business System will drive operational excellence within the team by ensuring the a...
The Pharmacy Business System Analyst will be involved in all aspects of running a pharmacy claim processing system. Under the direction of the Director of Pharmacy Technology and Informatics or designee, the Pharmacy Business System will drive operational excellence within the team by ensuring the a...
The Claims Analyst, in the Employment Practices Liability team, will primarily handle excess claim files, tasked to review and evaluate newly reported claims and work with their assigned manager in evaluating coverage, establishing appropriate reserves, undertaking claim investigations in resolving ...
Gather requirements/acceptance criteria for Expert Claims Review initiatives centered around handling of medical pre-payment and post-payment claims for accurate claim payment review through our suite of solutions. At Zelis, the Business Analyst - Expert Claims Review (ECR) is ultimately responsible...
Highlights:</strong></p><ul><li><strong>Flexible work schedule:</strong> Work whenever and wherever you want</li><li><strong>Weekly payouts:</strong> Automatically receive timely payments (no invoicing!)</li><li><strong>Un...
Ready to accelerate your career while helping our customers move forward? As a Customer Service Representative Fueler/Washer at Penske, you’ll do exactly that. Customer Service Representative Fueler/Washer. Why join Penske as a Customer Service Representative, you ask? It’s simple. Excellent custome...
Collaborate with business stakeholders to fully understand, define and document business requirements for software BI applications and/or process changes through a variety of means focusing on medium to high complexity projects, processes and functional areas of the applications. Assist business par...
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Administrative Assistant - Engineering Full Time 7a-3:30p. Clerical & Administrative Support. Reporting to the Director of Facilities Management, assists the Director and the Engineering Supervisor in the Engineering and Facilities department by performing various coordinating and administrative tas...
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The Claims Adjuster manages both medical only and lost-time claims, including those with the potential to become serious and produce excessive costs. The Claims Adjuster is responsible for the investigation, evaluation and determination of liability for work-related injury and disease claims followi...
CEO, COO, CMO, CFO, CTO, SVP IT, VP IT, SVP Sales, VP Sales, SVP Marketing, VP Marketing, SVP Ops, VP Ops, SVP HR, VP HR, SVP Finance, VP Finance, IT Leader, IT Manager, IT Director, Senior IT Manager, IT Administrator, IT Project Manager, IT Supervisor, Software Development Executive, Software Deve...
Define all aspects of development from appropriate technology and workflow to coding standards. From Estimating, Scheduling, and Change Order features to Client Communication and Document Management tools, our feature set is here to streamline every aspect of the construction process. At Buildertren...
From Estimating, Scheduling, and Change Order features to Client Communication and Document Management tools, our feature set is here to streamline every aspect of the construction process. Strong leadership skills with the ability to work independently, take ownership, and drive outcomes. Advanced ...
At the forefront of specialized financial services, Globe Life helps families safeguard their assets and promises a profound purpose: ensuring a brighter future for every client. As a Benefits Representative, you play a pivotal role in helping families protect their assets and secure their futures. ...
At the forefront of specialized financial services, Globe Life helps families safeguard their assets and promises a profound purpose: ensuring a brighter future for every client. As a Benefits Representative, you play a pivotal role in helping families protect their assets and secure their futures. ...