Talent.com
Senior Claims Quality Analyst
Senior Claims Quality AnalystVirtualVocations • Norfolk, Virginia, United States
Senior Claims Quality Analyst

Senior Claims Quality Analyst

VirtualVocations • Norfolk, Virginia, United States
2 days ago
Job type
  • Full-time
Job description

A company is looking for a Senior Claims Quality Analyst.

Key Responsibilities

Analyze and investigate behavioral health claims

Provide explanations and interpretations to internal operations teams

Communicate claims testing results and insights to internal stakeholders

Required Qualifications

High School Diploma / GED or equivalent work experience

2+ years of experience processing behavioral health claims or working in claims quality

2+ years of experience in healthcare

Intermediate proficiency in Microsoft Excel and PowerPoint

Flexibility to work any of the 8-hour shift schedules during normal business hours

Create a job alert for this search

Quality Analyst • Norfolk, Virginia, United States

Related jobs
Senior Environmental Claims Adjuster (CONTRACT)

Senior Environmental Claims Adjuster (CONTRACT)

Argonaut Management Services, Inc • Virginia Beach, VA, United States
Full-time
Argo Group International Holdings, Inc.American National, US based specialty P&C companies, (together known as BP&C, Inc. Brookfield Wealth Solutions, Ltd.BWS"), a New York and Toronto-listed public...Show more
Last updated: 9 days ago • Promoted
Quality Analyst, Senior

Quality Analyst, Senior

BAE Systems • Norfolk, VA, US
Full-time
BAE Systems is seeking a Senior Quality Analyst to support our Norfolk, Virginia Maritime Solutions site.As a Quality Analyst, you will : . Conduct internal quality audits demonstrating the Quality Ma...Show more
Last updated: 30+ days ago • Promoted
Independent SURTASS Quality Assurance Analyst - Virginia Beach, VA

Independent SURTASS Quality Assurance Analyst - Virginia Beach, VA

Predicate Logic Inc. • Virginia Beach, VA, USA
Full-time
Quick Apply
Predicate Logic is looking for a motivated.Independent SURTASS Quality Assurance Analyst.Founded in 1992, Predicate Logic is a woman-owned, employee-owned, high technology engineering service compa...Show more
Last updated: 21 days ago
Liability Claims Manager

Liability Claims Manager

Sentara • Virginia Beach, VA, United States
Permanent
Status : Full-Time,permanent position (40 hours).Standard working hours : 8 am to 5 pm EST, M-F.Location : •ON SITE • Will report to 1330 Sentara Park in Virginia Beach, VA daily.The Liability Claims M...Show more
Last updated: 30+ days ago • Promoted
Casualty Claim Specialist

Casualty Claim Specialist

Chubb • Chesapeake, VA, US
Full-time
Focus on the core content of the job post, removing all extra metadata, navigation mentions, and redundant headers.Keep the formatting beautiful and high signal to noise ratio.Show more
Last updated: 30+ days ago • Promoted
Claims Resolution Coder- Remote

Claims Resolution Coder- Remote

Sentara • Virginia Beach, VA, United States
Remote
Full-time
Responsible for reviewing medical documentation to assign modifiers to insurance claims with issues identified by the National Correct Coding Initiative (NCCI), Medicare Outpatient Code Editor (OCE...Show more
Last updated: 30+ days ago • Promoted
Senior Business System Analyst

Senior Business System Analyst

Sentara • Virginia Beach, VA, United States
Full-time
We are seeking two highly skilled.Enterprise Communication Center team.These roles are critical to supporting the.After-Hours Answering Service (SAHAS). As a Senior Business Analyst, you will serve ...Show more
Last updated: 30+ days ago • Promoted
Compensation Analyst

Compensation Analyst

Smithfield Foods • Smithfield, VA, United States
Full-time
If you are currently employed at Smithfield, please log into Workday and submit your application through the Jobs Hub.A great job-and a great future-awaits you at Smithfield Foods.We are an America...Show more
Last updated: 30+ days ago • Promoted
Senior Reimbursement Analyst

Senior Reimbursement Analyst

eTeam Inc • Virginia Beach, Virginia, United States
Full-time
Quick Apply
Title - Senior Reimbursement Analyst.Required - Experience with cost report audits IME / GME.Show more
Last updated: 30+ days ago
Requirements Quality Assurance Analyst

Requirements Quality Assurance Analyst

Spektrum • Norfolk, Virginia, United States
Full-time
Quick Apply
Spektrum have a wide range of exciting opportunities in several global locations.We are always looking to add great new talent to our team and look forward to hearing from you.Spektrum supports ape...Show more
Last updated: 1 day ago
Senior Fraud Investigations Analyst - Medicare / Medicare Advantage Investigations

Senior Fraud Investigations Analyst - Medicare / Medicare Advantage Investigations

Blue Cross and Blue Shield of North Carolina • Virginia Beach, VA, United States
Full-time
The Special Investigations Unit (SIU) Investigator is responsible to conduct timely and thorough health care fraud investigations on behalf of the Company. Investigations are confidential and are co...Show more
Last updated: 30+ days ago • Promoted
Senior Business Analyst, Benefit Configuration

Senior Business Analyst, Benefit Configuration

Sentara • Virginia Beach, VA, United States
Full-time
This position is responsible for the implementation and support of quality initiatives within assigned areas.Provides subject matter expertise related to quality initiative implementation, reportin...Show more
Last updated: 30+ days ago • Promoted
Senior Business Analyst ITS

Senior Business Analyst ITS

Southern New Hampshire University • Virginia Beach, VA, United States
Full-time
Southern New Hampshire University is a team of innovators.Individuals who believe in progress with purpose.Since 1932, our people-centered strategy has defined us - and helped us grow a team that n...Show more
Last updated: 2 days ago • Promoted
Quality Assurance Analyst (N)

Quality Assurance Analyst (N)

SimIS Inc. • Norfolk, VA, US
Full-time
Veteran Owned Small Business (VOSB) that models future environments, requirements, and capabilities, and then secures the enterprise from internal and external threats compliant with Federal, State...Show more
Last updated: 30+ days ago • Promoted
Quality Assurance Analyst

Quality Assurance Analyst

Southern New Hampshire University • Virginia Beach, VA, United States
Full-time
Southern New Hampshire University is a team of innovators.Individuals who believe in progress with purpose.Since 1932, our people-centered strategy has defined us - and helped us grow a team that n...Show more
Last updated: 3 days ago • Promoted
Senior Environmental Technical Claims Specialist

Senior Environmental Technical Claims Specialist

Argonaut Management Services, Inc • Virginia Beach, VA, United States
Full-time
Argo Group International Holdings, Inc.American National, US based specialty P&C companies, (together known as BP&C, Inc. Brookfield Wealth Solutions, Ltd.BWS"), a New York and Toronto-listed public...Show more
Last updated: 30+ days ago • Promoted
Quality Certifier

Quality Certifier

Oceaneering International, Inc. • Chesapeake, VA, United States
Full-time
Oceaneering Marine Services Division (MSD) has over 30 years of experience providing full-service submarine and surface ship repairs supporting maintenance and alterations aboard commercial and U.W...Show more
Last updated: 22 days ago • Promoted
Senior IT Specialty Analyst - Remote

Senior IT Specialty Analyst - Remote

Sentara • Virginia Beach, VA, United States
Remote
Full-time
Sentara Health is looking for an EPIC IT systems analyst to join our IT clinical team!.Responsible for day-to-day support and optimization of software applications, including builds, upgrades, and ...Show more
Last updated: 30+ days ago • Promoted