Talent.com
Senior Recovery Resolution Analyst
Senior Recovery Resolution AnalystVirtualVocations • Lubbock, Texas, United States
Senior Recovery Resolution Analyst

Senior Recovery Resolution Analyst

VirtualVocations • Lubbock, Texas, United States
6 days ago
Job type
  • Full-time
Job description

A company is looking for a Recovery Resolution Analyst Senior.

Key Responsibilities

Monitor and analyze inventory overturn and true positive rates

Conduct root cause analysis of savings anomalies and present findings to senior leadership

Implement new concepts and programs while establishing savings methodologies and reporting needs

Required Qualifications

High School Diploma / GED

3+ years of healthcare operations experience within health plan or managed care business

3+ years of payment integrity experience in prepayment and / or post-payment processes

2+ years of experience identifying automation opportunities and conducting user acceptance testing (UAT)

Intermediate experience with Office applications (Excel, PowerPoint, Visio)

Create a job alert for this search

Recovery Analyst • Lubbock, Texas, United States

Related jobs
Commercial General Liability Adjuster

Commercial General Liability Adjuster

VirtualVocations • Lubbock, Texas, United States
Full-time
Commercial General Liability Adjuster.Key Responsibilities Handle complex commercial general liability claims and conduct thorough investigations Identify suspicious claims and provide technical...Show more
Last updated: 30+ days ago • Promoted
Georgia Licensed Compliance Specialist

Georgia Licensed Compliance Specialist

VirtualVocations • Lubbock, Texas, United States
Full-time
A company is looking for a Compliance Specialist (GA Remote).Key Responsibilities Execute the consumer complaint resolution process and manage complaint logs Review, investigate, and resolve con...Show more
Last updated: 4 days ago • Promoted
Claims Recovery Specialist

Claims Recovery Specialist

VirtualVocations • Lubbock, Texas, United States
Full-time
A company is looking for a Specialist, Claims Recovery (Remote).Key Responsibilities Review Medicaid, Medicare, and Marketplace claims for overpayments and ensure provider compliance Prepare wri...Show more
Last updated: 5 days ago • Promoted
Revenue Recovery Specialist

Revenue Recovery Specialist

VirtualVocations • Lubbock, Texas, United States
Full-time
A company is looking for a Specialist, Revenue Recovery.Key Responsibilities Analyze client accounts for potential denials or underpayments and investigate technical denials Correct data errors,...Show more
Last updated: 30+ days ago • Promoted
Retirement Plan Compliance Analyst

Retirement Plan Compliance Analyst

VirtualVocations • Lubbock, Texas, United States
Full-time
A company is looking for a Plan Compliance Administration Analyst - Retirement Plans.Key Responsibilities Administer retirement plans and ensure compliance with regulatory deadlines Perform annu...Show more
Last updated: 28 days ago • Promoted
Texas Licensed Compliance Analyst

Texas Licensed Compliance Analyst

VirtualVocations • Lubbock, Texas, United States
Full-time
A company is looking for a Compliance Analyst to ensure operations meet compliance standards.Key Responsibilities Monitor and evaluate the effectiveness of internal controls Communicate complian...Show more
Last updated: 3 days ago • Promoted
Guidewire Policy Developer

Guidewire Policy Developer

VirtualVocations • Lubbock, Texas, United States
Full-time
A company is looking for a Sr Guidewire Policy Developer.Key Responsibilities Design, develop, and configure Guidewire PolicyCenter components, including product models and business rules Implem...Show more
Last updated: 5 days ago • Promoted
Florida Licensed PIP Adjuster

Florida Licensed PIP Adjuster

VirtualVocations • Lubbock, Texas, United States
Full-time
A company is looking for a PIP Coverage and Qualification Adjuster.Key Responsibilities Review and assess PIP claims to determine coverage eligibility Analyze medical records and relevant docume...Show more
Last updated: 30+ days ago • Promoted
Policy and Procedure Specialist

Policy and Procedure Specialist

VirtualVocations • Lubbock, Texas, United States
Full-time
A company is looking for a Policy & Procedure Specialist to manage and support the company's policy and procedure documentation processes. Key Responsibilities Administer and maintain the company-...Show more
Last updated: 5 days ago • Promoted
Provider Licensing Specialist

Provider Licensing Specialist

VirtualVocations • Lubbock, Texas, United States
Full-time
A company is looking for a Provider Licensing Specialist (Remote).Key Responsibilities Assist the licensing team with the fingerprinting process and ensure compliance with regulations Compile re...Show more
Last updated: 18 days ago • Promoted
Senior Compliance Analyst

Senior Compliance Analyst

VirtualVocations • Lubbock, Texas, United States
Full-time
A company is looking for a Senior Compliance Legal Analyst.Key Responsibilities Assist in developing, implementing, and maintaining a comprehensive compliance program Identify and mitigate compl...Show more
Last updated: 30+ days ago • Promoted
Connecticut Licensed Claims Examiner

Connecticut Licensed Claims Examiner

VirtualVocations • Lubbock, Texas, United States
Full-time
A company is looking for a Workers Compensation Claims Examiner for MA, CT, NH, and RI jurisdictions.Key Responsibilities Analyze and process claims to achieve timely resolutions through investig...Show more
Last updated: 4 days ago • Promoted
Interim Privacy Counsel

Interim Privacy Counsel

VirtualVocations • Lubbock, Texas, United States
Temporary
A company is looking for an Interim Privacy Counsel and Data Protection Officer (contract).Key Responsibilities : Oversee the company's data protection strategy and ensure compliance with data pri...Show more
Last updated: 28 days ago • Promoted
State Licensed DRG Integrity Specialist

State Licensed DRG Integrity Specialist

VirtualVocations • Lubbock, Texas, United States
Full-time
A company is looking for a DRG Integrity Specialist.Key Responsibilities Perform secondary level review of medical records and code assignment to ensure accurate DRG assignment Utilize technolog...Show more
Last updated: 5 days ago • Promoted
State Licensed Compliance Analyst

State Licensed Compliance Analyst

VirtualVocations • Lubbock, Texas, United States
Full-time
A company is looking for a Compliance Analyst II to assist in the development and oversight of compliance and HIPAA privacy programs. Key Responsibilities Investigate and coordinate responses to i...Show more
Last updated: 1 hour ago • Promoted • New!
Florida Licensed Fraud Analyst

Florida Licensed Fraud Analyst

VirtualVocations • Lubbock, Texas, United States
Full-time
A company is looking for a Fraud Intelligence Analyst.Key Responsibilities Analyze data using Gemini tools and create visual displays for clear presentation of technical information Research and...Show more
Last updated: 1 day ago • Promoted
Compliance Analyst

Compliance Analyst

VirtualVocations • Lubbock, Texas, United States
Full-time
A company is looking for a Compliance Analyst (Hybrid or Remote).Key Responsibilities Manage and maintain business and administrative licenses across all U. Assist in complex compliance procedures...Show more
Last updated: 30+ days ago • Promoted
Remote Fraud Specialist

Remote Fraud Specialist

VirtualVocations • Lubbock, Texas, United States
Remote
Full-time
A company is looking for a Remote Fraud Specialist for their call center.Key Responsibilities Investigate potential credit card fraud cases and analyze account history Respond to account inquiri...Show more
Last updated: 4 days ago • Promoted