Healthcare Claim Analyst Jobs in West Carson

Actuarial Analyst II,III - Any Anthem Office ... filled as either an Actuarial Analyst II or an Actuarial Analyst III depending on experience and ... at the managers discretion. Actuarial..

Actuarial Analyst II,III - Any Anthem Office ... filled as either an Actuarial Analyst II or an Actuarial Analyst III depending on experience and ... at the managers discretion. Actuarial..

13,738 Job Information Deloitte Healthcare Data Analytics & Visualization Consultant ... Consultant in Los Angeles California Healthcare Data Analytics and Visualization Consultant ... expertise on Medicare (preferably Claims) Healthcare Analytics..

The Revenue Integrity Analyst is a technical expert relative ... general supervision, the Revenue Integrity Analyst will develop, maintain and report ... 3-5 years' experience in a healthcare environment with..

Description The Business Intelligence 2 - Provider Intelligence and Claims Analytics (PICA) solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The ..

... this role the Business Intelligence Analyst solves complex business problems and ... to decision-makers. The Business Intelligence Analyst work assignments are varied and ... well-being Responsibilities The Business Intelligence..

Job Information Humana Senior Financial Analyst - Remote Nationwide in Torrance ... California Description The Senior Financial Analyst for Humana's Direct Contracting Entity, ... operational effectiveness. The Senior Financial Analyst..

Description The Senior Claims Research & Resolution Professional manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claims issues/complaints within contractual ..

Description The STARS Improvement Analyst develops, implements, and manages oversight ... and initiatives. The STARS Improvement Analyst work assignments are varied and ... well-being Responsibilities The STARS Improvement Analyst develops..

Job Information Humana Pharmacy Claims Specialist, Remote in Torrance California Description Assist local pharmacies with claims adjudication to support medication access for HC & LTC hospice patients; reconcile historic billing issues. ..

Description The Senior Business Intelligence Analyst (Claims Strategy) solves complex business ... decision-makers. The Senior Business Intelligence Analyst work assignments involve moderately complex ... In The Senior Business Intelligence Analyst..

Job Information Humana Senior Process Improvement Professional/HGB (TRICARE Benefits, Claims processing exp.) Remote Nationwide in Torrance California Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business ..

Job Information Humana Call Center Pharmacy Claims Technician in Torrance California Description Job Description Summary The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy ..

... aspects related to reviewing pharmacy claim submissions for accuracy and appropriateness. ... tone and standard for pharmacy claim review. The Pharmacy Claims Professional ... pharmacies, make determination of appropriate..

16,436 Job Information Deloitte Federal Healthcare Data Analytics and Visualization Analyst in Los Angeles California Federal ... in Los Angeles California Federal Healthcare Data Analytics and Visualization Analyst Are you..

Job Information Humana Call Center Pharmacy Claims Technician, Remote in Torrance California Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative ..

Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Torrance California Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business ..

Job Information Humana Senior Financial Analyst - Remote in Torrance California ... vision is to improve member healthcare through innovative analytics and actionable ... is seeking a Senior Financial Analyst..

Claims Analytics Analyst The candidate will accurately and ... and efficiently review contracts, research healthcare provider claims and big data ... effective resolution strategies. Prioritize voluminous claim review workload. Validate..

... Humana Lead Product Manager - Healthcare API in Torrance California Description ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..

Contract Managed Care Analyst, Revenue Cycle - FT/Days (8hr) ... we believe in providing extraordinary healthcare to our communities and an ... Care stands for excellence in Healthcare. Across our..

Description The Business Intelligence Lead solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence Lead works on problems of ..

Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..