Healthcare Claim Analyst Jobs in Whitney

Description The Senior Business Intelligence Engineer (Claims Strategy) solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Senior Business Intelligence Engineer ..

Description The Provider Insights & Claims Analytics (PICA) team is a blend of technology, data, and consulting professionals leveraging the latest tools and methods to solve complex business problems. In this ..

Description The Senior Business Intelligence Engineer (Claims Strategy) solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Senior Business Intelligence Engineer ..

Description Manages a team of coding educators and reports to Risk Adjustment Director. Responsible for implementing operational and clinical best practices in the risk adjustment methodology, understanding clinical suspects and appropriate ..

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 ..

Senior Claims Business Process Analyst – Remote in Las Vegas, ... for all related aspects of claim system processes and claim business rules. Include claims systems ... investigating and educating..

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 ..

Job Title: Litigation Associate Attorney Location: Las Vegas, NVJob Overview: A law firm in Las Vegas, NV is seeking a Litigation Associate Attorney to join their team. The ideal candidate will ..

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

... 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..

Job Description Position Summary EMPLOYER PAID PENSION PLAN OF 29.25% OF YOUR ANNUAL SALARY! GENEROUS BENEFITS PACKAGE! **OPEN TO CURRENT UMC EMPLOYEES ONLY** Responsible for making decisions and completing the application ..

... Humana Lead Product Manager - Healthcare API in Las Vegas Nevada ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..

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

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

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 ..

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 Las Vegas Nevada Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing ..

... 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..

Description The Health Information Management Professional ensures data integrity for claims errors. The Health Information Management Professional work assignments are varied and frequently require interpretation and independent determination of the appropriate ..

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..

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 ..

Job Description Position Summary EMPLOYER-PAID PENSION PLAN OF 29.75% OF YOUR ANNUAL SALARY! GENEROUS BENEFITS PACKAGE! Position Summary: Performs specialized professional level administrative, organizational, systems, budgetary and related analysis for Hospital ..

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