Claims Testing & Data Integrity Analyst
Global Channel Management
A leading claims management firm in Ohio is seeking an experienced Claims Testing Analyst. This role requires a strong background in claims or data processing with intermediate knowledge of PCs and analytical skills. The ideal candidate will have experience with Oracle SQL and a proactive problem-solver capable of multitasking and collaborating with various departments. The position involves validating claims data, tracking defects, and ensuring smooth transitions in production systems. #J-18808-Ljbffr
- ...About the job Sr. Configuration Data Analyst Sr. Configuration Data Analyst needs 5+ years experience with health plans or medical claims Sr. Configuration Data Analyst requires: Experience... ...data analysis, prototyping, and testing support for Government client setup requests...Claims
- ...and Analysis of technical and sensory tests / Samples Preparation / On-Site support... ...across sites Deliverables - # Claims Testing Support - Ideal candidate... ...provide info to managers that will be integrated with other data points and analysis to issue a final recommendation...ClaimsFull timeTemporary workFreelance
- Claims Testing Analyst needs claims or data processing / testing experience Claims Testing Analyst requires: Experience in Claims or Data processing /... ...ready for testing scenarios to be keyed. Validate the integrity of claims data in the EyeMed claims and payments UAT...Claims
$111.35k - $157.2k
...position will analyze complex business needs related to C&DS project data and answer critical questions with a focus on C&DS key priorities and business initiatives. This position will generate and test hypotheses, create, explore and analyze datasets, develop data...SuggestedContract workWork experience placementH1bWork at office- A leading healthcare solutions provider seeks a Data Analyst to support operations in healthcare. The candidate should have over 3 years of experience, focusing on claim adjudication and vision care product configuration. Responsibilities include writing SQL queries, maintaining...Claims
- Data Analyst needs 3+ years experience in Operations in the Healthcare industry Data Analyst requires: Experience understanding claim adjudication for member and provider reimbursements. Experience with Facets platform using Claims, Provider, Network, Product Benefit Configuration...Claims
- ...experienced Healthcare System Analyst with strong expertise... ...of healthcare claims, enrollment, provider,... ...application enhancements and integrations. Create functional... ...Coordinate with QA teams during test planning, defect... ...processes, and healthcare data exchange formats....Claims
$20 - $21 per hour
...Insurance Claims Processor Mason, Ohio, United States $ 20.00 - 21.00 (US Dollar)... ...honor high level of confidentiality. Promote integrity. ~ Working knowledge of mainframe... ...resubmit invoices, write-offs, etc. Follow data processing guidelines to meet established...Claims$20 - $21 per hour
...Cash Claims Processor Mason, OH, United States $ 20.00 - 21.00 (US Dollar) Cash Claims... ...high level of confidentiality. Promote integrity. ~ Strong work ethic. ~ High school... ...resubmit invoices, write-offs, etc. Follow data processing guidelines to meet established...Claims- Procter & Gamble in Mason, Ohio is seeking a Researcher to lead placement, summary and analysis of technical and sensory tests, plus samples preparation and on-site support across sites. You will work with the technical team to document product differences, consolidate...Claims
- ...Position Title: Sr. Configuration Analyst Location: Hybrid : 2-3x in... ...business requirements with clients, testing execution, and troubleshooting... ...Medicare programs. Provide Data Analysis and troubleshooting... ...experience. • Healthcare claim understanding/benefit configuration...ClaimsWork experience placementWork at office
- ...A leading claims adjusting firm in Ohio is seeking Independent Insurance Claims Adjusters to join its team. This role offers dynamic opportunities to help individuals and businesses recover from unforeseen disasters. The firm provides comprehensive training for new and...ClaimsFlexible hours
- ...custom Salesforce applications, integrations, and extensions using Apex,... ...App exchange products. Data Management: Ensure data integrity... ...code across projects. Testing and Deployment: Plan and execute... ...mails, or even text messages claiming to be a legitimate company....ClaimsWork at officeLocal areaShift work
- ...Business Analyst II Location: Hybrid1: This role requires associates... ...into system design and testing. Acts as liaison with users... ...HCPCS strongly preferred. Claim processing experience strongly... ...job functions, and sensitive data handling instructions. Associates...ClaimsTemporary workWork at officeLocal area2 days per week1 day per week
$30 - $42 per hour
...party rejections and complete any manual claim formsPerform all prescription pick-up procedures... ...to point-of-care and/or swab-and-send testing, immunization preparation and/or delivery... ...of collaboration, innovation, caring, integrity and accountability.CVS Health is an equal...ClaimsFull timeWork experience placementInternshipWork at officeLocal areaNight shift- ...Data Center Construction Lead Leads the construction of data centers by colocation... ...Construction Project Management-Project Integration and Quality Assurance: Implements and oversees... ...health mandates, and/or drug testing requirements. Oracle maintains broad salary...Contract workTemporary workFor contractorsFlexible hoursShift work
- A leading claims adjusting firm in Ohio is seeking Independent Insurance Claims Adjusters to join its team. This role offers dynamic opportunities to help individuals and businesses recover from unforeseen disasters. The firm provides comprehensive training for new and...ClaimsFlexible hours
$60.9 - $82.3 per hour
...clinical healthcare services, including immunizations, diagnostic testing, and medication therapy management Ensure medication safety... ...A problem-solver – You navigate challenges, from insurance claims to medication management, with ease Apply Today & Build Your...Hourly payFull timeWork at officeFlexible hoursShift work- On Line Design, Inc. in Mason, Ohio is seeking a full-time lab technician. You will conduct laboratory tests involving insects and assist scientists in various analyses. The ideal candidate should have 1-2 years of lab experience, proficiency in Office 365, and a degree...Full timeWork at office
- ...insurance coverage for both medical and pharmacy benefits. This includes loading insurance details, coordinating benefits, and running test claims to confirm coverage and reimbursement outcomes. How you will make an impact: Communicating with insurance providers,...ClaimsWork at officeDay shift2 days per week1 day per week
- ...Solving Skills: Ability to handle billing discrepancies and insurance claim denials. On-the-Job Training or Internship: Practical... ...to management. Develops and delivers reporting and analyzes data to identify trends, provide forecasts, make recommendations, and...ClaimsInternshipImmediate start
$70 - $76 per hour
...for Veterans. Work Setting: Own office required - with audiology testing equipment. per diem opportunities are available Qualifications:... ...diagnosis of audio conditions to support a Veteran’s disability claim. As a certified medical disability examiner, you gather and synthesize...ClaimsHourly payDaily paidFor contractorsWork at office- ...A dynamic insurance training organization is seeking Independent Insurance Claims Adjusters in Olde West Chester, Ohio. With rising storm events, there's a significant demand for adjusters. This opportunity entails helping others recover from disasters, with the benefit...ClaimsFlexible hours
- ...A leading claims adjusting company in Ohio is seeking Independent Insurance Claims Adjusters to join their dynamic team. This opportunity offers the chance to make a positive impact on people's lives while enjoying flexibility and competitive compensation. Comprehensive...ClaimsFlexible hours
- ...a NETA-accredited independent electrical testing and engineering organization specializing... ...commissioning, and maintenance for clients across Data Centers, Utility, Generation, Renewables,... ...agencies and will not recognize claims to any unsolicited resumes or candidate information...ClaimsWork at officeNight shift
- ***ACTUAL JOB TITLE*** Initial Data Configuration Analyst*** Brand: EYEMED Location: Mason (Hybrid... ...analysis to ensure data accuracy and integrity. The coordinator will work closely... ...Fraud Integral Staff training, CA Fair Claims. Additional Job Details:...ClaimsTemporary workFor contractorsImmediate startFlexible hours
$22 per hour
...engineers better outcomes through adaptive and integrated services—from jet engines, airframe, and... ...reports. Prepare and/or oversee internal claims and quality management / utilization... ...reports, maintain files, and communicate data and information associated with local, state...ClaimsLocal areaFlexible hours- ...a NETA-accredited independent electrical testing and engineering organization specializing... ...commissioning, and maintenance for clients across Data Centers, Utility, Generation, Renewables,... ...agencies and will not recognize claim to any unsolicited resumes or candidate information...ClaimsNight shift
- ...A leading training organization for claims adjusters in Loveland, Ohio, is looking for Independent Insurance Claims Adjusters to join their team. The role involves helping clients recover from disasters while enjoying flexibility and competitive pay. The company offers...ClaimsFlexible hours
$147k - $179.6k
...core values match Gilbane's: Integrity, Caring, Teamwork, Toughmindedness... ...Performs the delay claims process, develops delay analysis... ...equity, and alignment with market data. For Albany NY, Buffalo NY, Ohio... ...pre-employment substance abuse test. Gilbane is an Affirmative...ClaimsFor contractorsRelocation
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