Healthcare Claims Analytics & Process Improvement Analyst
Independence Blue Cross
Independence Blue Cross is seeking a skilled Business Analyst to support BlueCard daily operations and improve claims processing outcomes. You will work with configuration and Account Management teams to resolve discrepancies and advance project initiatives. Expect to analyze claim issues, perform root cause analysis, and drive full resolution to enhance member experience. The role requires advanced Excel/Office proficiency, experience with SQL/Access, and strong communication to summarize data #J-18808-Ljbffr Independence Blue Cross
- ...management and lead risk-based audits across underwriting, claims, and operations. You will own planning, fieldwork, and... ...capabilities. The role emphasizes collaboration, data analytics, and ongoing process improvement within a global insurance leader. Ideal candidates have...Process improvementClaims
$56.36k - $62k
...review, conducts assigned claim follow-up and... ...insurers, and outside healthcare partners. The PCC II manages... ...recommends workflow improvements. Coordinates complex,... ...barriers. Participates in process-improvement... ...mathematical, reconciliation, analytical, organizational, and written...Process improvementClaimsContract workTemporary workWork at officeFlexible hours- ...Description Gaylord Specialty Healthcare is a health system... ...spectrum of billing processes, payment collections,... ...teams to ensure claims are billed correctly,... ...By supporting process improvement, communication across... ...policies. Excellent analytical and organizational skills...Process improvementClaimsFull timeWork at office
$46.99k - $122.4k
...cross‑functional processes. The research team... ...management, claims, eligibility, network... ...Senior Business Analyst is a strong individual... ...process improvement, add value to member... ...operations and data analytics. 1+ years of... ...experience working in a healthcare and/or third...Process improvementClaimsHourly payFull timeTemporary workLocal area$125k - $130k
...by our mission of improving health and inspiring... ...Management Analyst III, Encounter Reporting... ...and submission of healthcare encounter data to... ...functionally with Claims, Enrollment, Provider... ..., and implement process improvements. The... ...of healthcare data analytics, encounter...Process improvementClaimsPermanent employmentLocal area$75k
...the nation’s leading healthcare organizations, delivering... ...of patients achieve improved healing outcomes through... ...reimbursement, payer processes, and operational... ...Ensure timely and accurate claim submission, with a focus... ...vendors Strong analytical and problem‑solving skills...Process improvementClaimsRemote work$82.5k
...exceptional, patient-centered healthcare close to home. We are... ...opportunities for improvement, reduce financial risk... .... Monitor billing processes to ensure accurate, complete, and timely claim submission. Analyze revenue... ...requirements Strong analytical, organizational,...Process improvementClaimsFull time- ...roles that let you make an impact in healthcare while growing your career with... ...solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees... ...planning, risk mitigation, process improvement, and successful execution of business...Process improvementClaimsWork from home
- ...ensuring the financial processes that support patient... ...practices, resolving claim issues, and helping maximize... ...problem-solving in a healthcare environment, we'd love... .... Support process improvement initiatives, including... ...Strong problem-solving and analytical skills. Outstanding...Process improvementClaimsRemote jobFull timeWork at officeLocal areaMonday to FridayFlexible hours
- ...assist in filing insurance claims, determining correct... ..., internal system & process toward resolution (... ...Identify potential process improvements, trends, issues and... ...Demonstrate excellent analytical, critical thinking and... ...Qualifications 2 years of healthcare experience 2 years of...Process improvementClaimsFull timeWork at officeRemote workHome officeMonday to FridayWeekend work
$87.5k
...guided by our mission of improving health and inspiring... ...needed, and suggest process or program improvements... ...support: Assist with claim denial reporting, respond... ...prior experience in healthcare License/Certifications... ...Strong quantitative, analytical, interpersonal, written...Process improvementClaimsLocal area- Business Process Optimization Analyst - Sarnova - Dublin, Ohio Dublin, OH, USA Job Description Posted... ...a business process owner focused on improving and optimizing end-to-end (E2E)... ...tools, or ERP systems preferred Strong analytical, problem-solving, organizational, and...Process improvement
- ...alternative application process. Benefits Specialist... ...provisions, eligibility, claims issues, retirement... ...analyses to identify trends, improve processes, and support... ..., and Outlook. Strong analytical, organizational, and... ..., education, healthcare, utilities, and government...Process improvementClaimsFull timeRemote workFlexible hours
- ...people management role in healthcare; for HM candidates, four years... ...in the workplace Excellent analytical skills Advanced negotiation... ...and facilitates department process improvements as needed. Meets or exceeds... ...management and medical claims functions to meet and exceed...Process improvementClaimsPermanent employmentContract workImmediate startFlexible hours
- ...powered by advanced analytics, modern technology and... ...you. Premium Billing Analyst (Healthcare) The Managed Care Premium... ...with underwriting, claims, network management,... ...: Oversee and process monthly premium billings... ...care programs. Process Improvement & Compliance: Recommend...Process improvementClaimsContract workWork at office
$72.5k - $90.6k
...meaningful impact on healthcare affordability and quality... ...Integrity Policy Analyst will be responsible for... ...accuracy of medical claims. This role is key in... ...reimbursement, data analytics, contract research, regulatory... ...appeals, and process improvement Direct influence on...Process improvementClaimsContract workWork from home- ...those provided by large healthcare systems and emergency... .... Summary The Epic Analyst works as a member of... ...efficient workflows and claim scrubber edits, and... ...Experience with process improvements Experience working in... ...operations Excellent proven analytical skills Strong...Process improvementClaimsTemporary workWork at officeLocal areaFlexible hours
$63.35k
...centers are more than healthcare facilities. They are... ...remove barriers, and improve quality of life for some... ...matters most. The Claims Analyst is responsible for the... ..., and compliant processing and adjudication of professional... ...policies. Strong analytical, problem-solving, and...Process improvementClaimsContract work- ...Bargaining Unit SEIU Healthcare IL Benefit Funds... ..., the Pension Analyst will act as a subject... ..., data analytics and system requirements... ...identify, and resolve processing, and reporting... ...continuous improvement and the implementation... ...retiree benefit claims experience working...Process improvementClaimsHourly payWork at officeLocal area
- ...consistently ranked a national healthcare leader in safety,... ...charge reconciliation processes. Aligns with... ...charge capture process improvements and annual updates to... ...Scope of work includes claim edits (CCI/LCD), follow... ...Performs appropriate analytics as daily work queue management...Process improvementClaimsFull timeLocal areaMonday to FridayDay shift
$71k - $73k
...virtually every aspect of healthcare. We are known for delivering... ...medical billing teams to ensure claims are billed accurately and... ...benefit programs. Lead process improvement initiatives and launch readiness... ...methodologies. Strong analytical, communication, and cross-...Process improvementClaimsWork at officeRemote work- ...let you make an impact in healthcare while growing your career... ..., payment integrity, claims cost containment, and analytics. Sagility has more than 2... ...implementation of new programs, process changes, and client... ...Compliance & Continuous Improvement Drive adherence to HIPAA,...Process improvementClaimsTemporary workSeasonal workRemote workWork from home
- ...is seeking a Senior Business Analyst to research and address root... ...including client management, claims, eligibility, and network operations... ..., mitigates risk, and improves member experience through data... ...matter expert on workflows and processes, assemble data for...Claims
$86.8k - $124k
...solutions that solve some of healthcare’s most complex challenges.... ...facility billing, UB-04 claim processing, itemized bill analysis, coding... ...audit strategies, improving claim selection methodologies... ...Clinical Leadership, Product, Analytics, and Innovation teams to develop...Process improvementClaimsRemote jobFull timeFlexible hours- ...candidate demonstrates strong analytical skills, attention to... ...priorities in a fast-paced healthcare environment.****This remote... ...charge capture errors prior to claim submission.* Manage AR... ...recurring errors and improve charge capture processes.* Analyze denial trends and...Process improvementClaimsContract workWork experience placementCasual workLocal areaRemote work
- ...America, Inc. in Irvine, CA is seeking an Analyst - Revenue & Cost Integration to ensure... ...You will work closely with Finance, IT, Claims and Assurance teams to support data integration, reconciliations, and process improvements. The role emphasizes data analysis, reporting...Process improvementClaims
- ...Facets Configuration Analyst is responsible for... ...of the Facets core claims processing system. This role collaborates... ...possesses strong healthcare payer experience,... ...recommend process improvements to optimize efficiency... ....* Strong analytical, problem-solving, and...Process improvementClaimsLocal areaRemote workShift work
- ...precision and confidentiality. The role emphasizes accuracy, timely claim processing, and compliant documentation, including COB, payer IDs, and... ...communicate with patients and payers, audit accounts, apply discounts, and support process improvement #J-18808-Ljbffr Ally MedicalProcess improvementClaims
$86.1k - $107.85k
...junior team members, and drive process improvements that measurably improve... ...utilization management and claims adjudication), fluency in payer... ...3-5 years of experience in healthcare reimbursement, revenue... ...Strong critical thinking and analytical skills, including the...Process improvementClaimsRemote workShift work$115k - $125k
...intelligent medication management. We improve healthcare workflows and help patients... ...and drives automation and process improvements using Python... ...the EDW team to build BI analytics dashboards and implement... ...encounter any communications claiming to be from DrFirst that seem...Process improvementClaimsTemporary workImmediate startRemote workFlexible hours
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