Health Claims & Cost Analytics Specialist
Carnival Cruise Line
Carnival Cruise Line is seeking a Specialist, Health Claims to support Health Services finance by processing medical claims and performing analyses. The role involves reviewing and adjudicating claims, monitoring high-cost cases, and maintaining financial reviews to ensure accuracy and compliance. The position requires 2+ years in healthcare finance, strong analytic skills, and proficiency with Excel and Power BI. #J-18808-Ljbffr Carnival Cruise Line
- The Specialist, Health Claims supports the financial operations of Carnival Corporation’s Health Services... ...to ensure accuracy, compliance, and cost-effective claim management. The... ...requires strong attention to detail, analytical capability, experience in medical claim...ClaimsFull timePart timeWork at officeLocal areaWork from homeRelocationMonday to Thursday
- Pediatrica Health Group is seeking a skilled Medical Coder with CPC-P certification to join our pediatric care team in Miami. You will... ...documentation, assign ICD-10, CPT, and HCPCS codes, and support accurate claims submission. The role requires at least two years of pediatric...Claims
- ...Revenue Cycle Specialist The Revenue Cycle Specialist role is to provide support to the... ...that would impact revenue, work on patient claims, follow up on denial and rejection... ...duties as assigned. WE ARE AN EQUAL OPPORTUNITY EMPLOYER Community Health of South FloridaClaimsWork experience placementWork at office
$25 per hour
...Revenue Cycle Specialist - Orthopedic Care Icon Health is a leading provider of value-based musculoskeletal (MSK... ...accountability for reduced total cost of care. By combining technology-enabled... ...Track, analyze, and appeal payer claim denials through structured denial...ClaimsContract workRemote workHome office- ...Description Credentialing Specialist Little Havana... ...including Provider Relations, Claims, and Case Management—... ...’s degree in a health-related field with one... ...Strong analytical, organizational, and problem... ...and avoid premature and costly institutionalization....ClaimsWork at officeLocal area
- ...Specialist, Health Claims The Specialist, Health Claims supports the financial operations of Carnival... ...required: ~ Ability to apply analytical and logistic skills; maintain attention... ...needs, including: Health Benefits: Cost-effective medical, dental and vision plans...ClaimsFull timePart timeWork experience placementWork at officeWork from homeWorldwideRelocationMonday to Thursday
$2,693.99 - $3,486.34 per month
...Working Title: TRAFFIC SPECIALIST IV - 55014637 STATE... ...operating plans, benefit/cost analysis, etc.) This... ...terminology, principles, and analytical techniques Knowledge... ...benefits including: Health insurance (over 90%... ....Candidates claiming Veterans’ Preference must...ClaimsContract workTraineeshipLocal areaMonday to Friday- ...Respond to clinical queries to support claims management Deliver detailed IME reports... ...case flow, transcription services at no cost, and a user-friendly work portal Qualifications... ...performing IMEs is preferred. Strong analytical skills and excellent communication...ClaimsExtra incomeContract workFlexible hours
- Gastro Health is seeking a Full-Time Patient Relations Representative to join our team!... ...consistent hours. The Patient Advocate Specialist will review patient balances to ensure accurate... ...patient phone calls, maintaining proper claim collection codes, monitoring patient...ClaimsFull timeLocal areaRemote workMonday to FridayAfternoon shift
$20 - $23 per hour
...client needs, concerns and priorities on various types of claims including but not limited to: Health Insurance, Worker's Compensation and Motor Vehicle... ...skills – both written and verbal.Above average analytical and critical thinking skills.Good organizational and...ClaimsHourly payFull timeWork at officeRemote work$70k - $90k
...Recruiter Benefits: License reimbursement, health insurance, opportunity for advancement,... ...vision insurance, a 401(k), licensing costs paid up front, professional development,... ...changes and inquiries. Process insurance claims and follow up with customers on claim...ClaimsFor contractorsWork at officeFlexible hours- ...EDI Encounter Specialist The EDI Encounter Specialist is responsible... ...works closely with Claims, IT, Compliance, Finance, Vendor... ...transaction standards. ~ Strong analytical and problem-solving skills.... ...Experience with Edifecs, Health Suite. Knowledge of healthcare...ClaimsContract workNight shift
$128.06 per hour
...Description ~ The Disaster Program Delivery Specialist: • Collects, coordinates and/or reviews... ...the program delivery process. • Supports the claims process by reviewing and validating damage details, scopes of work, and costs with the applicant. Participates in regular...ClaimsWork experience placementH1bImmediate startFlexible hours- Administer Repair/Exchange Orders, Warranty claims and handle activities in accordance with Satair objectives and strategies ensuring that... ...our products and services are delivered on time, quality and cost to satisfy customers. Primary Responsibilities Handle, log and...ClaimsWork experience placement
$21.76 - $45.96 per hour
...Robinson is looking for a Customs Specialist who will play a critical role... ...and resolve cargo damage claims, insurance matters, demurrage,... ...takes into account geographic cost of labor, and additional factors... ...\Veteran Benefits Your Health, Wealth and Self Your total...ClaimsHourly payFull timeContract workTemporary workWork at officeLocal areaRemote workWorldwideFlexible hours2 days per week3 days per week$128k - $252.5k
...apply actuarial, strategic, and analytical experience to help clients... ...engagements spanning the entire health care landscape and product types... ...entry, network strategy, and cost of care initiatives to drive... ...network changes, or other detailed claims analytics Review Medicare...ClaimsWork at officeLocal areaVisa sponsorship$100.4k - $197.9k
...clients address complex challenges across the health care ecosystem. In this role, you will... ..., network changes, or other detailed claims analytics Use strategic thinking to shape the... ...pricing, market entry, network design, and cost of care initiatives to drive performance...ClaimsWork at officeLocal areaVisa sponsorship- ...case management services in a cost-effective manner, delivering medical... ...Workers' Compensation, Group Health, Liability, Disability, and... ...documentation. Excellent analytical and customer service skills to... ...collaborative working relationships with claims adjusters, employers, patients...ClaimsWork at officeLocal areaImmediate start
$41.03k
...Revenue Working Title: REVENUE SPECIALIST II - 73002273 Position... ...means of transportation. Travel costs will be reimbursed according... ...include, but are not limited to, health insurance, life insurance,... ...educational requirements.Candidates claiming Veterans’ Preference must...ClaimsFull timeH1bMonday to FridayNight shift$120k - $135k
Health Plan Clinical Analyst and Data Scientist Job Category : Analyst... ...strategy by overseeing analytics, regulatory reporting frameworks... ...performance optimization and cost-of-care improvement. Education... ...healthcare plan datasets, including claims, utilization management/prior...ClaimsFull timeRemote workShift work- LICENSING CERTIFICATION SPECIALIST - 60075087 Date: Sep 3, 2026 Requisition... ...in academic, public health, and community settings. Ability... ...multiple competing deadlines. Analytical, decision making,... ...educational requirements.Candidates claiming Veterans’ Preference must attach...ClaimsFor subcontractorWork at officeLocal areaMonday to Friday
$87.19k - $114.43k
...Services team. Oscar is the first health insurance company built around... ...quality care and optimizing costs by analyzing provider... ...optimization. Utilizes data and analytics of provider financial issues... ...organizing large data sets such as claim files and provider rosters...ClaimsFull timeContract workWork experience placementLocal areaRemote workWork from homeHome office- ...to shield patient's protected health information. Access to and... ...email, telephone and voicemail. Analytical, critical-thinking and... ...mails, or even text messages claiming to be a legitimate company. Some... ...(to account for comparative cost of living). More information...ClaimsDaily paidContract workLocal area
$141.2k - $278.3k
...acquisitions (M&A), valuation modeling, cost optimization, restructuring,... ...within the Life Sciences & Health Care (LSHC) sector, including... ...(e.g., product-level sales, claims data, rebate and chargeback... ...environments and utilize your visual analytics skills to tell a compelling...ClaimsContract workLocal areaVisa sponsorship- A national healthcare recruiting firm is seeking a candidate with 2-3 years of experience in claims processing and billing. The role involves investigating insurance claims, verifying patient eligibility, and updating records accordingly. Strong customer service skills...Claims
$86.88k - $109.15k
...ARDMS Certified Sonography / Ultrasound Specialist Miami, FL $86,875 - $109,150 a year... ...will provide critical insights into patient health, and the evenings offer you the chance to... ...something exciting happening. In Miami, the cost of living blends favorably with the...Full timeWork experience placementCasual workLocal areaFlexible hoursWeekend workDay shiftAfternoon shift- ...Description Job Description About Us Health is the most important thing in life, and the... ...completely broken - poor outcomes, high cost, bad patient experience. We're building a... ...resolving patient billing tickets, managing claim workflows, and building and optimizing RCM...ClaimsFull timeWork at officeRemote work
- ...nanobody therapies, seeks a Director of Insights & Performance Analytics in the U.S. to translate complex datasets into actionable commercial... ...to shape strategy. You will lead cross-functional analytics on claims, EHR, payer, and marketing engagement, delivering executive-...Claims
- ...Risk ManagerFocus: Cost Control & Litigation Management (GL & Auto Claims)Position Summary: The Risk Manager is responsible for controlling risk exposure and... ...carriers, and senior leadershipStrong negotiation, analytical, and communication skillsPreferred ExperienceTelecom...ClaimsContract work
- BBVA Global Wealth Advisors is seeking a Risk & Analytics Quantitative Analyst to design, develop, and maintain models used for asset allocation, portfolio construction, and portfolio analysis. The role reports to the Head of Risk & Analytics and collaborates with Investments...
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