Health Plan Testing Analyst — Validate Plans & Claims
CVS
CVS Health is seeking an Analyst, Plan Testing to support Commercial plan testing by interpreting client intent behind medical benefit designs and validating that intent through claims-based testing in ACAS. The role emphasizes collaboration, strong communication, and expertise with ACAS and related platforms. Responsibilities include designing test strategies and guiding testers, reviewing benefit intent, and ensuring accurate plan behavior before claim release. #J-18808-Ljbffr CVS Health
- CVS Health is seeking an Analyst, Plan Testing to support Commercial plan testing by interpreting client intent behind medical benefit designs and validating that intent through ACAS-based claims testing. The role requires strong collaboration and expertise in ACAS and...Claims
$21.1 - $49.08 per hour
We're building a world of health around every individual - shaping a more... ...at a time. Position Summary The Analyst, Plan Testing is responsible for supporting Commercial... ...medical benefit designs and validating that intent through claims-based testing in ACAS. This role...ClaimsHealth InsuranceHourly payFull timeTemporary workLocal area- CVS Health is seeking an Analyst, Plan Testing to support Commercial plan testing by interpreting client intent behind medical benefit designs and validating that intent through claims-based testing in ACAS. This role requires collaboration and strong communication, with...Claims
- Imagine360 is seeking a Plan Analyst to join the team! This position constructs... ...new plan documents in the claims system. This position... ...Department in performing plan design testing for new clients and renewing... ...360 offer you? Multiple Health plan options Company paid employee...ClaimsHealth InsuranceTemporary workWork at officeRemote work
$64.53k - $81.68k
Mount Sinai Medical Center is hiring a Health Plan Claims Analyst I to provide operational and programmatic support within an assigned area. This role involves guiding network providers on claims processing, maintaining agreements, and ensuring compliance with health program...ClaimsHealth Insurance$64.53k - $81.68k
Description The Health Plan Claims Analyst I is responsible for multiple components of specific health plan operations. He/she is responsible for providing administrative, operational and programmatic support services of within an assigned area/department. This position...ClaimsHealth InsuranceTraineeship- ...healthcare legislation. Knowledge in Health Plan benefit structures. Experience... ...collect data, establish facts, and draw valid conclusions. Required Skills: RX claims Preferred Skills: Knowledge and... ...this role? PBM Rxclaims Manual Testing #J-18808-Ljbffr TechDigital GroupClaimsHealth Insurance
- Imagine360, LLC is seeking a Plan Analyst to join the team. This role designs and implements new plan documents in the claims system and maintains a comprehensive understanding of the plans under their scope. The position is 100% remote. Responsibilities include plan building...ClaimsRemote job
- ...Position Overview MetroPlus Health is committed to empowering New... ...physician and policy advisor to the Plan’s Chief Medical Officer.... ...Supervises retrospective review of claims to identify practice patterns... .../or Certification Required Valid New York State license and current...ClaimsHealth Insurance
- CVS Health in New Jersey is seeking an Analyst, Plan Testing to support Commercial plan testing by interpreting client intent behind medical benefit designs and validating that intent through claims-based testing in ACAS. You will collaborate with stakeholders and guide...Claims
- ...luxury lingerie, is looking for a Retail Planning Analyst to join our Strategic Planning team... .... The process includes maintaining and validating data collection and analyzing retail performance... ...for full-time employees include: ~ Health, vision, and dental insurance ~...Health InsuranceFull timeTemporary workSeasonal workWork at officeRemote workMonday to FridayFlexible hours
$80k - $100k
...Zuma Restaurants The Senior Financial Planning Analyst plays a critical role in driving the company... ...leaders to identify key drivers and validate accruals Develop and maintain dynamic... ...globe with our five incredible brands Health Benefits: Comprehensive Medical, Dental...Health InsuranceFull timeWorldwide$94k - $118k
...have a current opening for a E-Commerce Customer Commercial Planning Analyst and are actively reviewing applications. The E-Commerce Customer... ...salary, we offer a comprehensive benefits package, including health insurance, retirement plans, paid time off, and other...Health InsuranceTemporary work- ...RemoteProject Overview:The team is looking for an analyst who will support AMER inventory... ...Analyst, you will own inventory validations and forecasting, The analyst will engage... ...business stakeholders who use this data for planning and decision-making. Additionally, the analyst...
- ## Sr Analyst, Benefits PlanningApplylocations: Georgia... ...:**The Sr. Benefits Planning Analyst role manages... ...company’s enterprise-wide Health & Welfare programs,... ...financial modeling, including claims trend analysis, PEPM... ..., reconciliation, and validation processes across high-...ClaimsHealth InsuranceWork at officeShift workWeekend work
- VNS Health is seeking an experienced actuarial leader to manage monthly IBNR development... ...liability valuations, while reconciling claims data with the general ledger. The role requires... ...data-driven insights and financial planning across product lines. The ideal candidate...ClaimsHealth Insurance
$90k - $100k
...At Twin Health, we empower people to improve and prevent chronic metabolic diseases,... ...metabolic health. We are looking for a Supply Planning Analyst to join our growing Supply Chain team.... ...Supply Chain and Finance to build, validate, and reconcile the demand forecast on a...For contractorsFor subcontractorWork at officeRemote workWork visaFlexible hours- ...Department of Transportation seeks a Junior Project Analyst to join the Traffic Engineering & Planning unit within TPM. The role involves reviewing traffic,... ...degree (B.S. or higher) with relevant experience, a valid NYS Driver's License, and the ability to work both in...Remote jobWork at office2 days per week
$90k - $100k
...Supply Planning Analyst Twin Health is seeking a Supply Planning Analyst to join our growing Supply Chain team. Reporting to the Senior Manager... ...primary liaison between Supply Chain and Finance to build, validate, and reconcile the demand forecast on a recurring cadence...Work at officeRemote workWork visaFlexible hours- ...Empower. Unite. Care. MetroPlus Health is committed to empowering New Yorkers by... ...people systems to effectively operate the Plan while ensuring financial strength and operational... ...call center operations), facilities, and claims management. In addition, the COO is...ClaimsHealth InsuranceLocal area
$30 - $34 per hour
...Job Title: Freelance Planning Analyst Location: New York, NY Type: Contract Compensation: $30.00 - $34.00 Work Model: Hybrid –... ...as the primary point of contact for inventory and financial health within that classification. • Partner closely with the Merchandising...Health InsuranceContract workTemporary workFreelanceSeasonal workLocal areaImmediate startRemote work- ...play an integral part in the forecasting, planning, and reporting of operating expenses and... ...families. This includes comprehensive health and wellness plans, a 401(k) with a Nielsen... ...com domain. Be cautious of any outreach claiming to be from Nielsen via other messaging...ClaimsHealth Insurance
- A leading retail brand is seeking a Company Planning and Strategic Analytics Analyst in New York City. This role involves providing data-driven insights to support business decision-making and managing the company’s financial planning model. The ideal candidate will possess...Health InsuranceFlexible hours
$85k - $95k
...integrity solutions including DRG Validation, Cost Outlier and Readmission... ...environment Knowledge of health insurance business, industry... ...consider nurses with inpatient claims auditing experience or case management... ...medical, dental, and vision plan options that provide coverage...ClaimsHealth InsuranceFull timeRemote workMonday to Friday- ...Senior Financial Planning & Analysis (FP&A) Analyst Location: New York, NY Employment Type: Full‑Time Schedule: Monday through Friday – Standard Business... ..., and department leaders to gather assumptions and validate financial data. Maintain budget models, forecasting...Full timeMonday to Friday
- Imagine360 is currently seeking a Health Plan Relationship Manager/Relationship Manager to join our Client Experience team! In the role... ...annually. This includes renewal of TPA services, stop loss coverage, claims review and audit services renewal and other vendors contracted...ClaimsHealth InsuranceRemote work
$85k - $105k
...Location and Job Title: Financial Planning & Analysis Analyst Marlene Meyerson JCC Manhattan 334 Amsterdam Ave New York, NY 10023 Principal Responsibilities... ...WHAT WE OFFER Supportive, mission-driven work environment Health Benefits such as Medical, Dental, and Vision Insurance +...Health InsuranceFull timeLocal areaRemote workMonday to Friday$115k - $119k
...Role We are looking for a driven and analytically sharp Analyst, Financial Planning & Analysis to join our team! This role is a core contributor... .... Support month-end close activities through financial validation, accrual support review & preparation, and reconciliation...Local areaImmediate startWorldwide$75k - $80k
...What You'll Do The Inventory Planning & Replenishment Analyst will support daily replenishment execution while helping improve the quality of the... ...planning logic, business priorities, and exception review. Validate system recommendations before execution, especially for SKUs...Full timeShift work- ...infield twice a week subject to change Provides support for health plan provider relations activities. Supports network development,... ...At least 2 years of customer service, provider services, or claims experience in a managed care or medical office setting, or equivalent...ClaimsHealth InsuranceRemote jobWork at office
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