Remote Reinsurance Analyst - Medicaid & Claims Insights
Blue Cross Blue Shield of Arizona
- Remote job
Blue Cross Blue Shield of Arizona is seeking a Recoveries Analyst to support Medicaid reinsurance workflows. The role focuses on researching and reviewing claims and ensuring accurate reinsurance reimbursement processes. The Senior level leads meetings, reports data, and guides best practices across the department while coordinating with AHCCCS and Medicaid segments. Hybrid/remote options are described, with AZ residency required. #J-18808-Ljbffr Blue Cross Blue Shield of Arizona
- ...of Arizona is hiring a Recoveries Analyst to drive Medicaid/Medicare reinsurance recovery and lead Level 2 responsibilities... ...cases, coordination with Claims and Accounting, and ensuring timely... ...related software tools, with hybrid/remote work options within Arizona. #J-1...Remote jobClaims
- ...class analytics and deep reinsurance expertise to deliver... ...we transform advanced insights and market... ...a Reinsurance Broking Analyst through our REACH Program... ...have in-office days and remote days determined by the... ...financial positions to cover claims for their...Remote workClaimsFull timeWork experience placementInternshipWork at officeLocal areaHome office
- Hamilton Group seeks an experienced Reinsurance Pricing Actuary based in the... ...delivering Casualty pricing insights, profitability analysis and project support, with hybrid/remote flexibility from the... ...collaborate with underwriting, claims and IT to drive value across...Remote jobClaims
- Conduent is actively seeking a Senior Medicaid Technical Business Analyst Engineer to translate Medicaid... ...architects, developers, and QA to support claims processing, analyze issues, and... ...testing, UAT support, and data-driven insights to optimize operations and member outcomes...Remote jobClaims
- ...classified as hybrid, onsite or remote. While the majority of... ...to: Customer Service, Claims Processors, and... ...the job The Recoveries Analyst’s primary line of business is Medicaid. Primary purpose of the... ...the Medicare and Medicaid reinsurance lines of business. Provides...Remote workClaimsFull timeContract workWork experience placement1 day per week
$190k - $215k
...to surface meaningful insights, coordinate action, and... ...Arcadia dedicated to Medicaid policy analysis, and it... ...s Medicaid member and claims data — and that... ...figures Bring other analysts up to speed on the work... ...development A flexible, remote-friendly company with...Remote workClaimsFull timeFor contractorsFlexible hours- ...Inc. is seeking an advanced Medicaid Data Analyst to join our professional... ...science expertise and analytical insights will directly drive evidence... ...in Tallahassee, FL. No remote or hybrid will be allowed for... ...Responsibilities: Analyze Medicaid claims, eligibility, provider, and...Remote workClaimsFull timeLocal area
- ...communities. Network Health is seeking an Encounter Data Analyst to support the critical encounter data functions for our Medicaid TPA line of business. This position is... ...as well as key internal departments (i.e. claims, enrollment, provider, IT etc.)Act as a liaison...Remote workClaimsFull timeWork at officeLocal areaWork from homeHome office
- ...Job Description Job Description Medicaid Business / QA Analyst ~7–12+ Month Contract | Remote | No ThirdParty Firms | Medicaid SME Required ~ Candidates... ...position combines program knowledge—eligibility, claims, encounters, provider enrollment, managed care, and...Remote workClaimsContract work
$93.77k - $179.24k
...spouses. USAA roles may offer remote or hybrid flexibility for... ...OpportunityJoin our dynamic Reinsurance Operations team in the Life Actuarial... ...department as a Reinsurance Analyst Senior! This is an exciting... ...reinsurance processes, from claims processing and treaty administration...Remote workClaimsH1bWork at officeRelocation package- Support Medicaid program integrity activities including fraud, waste, and abuse prevention, provider oversight, and compliance monitoring. Translate claims analytics and audit findings into practical monitoring approaches, system requirements, and corrective action recommendations...Remote jobClaims
$81.94k - $122.9k
...apply now.We are currently seeking a Sr. Medicaid TPL Business Analyst-Local Candidates To Little Rock, AR... ...Third Party Liability (TPL), claims processing, and recovery operations.... ...roles. The starting pay range for this remote role is $81,936 - $122,904. This range...Remote workClaimsFull timeTemporary workWork at officeLocal areaFlexible hours- ...Job Title: Senior Reinsurance Analyst Location: Houston, TX (Hybrid 4:1) Reports To: Reinsurance... ...: Hybrid (4 days in office, 1 day remote) About Us Help us insure it. Tokio... ...reinsurers/brokers concerning settlements, Claims, and Collections and coordinate...Remote workClaimsFull timeWork at officeLocal area
- ...Brown, Inc. is seeking a Specific Stop Loss Data Analyst to lead data coordination initiatives for... ...for entry, and building dashboards to present insights to leadership. The successful candidate will have 3+ years of claims data analysis experience, focusing on stop loss...Remote jobClaims
- ...services organization is seeking a Health Care Data Analyst to provide high-level analysis related to Medicaid. This remote position requires a Master's degree in public... .... The role includes managing healthcare claims data, developing analytic systems, and supporting...Remote jobClaims
- Molina Healthcare is seeking a senior data analyst to lead complex data analysis and deliver strategic insights across claims, utilization, and financial data. Responsibilities... ..., and guiding projects with stakeholders. Remote US-based position with competitive benefits and...Remote workClaims
- Our Claims Insights team is currently seeking a Senior Data Analyst in our Worcester, MA location or remote work location. This is a full-time, exempt role.POSITION OVERVIEW:The Sr. Data Analyst will use claims data to provide insight into business performance. Responsibilities...Remote workClaimsFull timeWork at office
- Gainwell Technologies is seeking a Business Analyst - Medicaid Claims to help clients improve health outcomes through technology. You will analyze... ...with business leaders and technical staff. Fully remote options are available from Contiguous US locations. #J-188...Remote jobClaims
- ...Insights Analyst Anywhere Type: Contract Category: Data Industry: Insurance Workplace Type: Remote Standard Hours: Open Reference ID: JN -092026-108615 Date Posted... ..., manipulate, and capture member, claim, provider, and other stakeholder data...Remote workClaimsHourly payContract workPart timeLocal area
- ...leading health insurer, seeks a Sr. Actuarial Analyst to apply advanced analytics to Medicaid risk adjustment, uncover insights on risk score performance and morbidity... ...Leadership Development Program. You can work remotely from anywhere in the U.S., with a requirement...Remote job
- Enterprise Solutions Business Analyst (Federal Health Insurance / Medicare / Medicaid) Location: Dallas, TX (Remote) Duration: Long-term Contract Mode of Interview: One Round... ...understanding of: Health plan domains like claims, membership, provider network, UM/CM, payment...Remote workClaimsLong term contract
$55.6k - $79.4k
...learning, and career development. Summary As a Business Analyst - Medicaid Claims at Gainwell, you can contribute your skills as we harness... ...way What you should expect in this role Fully remote options from Contiguous US locations only Video cameras...Remote workClaimsFull timeFlexible hours$80k - $110k
Remote Data Analyst - Healthcare Utilization Reporting and Business Insights Employment Type: Full-time Experience: 2-4 years in data analytics Salary: $80,000-$110,00... ...Responsibilities Query and combine approved data from claims, authorization, enrollment, and operational...Remote jobClaimsFull timeHome officeVisa sponsorshipMonday to FridayFlexible hours$69.4k - $99.2k
...development. Summary The Senior Medicaid Business Analyst (Configuration & Policy) at Gainwell,... ...domains may include Member, Provider, Claims (Medicaid, Dental and/or Pharmacy),... ...should expect in this role ~ Fully remote options from most US locations and territories...Remote workClaimsFull timeFlexible hours$69.4k - $99.2k
...and career development. Summary As a Senior Business Analyst - Medicaid Claims & Eligiblity at Gainwell, you will leverage your expertise... .... What you should expect in this role ~ Fully remote options from most US locations and territories Video...Remote workClaimsFull timeFlexible hours$150k - $200k
...Pricing (P&C Insurance | Remote (U.S.) \n \n We’re... ...Pricing, Underwriting, Claims, and Finance to align... ...decision-making \n Deliver insights on performance trends, catastrophe risk, reinsurance dynamics, and emerging... ...and support actuarial analysts throughout the rate...Remote workClaimsFlexible hours- Allied Benefit Systems is seeking an AI Business Analyst to evaluate internal AI solutions and translate findings into actionable feedback... ...and engineering teams. The role interfaces with Dynamics CRM, claims adjudication platforms, and document repositories, and involves...Remote jobClaims
$90k - $105k
...Data Analyst Absolute Staffing & Consulting Solutions... .... This is a remote position within the United... ...the project and provide insight and expertise including... ...Experience with healthcare claims data Minimum Two Years... ...Experience with Medicaid programs and associated...Remote workClaimsFull timeTemporary workWork from home- ...Job Description We’re looking for a Reinsurance Pricing Actuary Based in our Pennington... ..., this role is eligible for a hybrid or remote work arrangement. Reporting to... ...other departments including underwriting, claims, and IT Assist in the production, interpretation...Remote workClaimsWork at officeFlexible hours
- ...Data AnalystThe Data Analyst is responsible for extracting... ...Warehouse and health claims systems (such as PRISM)... ...to deliver actionable insights while ensuring strict... ...recipient data, as mandated by Medicaid/DHHS policy.... ...in-office and three (3) remote work days. Please note,...Remote workClaimsContract workWork at office
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