Claims & Enrollments Analyst Data-Driven, Member-Focused
Alcohol, Drug & Mental Health Board Franklin Cty
Alcohol, Drug & Mental Health Board Franklin Cty in Tennessee is seeking a Claims and Enrollments Analyst to process claims and support provider communications. The ideal candidate will ensure compliance with internal policies and Medicaid requirements while providing technical assistance and conducting quality assurance reviews. Required qualifications include a high school diploma or equivalent, strong problem-solving skills, and two years of experience in healthcare billing. Robust health benefits and a supportive work environment are offered. #J-18808-Ljbffr
- ..., Health and Hope to our community! Claims and Enrollments Analyst In this role, you will process and adjudicate... ..., enjoys problem-solving and using data to support system effectiveness.... ...you’ll do Perform all aspects of member enrollment and provider claims processing...SuggestedFull timeWork experience placementRemote work
- ...Insurance Staff Position - State Farm Agent Team Member. We seek an energetic professional interested in... ..., coverages, policy changes, transfers, claim submissions, and billing clarification. Use a customer-focused, needs-based review process to educate customers...SuggestedFor contractors
$500 - $1,000 per month
...Insurance Staff Position - State Farm Agent Team Member Position Overview State Farm Insurance Agent... ...eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Use a customer-focused, needs-based review process to educate customers...SuggestedFor contractorsRelocation package$500 - $1,000 per month
...professional to join their team. As a State Farm team member for Chris Woodlee - State Farm Agent, you will... ..., coverages, policy changes, transfers, claim submissions, and billing clarification. Use a customer-focused, needs-based review process to educate customers...SuggestedFor contractorsWork at officeRelocation package$45k - $65k
...Independent Contractor Agent Are you outgoing and customer-focused? Do you enjoy working with the public? If you answered yes to these... ...market appropriate products and services. As an Agent Team Member, you will receive... Salary plus commission/bonus Paid...SuggestedFor contractorsWork at officeRemote workRelocation packageMonday to FridayFlexible hours1 day per week- ...office of Dejuan Buford - State Farm Agent. As a member of our agency team, you have an opportunity to... ...eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Use a customer‑focused, needs‑based review process to educate customers...For contractorsWork at officeRelocation package
- ...Overview The Business Analyst – Omnichannel is a critical bridge between data, strategy, and execution. Reporting to the Director of Central Planning, this role... .../M) and Excel (PivotTables, Power Query) Curiosity-driven problem solving Ability to distill complexity into...
- Monogram Health, Inc. is looking for a Senior Analyst in Provider Partnerships at our Brentwood, TN location. This role is essential... ...network to improve care quality and service delivery through data-driven insights. The responsibilities include analyzing datasets, supporting...
- ...Frasers Group is seeking a Stocktake Audit Analyst to oversee audit accuracy across stores, ensuring all types of audits are completed on time. This role involves collaboration with various departments and requires strong analytical skills to address discrepancies. The...Work at officeMonday to Friday
- ...intelligence from 10M+ processed claims, and expert human-in-... ..., reduced denials, and data-rich performance... ...The Data Analyst responsibilities will include... ...requirements and shape data-driven solutions Proactively... ...attention to detail with a focus on accuracy, validation...Flexible hours
- ...Nissan Motor Iberica SA is hiring a Senior Analyst, Aftersales BI in Franklin, TN. This role... ...while designing and maintaining advanced data reporting solutions. The ideal candidate... ...along with 6+ years of experience, focusing on database and business analysis. Comprehensive...
- ...strategic sales with technical underwriting. This is a highly sales‑driven role where you will be measured on performance metrics, build... ...relationship building Mentor, train, and develop new team members to support sustained growth and performance Key Responsibilities...Work experience placementWork at office
$54.12k - $67.64k
...Customer Service staff and quick and fair claims service with 24/7 claims reporting. We... ...of its customers in thirteen states. As members of the Alfa® family, we offer non-standard... ...financial position and operation performance. We focus on the effective use of technology to...Temporary workWork at officeFlexible hours$24.5 - $26 per hour
...our amazing team and work remote from home! The Default FHA Claims QA Analyst II will work under moderate supervision, responsible for... ...and investor guidelines. Strong interpersonal skills with a focus on teamwork and quality. Excellent written and oral communication...Remote workWork from home- ...with unlimited upside as you increase your aptitude and proficiency in completing projects for the company. As a part-time team member, you are offered identity theft protection and 401k with match. Optimized, flexible work schedules that enable a healthy work-life...Hourly payExtra incomeTemporary workPart timeSecond jobFlexible hoursShift work
- ...Head of Analytics and Data Governance About the Company Well-regarded organization... ...the organization's extensive member, supplier, contract, and transaction data... ...effectively communicate the value of data-driven decision-making and who is adept at fostering...Contract work
$14 - $20 per hour
...further! RDSolutions has that and more! We are seeking new team members who are self-motivated, detail oriented and most importantly --... ...RDSolutions is providing them with the consultation and critical data services to define, monitor and react to their ever-changing customer...Full timeWork at officeFlexible hoursShift work$12 - $18 per hour
...in completing projects for the company. As a part-time team member, you are offered identity theft protection and 401k with match.... ...RDSolutions is providing them with the consultation and critical data services to define, monitor and react to their ever-changing...Hourly payExtra incomeTemporary workPart timeSecond jobFlexible hoursShift work- ...change jobs, or just wanting to try something new and exciting? Look no further! RDSolutions has that and more! We are seeking new team members who are self-motivated, detail oriented and most importantly - dependable. We have been the leading provider of retail intelligence...Full timeWork at officeFlexible hoursShift work
- ...across the U.S. With a focus on people and investments... ..., 24,000+ team members and more than 280 sites... ...Senior Operations Reporting Analyst leads the design, development... ...expert in healthcare data, oversees complex... ...such as Epic, Cerner; claims data). Advanced Excel skills...
- ...service. Service can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Promote successful and long-lasting customer relations. QUALIFICATIONS Must be able to...Work at officeMonday to Friday
- ...VetJobs is seeking a Workers' Compensation Claims Specialist in Franklin, Tennessee. This role involves managing claims with a focus on negotiating settlements and ensuring proper documentation. The ideal candidate will have a High School Diploma or GED, 2 years of experience...
- ...You? Health Insurance: Employees and their eligible family members – including spouses, domestic partners, and children – are... ...subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a...For contractorsLocal area
- ...You? Health Insurance: Employees and their eligible family members – including spouses, domestic partners, and children – are... ...subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a...For contractorsLocal area
$109.3k - $180.2k
...for You? Health Insurance :Employees and their eligible family members - including spouses, domestic partners, and children - are... ...subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a...For contractorsLocal area- ...A leading data and analytics firm in Brentwood, TN is seeking an experienced Account Manager to manage and grow a portfolio of client... ...consultative and detail-oriented, ensuring successful execution of data-driven solutions while identifying opportunities for expanding client...
$30 per hour
...Description Job Description Food Science Data Analyst My name is Bill Stevens, and I have... ...partners) Build and maintain user-focused knowledge articles, FAQs and guidance to... ...communities, with coaching from senior team members Support deployment activities and hyper...Hourly payWork at officeRemote work3 days per week- ...this leadership role, you will act as a strategic advisor using data science to shape brand strategies and influence key decisions. Ideal... ...range, comprehensive benefits, and the opportunity to contribute to a purpose-driven organization. #J-18808-Ljbffr Mars Incorporated
- ...stand‑alone behavioral health company in the U.S. We are seeking a Data Protection & Risk Specialist to join our team in Franklin, TN.... ...Experience: Minimum 4-6 years in cybersecurity, with 3+ years focused on data protection, insider risk, or DLP. Broader experience in...Work experience placementWork at officeLocal areaRemote work
$17 - $28.46 per hour
...full-time position at CVS Health in Franklin, TN. The role supports business operations by measuring the quality and effectiveness of claims processing and customer service to enhance customer satisfaction. Ideal candidates will have at least 1 year of relevant experience...Hourly payFull timeWork at office
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