Lead Analyst, Payment Integrity & Claims Analytics
Molina Healthcare
Molina Healthcare is seeking a Lead Business Analyst in Omaha, Nebraska, to support health plan payment integrity initiatives. The role involves collaborating on operational projects, analyzing data for recovery opportunities, and improving claim payment accuracy. Candidates should have at least 4 years of experience in managed care, strong data analysis skills, and proficiency in Microsoft Office. A competitive compensation package and commitment to diversity as an Equal Opportunity Employer are offered. #J-18808-Ljbffr Molina Healthcare
$45k - $56k
...Description Our Medicare IT Analyst - Pricing Procedures... ...assist the Technical Claims team with various... ...processing guidelines, payment rules, and manual calculations... ...files). Strong analytical skills and problem-solving... ..., and program integrity. CMS contractors and their...ClaimsContract workFor contractorsImmediate startRemote work$72.9k - $131.6k
...Glance We are excited to bring on an Analyst, Data Analytics to our Workplace Solutions Data... ...and best practices. Supports data integrity within dashboards and reports and assists... ...will never ask applicants to provide payment during the hiring process or extend an...SuggestedWork experience placementWork at officeRelocation package3 days per week$20.5 - $21 per hour
...No: 504777 Categories: Claims/Claims Processing... ...a Special Risk Claim Analyst position. In this role... ...responsible for initiating payments or denials through our... ...under tight deadlines. Analytical Thinker: Sharp... ...built by the strength and integrity of our employees. It’s...ClaimsHourly payFull timeWork at officeRemote workWork from homeHome office- ...guidelines. The Data Analyst is responsible for... ...interpreting, and visualizing claims, clinical, and/or... ...needs and recommend analytical approaches. Like to... ...Participate in and/or lead projects to ensure requests... ...tools. Ensure data integrity, security, and...ClaimsContract workFor contractorsLive inLocal areaImmediate startRemote work2 days per week
$72.9k - $131.6k
...Lead Internal Audit Analyst The Role at a Glance As an Audit Analyst, you will lead and execute risk... ...'s Information Technology, Data Analytics, and Professional Practices audit teams... ...0-year track record of expertise and integrity, millions of customers trust our solutions...SuggestedWork experience placement- ...The Business Analyst, Pricing and Underwriting ,... ...systems, offering robust analytical support to key... ...Founded in 1926, Maxor is a leading, independent pharmacy... ...complementary suite of clinically integrated services and... .... Analyze pharmacy claims, drug pricing, rebate...ClaimsFull timeTemporary workWork at officeRemote workWork from home
$62.7k - $107.5k
...The Product Implementation Analyst at Medica is responsible for... ...actuarial, underwriting, benefits, claims, and finance, and support... ...external systems to understand integration requirements Support new... ...configuration role Background in data analytics, sales reporting,...ClaimsWork experience placementWork at office3 days per week- ...including emerging types of claims, claim frequency and... ...(e.g., Actuaries, Analysts), including keeping everyone... ...and maintains analytical standards and procedures... ...ideas. BUSINESS FOCUS: Leads discussions with... ...financial strength and integrity means our customers can...ClaimsWork at officeImmediate startFlexible hours
- A leading property restoration firm in Omaha seeks a Litigation Attorney to manage disputes related to unpaid property claims. This role necessitates first-chair litigation experience, where you... ...Join an organization that values integrity and professionalism, offering...ClaimsContract work
$96.4k - $120.5k
...technology solutions provider leading the AI and Digital... ...warehousing, distribution and integration capabilities. With over 1... ...will you be doing? IT Senior Analyst position will assist in requirement... ...and presentation) ~ Strong analytical, troubleshooting, and...Permanent employmentFull timeWork experience placementH1bRemote workVisa sponsorshipShift work$72.9k - $131.6k
...75952 The Role at a Glance We are excited to bring on an Analyst, Data Analytics to our Workplace Solutions Data Analytics Management team to... ...business intelligence concepts and best practices. Supports data integrity within dashboards and reports and assists in developing...Work experience placementWork at officeRelocation package3 days per week- ...are adding a Strategic Pharmacy Analyst to our growing Business... ...Implementation, AM, Legal, Pricing and Analytics, Finance, Marketing, Product... ...and marketing agreements. Lead multiple small teams with... ...contract language, group size, claim utilization, clinical trend, and...ClaimsContract workTemporary workLocal areaRemote work
- ...Manager, Strategic Pharmacy Analyst (SPA), will manage a team of... ...be primarily responsible for leading, managing, and coaching a team... ...accuracy and custom caveats in SPA analytical reporting, coaching SPAs on... ...language, group size, claim utilization, clinical trend,...ClaimsContract workTemporary workLocal areaRemote work
- ...divh2Claims Quality Analyst | Remote/h2pJob Type: Full time/ppWork... ...Setup: Remote/ppReports to: Claims Supervisor/ppPosition Summary... ...Commercial insurance claim/liliStrong analytical and problem-solving skills/... ...Overview:/ppImagenet is a leading provider of back-office...ClaimsRemote jobFull time
- ...system. Responsible for maintaining the integrity of the data, troubleshooting issues, and... ...promotions, leaves of absence, relocation payments, and wage garnishment deductions.... ...Required Skills and Abilities Excellent analytical, mathematical, problem-solving and human...Full timeWork experience placementWork at officeLocal areaImmediate startRelocation
$26.3 - $32.15 per hour
...Operations Quality Assurance Analysts to join our Consumer Markets... ...process improvement within a leading financial services organization... ...~ Strong analytical and critical thinking skills... ...services, banking, healthcare claims, or other regulated operational...ClaimsHourly payFlexible hours- ...construction and other complex work, our integrated modular software manages projects with... ...projects around the world. Our industry-leading solutions, dedicated employees, and proven... ...Senior Salesforce Platform & Revenue Analytics Lead will serve as a strategic partner in...Full timeRemote work
$24 - $32 per hour
...policies and procedures by properly handling claims and returns; zoning the area; stocking,... ..., zoning, and cleaning all departments. Leads and participates in teams by using and... ...procedures, and standards of ethics and integrity by explaining, guiding, and demonstrating...ClaimsHourly payMinimum wageTemporary work$75k - $85k
...EverCommerce (Nasdaq: EVCM) is a leading service commerce... ...vertically tailored, integrated SaaS solutions that... ...software, embedded payment acceptance, marketing... ...motivated and curious Analyst, Strategic Growth to... ...finance, or a similar analytical role ~ Strong analytical...Full timeWork at officeLocal areaImmediate startRemote workFlexible hours- ...Business Analyst (Credit Card) We are seeking a highly motivated... ...will possess a strong analytical mindset, excellent communication... ...experience. System Integration: Work closely with IT... ...Knowledge of credit card processes, payment systems, and industry...
$85k - $150k
...International, located in Bellevue, Nebraska, is hiring a Payment & Fraud Accounting Analyst to oversee global ecommerce transactions, support fraud... ...should have 3-4 years of relevant experience, strong analytical skills, and proficiency in ERP systems and Excel. The position...- ...Mutual is looking for a Medicare Supplement Claims Examiner in Omaha, NE. This role... ...and processing claims, ensuring accurate payments or denials by analyzing policy provisions... ...Enjoy a career with a company known for its integrity and a high customer satisfaction rating....Claims
- ...Worldwide, located in Omaha, Nebraska, is seeking a Senior Business Analyst to join our Professional Services team. In this customer-facing... ...designs, and supporting the successful delivery of high-value payment solutions. The ideal candidate will have proven experience in a...Worldwide
$17.24 - $24.35 per hour
...a healthier future for all through its integrated health services. As one of the nation's... ...Rep, you will resolve unpaid insurance claims and collect outstanding balances from third... ...to ensure that correct and appropriate payment has been received. Communicates effectively...ClaimsWork experience placement- Physicians Mutual is looking for a Senior Employee Benefits Analyst in Omaha, Nebraska. In this pivotal role, you will design, administer... ...benefits administration experience. The position emphasizes analytical skills, compliance knowledge, and strong communication...
- ...company product lines, plans, members, and claims as needed to fully understand business... ...related field.1-2 years of experience in an analytics type role.Strong analytical skills and... ...experience, perspective and background will lead to a better workplace for our employees...ClaimsWork at officeRemote work1 day per week
$70.2k - $120.4k
...employees. Key Accountabilities Lead the development, maintenance,... ...technical guidance to other analysts, setting standards for... ...best practices. Communicate analytical findings clearly to both technical... ...healthcare data, including claims and eligibility. Advanced proficiency...Claims$67.1k - $111k
...Business Reporting And Insights Analyst This is a multi-level posting. Candidates may be considered for any of the posted levels 1... ...plans and forecasts, new technology business cases and advanced analytics insights. Track, maintain, analyze and provide current information...Permanent employmentFull timeTemporary workWork experience placementH1bWork at officeLocal area- A national insurance company is seeking an Absence Claims Team Leader. This remote position involves managing the Absence Claims department, ensuring compliance with claims processes, and fostering a culture of continuous improvement. Candidates should have over 5 years...ClaimsRemote work
- ...Religion Teacher and Theology Department Lead Jesuit Academy - Omaha Education : Full-Time... ...opportunity that encourages them to claim ownership of their lives and develop themselves... ...students a transformative education that integrates a rigorous academic curriculum with co-...ClaimsFull timeImmediate start
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