Lead Analyst, Payment Integrity & Claims Analytics
Molina Healthcare
Molina Healthcare is seeking a Lead Analyst to support health plan payment integrity activities. The role involves collaborating with leaders to enhance financial performance through operational initiatives. Key responsibilities include managing claims accuracy projects and conducting data analysis. Candidates should have over 4 years of business analyst experience in managed care, strong knowledge of claims coding, and excellent communication skills. A competitive benefits package is offered. #J-18808-Ljbffr Molina Healthcare
- Molina Healthcare in Phoenix, AZ, is seeking a Lead Level Analyst to support health plan payment integrity activities. This role involves managing operational projects... ...to drive financial performance and improve claims accuracy. The ideal candidate has at least 4 years...Claims
- Senior/Lead Data Analyst - CX Strategy & Insights Location: Anywhere Type: Contract | Category:... ...Strategy & Insights to own end‑to‑end journey analytics and customer experience measurement... ...journeys such as Account Access, Claims, Client, and Card. Connect digital behavior...ClaimsContract workLocal areaRemote work
- ...EDI Analyst Position At American Vision Partners... ...practices in the country and integrate best-in-class... ...who specialize in EDI analytics and ERA/EFT Enrollments... ...and response, 276/277 claims status inquiry and response... ...works with claims and payment teams on the HIPAA 837...ClaimsWork at office
$104k - $130k
...and so much more. As a trusted name in payments, we partner with thousands of institutions... ..., providing technical expertise and analytical support to ensure the Company's risk posture... ...remediation lifecycle and ensuring data integrity within the GRC tool. Stakeholder...SuggestedHourly payWork at officeImmediate startVisa sponsorshipWork visaFlexible hours- First Citizens Bank is looking for a senior data analytics professional to join the Embedded Payments team in Phoenix, Arizona. This hybrid role will involve... ...and a background in financial services. The role is integral to monitoring risk and enhancing data-driven decision...Suggested
- A leading financial institution in Phoenix is seeking a senior data analytics professional to join its Embedded Payments team. This role focuses on analyzing payment and transaction data to identify risks and support decision-making through advanced analytics. Ideal candidates...Work at officeRemote work
- ...for data applications. Candidates should have at least 3 years of experience in computer technology, EDI knowledge, and a strong analytical background. This position offers a hybrid work environment with required onsite presence typically once a week. Join AZ Blue to help...Claims1 day per week
$98.09k - $156.95k
...Description Responsible for leading the design and... ...quality, user-friendly analytic visualizations/... ...business partners in Payment Integrity, Special Investigations... ...areas (PI, SIU, BH, Claims, Legal, Medical Economics... ...with other analysts to build user friendly...Claims- Maricopa-County in Phoenix is seeking a Risk Analyst to manage property and liability insurance claims. The role involves adjusting claims, overseeing workflows, and providing lead direction to staff, all while ensuring compliance with related regulations. Candidates should...Claims
- ...other stakeholders. You will report directly to the IP strategy lead, located in Helsinki, Finland. You will have a strong working relation... ...patent infringement case support (such as prior art research, claim charting,depositions,technical expert support, or trial...ClaimsWorldwide
$25.54 - $38.3 per hour
A leading healthcare provider seeks a Revenue Integrity Analyst to manage charge capture initiatives and improve revenue management. The role involves analyzing daily reports, collaborating to enhance processes, and providing education on compliance. Ideal candidates have...Remote jobHourly pay$80.9k - $110.3k
...community The Actuarial Analyst 2, Analytics/Forecasting analyzes... ...You will ensure data integrity by developing and... ...with pharmacy claims Additional Information... ...provided a bi-weekly payment for their internet expense... ...: CenterWell is a leading healthcare services business...ClaimsBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office- ...Lead Compensation Analyst Our Human Resources team defies all conventional expectations and is a... ...with minimal oversight. Data and Analytics: Interpret complex data, identify trends... ...mentorship, and engagement, which is integral to our success in developing the best...Seasonal workWork at officeRemote workHome officeFlexible hours
$82.97k - $110.63k
...shape the future. The Role The Lead Monetization Analyst is responsible for helping to shape pricing... .... This role leads advanced analytics, financial modeling, and cross-functional... ...that Lumen does not require any form of payment from job applicants during the...Temporary workRemote work- ...Payments Business Systems Analyst II Here at Discount Tire, we celebrate the spirit... ...drive resolution using sound analytical and problem-solving skills... ...system architecture. Lead process modeling efforts... ...commitment to confidentiality, integrity, and upholding company...Work at officeLocal areaMonday to FridayWeekend work
- ...Solu is seeking an IT Analyst - Healthcare (Remote)... ...healthcare applications and integrations. This role will act as... ..., clinical systems, claims adjudication, and... ...technologies and capabilities.Lead small to medium-sized... ...processes, system analytics, or integrations.5...ClaimsWork at officeRemote work
- ...you'll have the opportunity to lead, innovate, and contribute to... ...Working knowledge of freight claim liability and resolution *... ...service skills * Excellent analytical, negotiating, and problem-solving... ...as well as part of an integrated team * Strong working knowledge...ClaimsWeekly payWork at office
- ...Lead Guidewire Tester Job Location: San Antonio, TX; Plano, TX, Phoenix... ...Very strong experience in Guidewire Claim Center (functional + integration testing). Hands-on experience with... ...needs. Excellent communication, analytical, and problem-solving skills....ClaimsWeekend work
- ...Senior RCM Analyst Terros Health is a healthcare organization... ...guided by our core values of integrity, compassion and empowerment.... ...reports specific to healthcare claims submission performance, and effectiveness... ...results, aging, bad debt and payment success. Assists with...Claims
- ...Lead Guidewire Tester We are seeking a highly skilled QA professional... ...in Guidewire ClaimCenter, integrations, and end-to-end functional... ...within policy and claims processes, and be proficient... ...needs. Excellent communication, analytical, and problem-solving skills....ClaimsWeekend work
- ...you'll have the opportunity to lead, innovate, and contribute to... ...Working knowledge of freight claim liability and resolution... ...service skills ~ Excellent analytical, negotiating, and problem-solving... ...as well as part of an integrated team ~ Strong working knowledge...ClaimsWeekly payWork at officeLocal area
$129.3k - $177.8k
...caring community The Actuary, Analytics/Forecasting analyzes and... ...Analytics/Forecasting ensures data integrity by developing and executing... ...insights into drivers of medical claims trends. Provide strategic... ...will be provided a bi-weekly payment for their internet expense....ClaimsBi-weekly payFull timeTemporary workApprenticeshipWork experience placementRemote workWork from homeHome officeShift work- The Reinalt-Thomas Corporation in Scottsdale, Arizona, is seeking a Senior Workday HRIS Analyst with over 5 years of experience in HRIS configuration and integration development. The successful candidate will play a crucial role in Workday system support, partnering with...
- ...North Carolina is seeking a skilled professional to lead the design and development of user-friendly analytic visualizations and dashboards. The successful... ...degree and significant experience in Healthcare Payment Integrity or related fields. Competitive compensation...
- A financial services firm in Phoenix is seeking a Lead Data Analyst / Project Manager to oversee data initiatives and manage cross-functional... .... This position offers an exciting opportunity to drive analytical projects in a dynamic environment. #J-18808-Ljbffr Info Resume...
$22.3 - $35.2 per hour
...Lead Coordinator, Collections About Navista We believe in... ...dispute research, developing payment plans with customers, and building... ...and timely processing of claims, including denials and the... ...Excel preferred ~ Excellent analytical, organizational, and communication...ClaimsHourly payTemporary workWork at officeLocal areaImmediate startFlexible hours- A leading tire retail company in Arizona seeks a Senior Workforce Systems Analyst to manage the UKG Pro platform and collaborate with stakeholders. This role requires at... ...with UKG Pro configuration and excellent analytical, reporting, and communication skills. The position...
$100k - $120k
...in underwriting excellence, integrity, and a passion to find a better... ...service — both pre- and post-claims. Ascot exists to solve for... ...Overview The Business Systems Analyst role is integral to the... ...insurance underwriting and claims, analytical thinking, and technical...ClaimsTemporary workWork experience placementWork at officeLocal areaFlexible hours$96.7k - $161.1k
...Reporting Advisor to join the Integration & Automation (I&A) team... ...supports business‑critical analytics and automation capabilities... ...hybrid of developer and business analyst, not a requirements‑only position... ...supporting provider data, claims, payment, or healthcare operations...ClaimsFull timeWork experience placementLocal areaRemote workWork from home3 days per week$113k - $132k
Senior Facets Configuration Analyst Location: Remote Employment Type... ...Facets Configuration & Integration Analyst, you will make an impact... ...validation of the Facets core claims platform for a healthcare... ...including 837 and 835 Strong analytical and problem‑solving skills with...ClaimsFull timeTemporary workRemote work
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