Hybrid Operations Analyst - Claims & Process Improvement
UPMC
UPMC Health Plan is seeking an Operations Analyst, Intermediate for the Core System Operations team in the Pittsburgh area. This full-time hybrid position will oversee administrative, system processes and special projects related to the claims transactional system and other applications across UPMC Health Plan products. The role requires analyzing financial and clinical data to identify opportunities for performance improvements, proposing solutions, and tracking progress with cross-functional #J-18808-Ljbffr UPMC
- ...exciting opportunity for an Operations Analyst, Senior position in... ...This is a full-time hybrid position based in the... ..., system processes and special projects... ...and maintenance of the claims transactional system... ...identify opportunities to improve clinical and financial...Process improvementClaimsFull time
- SEIU Healthcare IL Benefit Funds is seeking an HR Operations Analyst to optimize HR lifecycle processes, manage HRIS, and deliver data-driven insights. This... ...to ensure compliance, data integrity, and process improvements across recruitment, onboarding, offboarding, and...Process improvement
- ...UPMC Health Plan is seeking an Operations Analyst, Senior in the Core System... ...department. This full-time hybrid role is based in the Pittsburgh area and focuses on the claims transactional system and related... ...staff and enhancing processes while coordinating with multiple...ClaimsFull time
- ...Operations Analyst Jersey City, NJ - Hybrid 6 Months+ The Trade Finance Operations Analyst is responsible... ...enhancing Trade Finance Operations processes, with a focus on Letters of Credit... ...supporting system and process improvements to maintain compliance and operational...Process improvement
- ...coordinator manages and resolves denied insurance claims to help the hospital recover revenue.... ...owner areas, coordinating the appeals process, collaborating with departments to... ...of denials and underpayments. Process Improvement: Work with various hospital departments...Process improvementClaimsFull timeTraineeshipLocal areaShift work
$80k - $100k
...City, United States (Hybrid) Hybrid| Full-time Compensation... ..., and institutions. Operating at the intersection of... ...motivated Operations Analyst to join the U.S.... ...records, custodians, processing platforms, and internal... ...key workflows. Process Improvement: Identify inefficiencies...Process improvementFull time- ...follow‑up functions. The role requires understanding of insurance claim processing, EOBs, denials, and follow‑up with insurers to resolve claims... ...‑up with third‑party payers. The position is On‑Site with a Hybrid work option after at least six months, supporting accounts...Claims
- ...Specialist to ensure timely submission of professional medical claims. You will verify insurance claims, appeal denied claims, and answer... ...staff. This role offers a 40-hour work week with Day shifts and hybrid work arrangements. Competitive wages, great benefits, and...ClaimsShift workDay shift
- Jobtailor is seeking a Health Insurance Claims Auditor to conduct pre- and post-pay audits... ...CMS compliance and high-quality processing. You will collaborate with delegated processors... ...claims, CPT4/ICD10 coding, and a hybrid work model with possible 2-3 days onsite...ClaimsWork at office
- ...Manager, Stop Loss and Health Claims to lead our dynamic claims... ...will oversee complex claims operations, manage a high-performing team... ...service and growth. In this hybrid role, you will direct evaluation... ..., mentor staff, and optimize processes across our network. 5+ years...Claims
- ...in this way. The Role: Trade Operations plays a pivotal role in... ...all parts of the transaction process, ensuring compliance with internal... ...3. System and Process Improvements Participate in the implementation... ...* Select... This will be a hybrid role where you'll be onsite...Process improvementContract workFor contractorsFor subcontractorH1bWork at officeLocal areaWork visa2 days per week3 days per week
- ...experienced Business Analyst with strong... ...quality assurance processes, and test strategy... ...Contribute to process improvement initiatives and... ...Data-Driven, Hybrid, and Page Object... ...member, benefits, and claims-related systems.... ...platforms and operational data stores. Experience...Process improvementClaims
- ...Receivable (A/R) Specialist - Long-Term Care Location: Hybrid - Must live in Ohio Overview We are hiring a... ...outstanding accounts, insurance billing, and claims resolution , while helping drive improvements across the A/R process. If you have strong experience with insurance...Process improvementClaimsLive in
- ...Business Analyst DEPARTMENT : Information... ...business processes, identifying opportunities for improvement and translating business... ...across underwriting, claims, IT and other... ...workflows and drive operational efficiency. ~ Proficiency... .... Position is hybrid and requires the...Process improvementClaimsTemporary workWork at officeFlexible hours3 days per week
- ...inclusive for everyone. Lucid is a hybrid workplace. We promote a healthy... ...for a proactive and eager analyst to help scale our Go-To-Market Operations and Strategy team through our company... ...decision-making and planning, process improvement, and performance management reporting...Process improvementContract workFor contractorsFor subcontractorWork at officeRemote workVisa sponsorship
- Description Position Summary The HR Operations Analyst is responsible for optimizing and executing... ..., data integrity, reporting, and process improvement. In addition, the Analyst serves as... ...with a service‑oriented approach Hybrid workforce experience, with in‑person...Process improvementWork at officeRemote work
$100k - $130k
...global apparel manufacturer is seeking a Senior Operations Analyst to join their team in Secaucus, NJ. This hybrid role demands expertise in logistics and operations... ...The position entails tracking KPIs, developing processes, and managing relationships with 3PL partners....- ...International is seeking a F&O Business Analyst to partner with the finance... .... The role emphasizes process improvement, data analysis, and cross-team collaboration in a hybrid environment. Responsibilities... ..., and supporting finance and operations projects. #J-18808-Ljbffr...Process improvement
- ...assist pharmacists and pharmacy coordinators in resolving claims, pricing, and coding. The role collaborates with... ...address pharmacy-related issues and ensure efficient processing. The position is a flexible hybrid role with three days in the office and two days remote...ClaimsWork at officeRemote workFlexible hours
$20 - $27 per hour
...you will matter! Hours: 40-Hours, Days, Hybrid $20.00 - $27.00 Disclaimer: We are committed... ...submission of professional medical claims to insurance companies. Verifies completeness... ...of new employees regardingpatient account processes in an accurate and complete manner...ClaimsWork experience placementImmediate startFlexible hours$110k - $115k
...seeking an experienced Sales Operations Analyst who supports customer-... ...stakeholders during the active sales process, helping ensure timelines,... ..., and recommends process improvements, including proposed... ...offers the possibility of a hybrid work arrangement based on recent...Process improvementContract workWork at officeRemote workWork from home2 days per week- ## Senior Claims Representative Bodily Injury -HybridApplylocations: Richfield, OH (USA):... ...their team. This individual will work a hybrid schedule out of the Richfield OH office**... ...specific compensation ranges during the hiring process. Learn more at **\*Excludes seasonal...ClaimsFull timePart timeSeasonal workLive outWork at officeRemote work
- ...full spectrum of billing processes, payment collections,... ...teams to ensure claims are billed correctly,... ...By supporting process improvement, communication across... ...to identify areas for operational improvement. Recommend... ...: Full-time/Potential hybrid work options. We Are An...Process improvementClaimsFull timeWork at office
- ## Claims Specialist Bodily InjuryApplyremote type: Hybridlocations: Richfield, OH (USA):... ...their team. This individual will either work hybrid from the Richfield, OH office 4 days per... ...compensation ranges during the hiring process. Learn more at **\*Excludes seasonal employees...ClaimsRemote jobFull timePart timeSeasonal workWork at officeLocal area
- ...Senior AI Governance Analyst to support the... ...This role will be Hybrid in our Jersey City... ...supports end-to-end claims handling with... ...streamline workflow, improve claims management,... ...controls, data science operations, product... ...control-evidence process in a complex organization...Process improvementClaimsWork at office
$75k
...Chicago. Today, Akuna is proud to operate from additional offices in... ...Akuna: As an Operations Analyst, you will play a critical role... ...development teams Own operational processes end-to-end, from... ...stakeholders Maintain and continuously improve internal documentation to ensure...Process improvementWork at office$110k - $140k
The F&O Business Analyst (Finance & Operations) position is responsible for working... ..., and issue resolution to improve the efficiency and... ...to finance and operations processes. System Configuration: Utilize... ...work in the U.S. This is a hybrid role, with some days remote...Process improvementTemporary workCasual workWork at officeRemote workWork from home- ...Must have the ability to work hybrid in Brooklyn, NY Job... ...and work engagement services, claims systems, and other critical... ...required to achieve the envisioned process improvements and fully meet the original... ...disruption to business operations. Requirements Minimum...Process improvementClaimsWork experience placementImmediate start
$19.5 - $22 per hour
...Golden Rule to our daily operations. To put this into... ...with us Headquarters Claims Operations is currently... ...Claims Ops Regulatory Analyst to provide financial,... ...Claims Recovery checks process Payment Runs process file... ..., Ohio, offer hybrid work options, empowering...ClaimsHourly payWork from homeFlexible hours- ...controllership and financial operations of the corporate Ceded... ..., Operations, Claims, Legal, Actuarial, Treasury... ...City office on a hybrid basis of three days in... ...efficient and scalable process.Management of all cash... ...continuous reevaluation and improvement of the groups’...Process improvementClaimsFull timeTemporary workWork at officeRemote work
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