Medicaid Claims Analytics & Insights Analyst
BerryDunn — Assurance, Tax and Consulting
BerryDunn seeks a Claims Data Analyst in Hawaii to support MQD's FWA, program integrity, audit, and TPL initiatives. You will analyze Medicaid claims and related data, develop dashboards, validate data quality, and document findings for leadership and stakeholders. Travel up to 25% may be required as part of supporting operations, vendor management, and the future Program Integrity Unit. You will collaborate with the SME and other teams to produce reports and monitoring tools, ensuring accuracy #J-18808-Ljbffr BerryDunn — Assurance, Tax and Consulting
- BerryDunn's Health Analytics Practice Group is seeking a Senior Medicaid Analyst to apply Medicaid expertise, healthcare analytics, and policy insight to public-sector clients in Hawaiʻi and beyond. You will analyze claims and program data, identify risks, and translate...ClaimsRemote workFlexible hours
- BerryDunn is seeking a Claims Data Analyst for Hawaiʻi MQD to support FWA, program integrity, audit, and TPL activities. You will analyze Medicaid claims and related data, develop reports and dashboards, validate data quality, and communicate results to leadership. The...Claims
- BerryDunn is seeking a Claims Data Analyst to support Hawai‘i MQD's FWA and Program Integrity initiatives, analyzing Medicaid claims and related data to identify trends, risks, and opportunities for cost avoidance and recovery. You will work with the Payment Integrity...Claims
- BerryDunn is seeking a Senior Consultant with Medicaid program integrity expertise to support Hawaiʻi MQD initiatives as a forensic analyst. You will conduct claims audits, document findings, and perform investigations across Medicaid lines, working with cross-functional...ClaimsRemote job
$110k - $140k
...subject matter expertise in Medicaid payment integrity to support... ...TPL), payment integrity, and claims review initiatives. You will... ...audit and TPL specialists, data analysts, compliance staff, vendor... ...Power BI, Tableau, or comparable analytics and dashboarding tools for...ClaimsPermanent employmentRemote work- ...actively seeking an experienced Senior Consultant with Medicaid payment integrity expertise to support Hawaiʻi... ...oversee forensic reviews, provider audits, and claims data analysis, collaborating with MQD staff, data analysts, and vendor partners. Travel up to 30-50% is...ClaimsRemote job
$85k - $100k
...Consultant with subject matter expertise in Medicaid program integrity and claims audits to support Hawaiʻi Med-QUEST... ...initiatives as a forensic analyst. You will perform claims audits, document... ...plans, executive-ready reporting, analytical summaries, methodology...ClaimsPermanent employmentWork at officeRemote work- ...QUEST's FWA and program integrity initiatives. You will interpret Medicaid policy, develop data-driven monitoring, and coordinate with... ...improve controls. The role involves data analysis, dashboards, and claims audits across medical, dental, behavioral health, pharmacy, and...Claims
$80k - $120k
Overview BerryDunn's Health Analytics Practice Group (HAPG) is dedicated to supporting decision... ..., and strategic decisions. As a Senior Medicaid Analyst , you will apply Medicaid program... .... You will analyze Medicaid claims, encounter, provider, member, eligibility...ClaimsPermanent employmentWork at officeRemote work$95k - $120k
...Claims Data AnalystBerryDunn is seeking a Claims Data Analyst to support Hawai?i Med-QUEST's (MQD) Fraud,... ...opportunities across Medicaid claims, provider, member... ...discussions.Document analytical findings, summarize data... ...into practical insights, operational recommendations...Claims$95k - $125k
Overview BerryDunn is seeking an Medicaid H.R. 1 Lead to provide workstream leadership, stakeholder coordination, and strategic oversight... ...a strong understanding of system implementations, Medicaid claims, and operational impacts. Provide clear, consistent communication...Claims- ...A leading training provider for insurance claims adjusters is seeking candidates for a fulfilling career as a Licensed Claims Adjuster in Ewa Beach, Hawaii. This role offers flexibility, autonomy, and competitive compensation while making a significant impact on individuals...ClaimsFlexible hours
$95k - $120k
...Liability (TPL), payment integrity, claims review, and improper payment... ...subject matter expertise in Medicaid program integrity, claims... ...subject matter experts, data analysts, compliance SMEs, integrated... ...policy, program needs, claims analytics, and audit findings into...ClaimsContract work$100k - $120k
...reporting processes to support timely vendor claims submissions.Ensure replenishment... ...Improvement - Use metrics and operational insights to improve processes and reduce costs.Required... ...employees, and labor planning.Strong analytical, problem-solving, and operational...ClaimsFull timeTemporary workWork at officeLocal areaFlexible hours$26.45 - $31.25 per hour
...processes Process and organize new hire paperwork and ensure compliance with all onboarding requirements Prepare and submit insurance claim forms, update tenant and vendor certificates of insurance, and maintain organized filing systems Manage incoming and outgoing...ClaimsHourly payDaily paidFor contractorsWork at officeMonday to Friday- ...A leading claims adjustment company in Hawaii is actively seeking individuals to join as Independent Insurance Claims Adjusters. This role is vital in aiding disaster recovery for clients, and offers comprehensive training for those new to the field or opportunities for...ClaimsFlexible hours
- ...A claims adjustment company seeks Independent Insurance Claims Adjusters to join their team. This role offers a rewarding career path with flexibility and potential for growth. You will play a crucial role in helping individuals and businesses recover from disasters....ClaimsFlexible hours
- ...A dynamic insurance adjusting firm is looking for Independent Insurance Claims Adjusters to join their team in Hawaii. This position offers competitive compensation, flexibility, and comprehensive training. Successful candidates will assist individuals and businesses...ClaimsFlexible hours
- The Claims Examiner III is a senior-level professional responsible for managing the full lifecycle of workers’ compensation indemnity... ..., and effective claim resolution. The position requires strong analytical judgment, excellent communication skills, and consistent collaboration...ClaimsRemote jobWork at office
- ...Workers Compensation Claims Examiner IIIHybrid • Honolulu - Kapolei, HI 96814OverviewSalary Range $85,000.00 - $95,000.00 Salary Level... ...knowledge of statutory regulations and medical terminology.· Analytical skills.· Excellent written and verbal communication skills, including...ClaimsFull timeWork at officeRemote workLong distanceShift work
- A leading insurance claims adjuster firm in Mililani Town, Hawaii is seeking Independent Insurance Claims Adjusters to join their dynamic team. This opportunity offers flexibility, autonomy, and competitive compensation while helping people rebuild their lives after disasters...ClaimsStart working today
- IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand... ...provide you with hands‑on training, insider tips, and practical insights to prepare you for real‑world challenges. Whether you're a...Claims
- ...Job Summary Workers Compensation Claims Examiner III TeemaGroup Full-time In-Office | Kapolei, HI, United States POSITION SUMMARY At the direction of the Claims Supervisor and/or Claims Manager, the Claims Examiner II / III manages all aspects of workers’ compensation...ClaimsFull timeWork at office
- ..., internal medicine and PCP services. Responsibilities include answering phones, scanning paperwork, organizing files, and mailing claims. This opportunity is available to active students, graduates and externs seeking hands-on experience in a medical setting. #J-1880...ClaimsFull time
- ...Valid Job Description Full time Receptionist position. Practice specialty: Ophthalmology, Optometry, Internal, Ocular facial, PCP,ect. Job Duties Answering phones Scanning paperwork Organizing papers Mailing claims Requirements #J-18808-Ljbffr Hawaii Medical CollegeClaimsFull time
- ...Perfection, Be Accountable and Play Restaurant About Us Chili's was born in Dallas, Texas in 1975. Since then, we've boldly claimed our place in the casual dining industry as the place to go for Big Mouth burgers, house smoked ribs, full on fajitas, and hand...ClaimsCasual workShift work
- ...meetings to discuss requirements. Participate on project testing activities to include development of test cases, submitting test claims, validating and approving test results. Support project rollout to the operational areas. Review documents and attend meetings relating...Claims
- ...adjusting experience is required for career-entry applicants. Are you interested in building a career as an Independent Insurance Claims Adjuster? With continued storm activity and catastrophic weather events across the country, experienced and properly trained...ClaimsFull timeFlexible hours
- ...Process vendor authorization files to reflect the appropriate decisions within HMSA's system to appropriately and accurately impact claims processing to include but not limited to the following: Researching, validate and update existing authorizations based on...ClaimsWork experience placementWork at office
- ...for every Guest Prior experience a plus About Us Chili's was born in Dallas, Texas in 1975. Since then, we've boldly claimed our place in the casual dining industry as the place to go for Big Mouth burgers, house smoked ribs, full on fajitas, and hand...ClaimsFull timePart timeCasual workImmediate startFlexible hoursWeekend workWeekday work
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