Senior FWA Investigator, Healthcare Claims Analytics
$46.99k - $112.2kHispanic Alliance for Career Enhancement
The Hispanic Alliance for Career Enhancement is seeking a Sr. Analyst to tackle fraud, waste, and abuse in healthcare services. This full-time position requires collaboration with various departments and requires a minimum of 3 years of experience along with coding certification. With a focus on analytical skills and a commitment to compliance, the role offers a competitive salary range of $46,988 - $112,200 per year, along with comprehensive benefits including medical and retirement options. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
$46.99k - $122.4k
...groups in a prepayment environment Investigates to prevent payment of fraudulent claims committed by insured's,... ...investigation and prosecution of healthcare fraud and abuse matters. Demonstrates... ...Health fraud cases. Strong analytical and research skills using health...SeniorClaimsHourly payFull timeTemporary workLocal area$46.99k - $122.4k
...is looking for a dedicated individual to manage complex healthcare fraud investigations. The role demands at least 3 years of relevant experience... ...and a Bachelor's degree or equivalent, alongside strong analytical skills. You will collaborate with law enforcement on...SeniorFull time$89.17k - $142.68k
...are seeking a highly skilled Senior Data Analyst with deep expertise... ...ACA data flows (enrollment, claims, supplemental), HCC modeling,... ...outputs, along with advanced analytical and data validation skills.... ...procedures are used to access, investigate, and analyze data. Develop,...SeniorClaimsWork at officeLocal areaRemote workFlexible hours2 days per week- Senior SQL Reporting Developer Location: Kansas City, MO or Orlando... ...Soarian Financial Reporting, Healthcare Intelligence, PowerInsight, Oracle Analytics (OA), Claims Rules Development.... ...specifications. Perform troubleshooting investigations by collecting data, using...SeniorClaimsContract workWork experience placementVisa sponsorship
- ...in Kansas City to oversee financial advising practices in the healthcare system. This role includes managing a team, ensuring compliance... ...associate's degree and substantial experience in financial advising, claims processing, and supervision. The position offers a full-time...SeniorClaimsFull time
- ...than 50 years, we’ve been a healthcare software company developing technology... ...the best possible care. Senior Solution Delivery Consultant... ...in clinical workflows, data analytics, and healthcare billing is a... ...services Experience with 837P/837I claims, and clearinghouse workflows...SeniorClaimsFor contractorsWork experience placementWork at office
- NKC Health in Kansas City is hiring a Senior Revenue Cycle Associate to join their Central... ...billing concerns while ensuring accurate claim resolution and excellent customer service... ...candidate will have at least 3 years of healthcare billing experience, knowledge of ICD10 and...SeniorClaims
- Gainwell Technologies is seeking a Senior Reporting Business Analyst to contribute to technological solutions that improve healthcare. The role includes coordinating a business analyst... ...Medicare. You will apply your advanced analytical skills using tools like Excel and SQL....SeniorRemote jobFlexible hours
- ...standards and timelines while collaborating with clients and internal teams. Ideal candidates have a minimum of 2 years in healthcare analytics, strong communication skills, and proficiency in SQL and Python. This position offers a competitive salary package and comprehensive...Senior
- Travelers is seeking a Sr Technical Specialist to handle complex claims in Overland Park, Kansas. You will leverage your expertise in... ...candidate has at least 7 years of experience, possesses strong analytical and problem-solving skills, and excels in customer service. This...SeniorClaimsRelocation package
- ...international life sciences company, providing a unique range of analytical testing services to clients across multiple industries,... ...amazing Eurofins Viracor BioPharma Services team as a Senior Principal Investigator (SPI)/Principal Investigator (PI) (assigned level will be...SeniorFull timeContract workWork experience placementWork at officeMonday to Friday
- ...seeking professionals for a remote role focusing on managing and resolving workers' compensation claims. You will leverage your extensive claims management experience and analytical skills to navigate claims processes effectively while providing outstanding service to...SeniorClaimsRemote workFlexible hours
- Cedar Cares, Inc is looking for a Senior Investigator in Overland Park to lead investigations into trading activity. This role requires 3-... ...years of experience in the securities industry and strong analytical skills. You will analyze evidence, prepare reports, and mentor...SeniorFlexible hours
$46.99k - $112.2k
...Fraud, Waste, and Abuse (FWA) will assist in detecting, investigating, remediating and... ...transportation, and other healthcare services. The Sr. Analyst... ...correct coding, review claims, and billing data from all... ...Responsibilities Leverage analytical skills to review claims...SeniorClaimsHourly payFull timeTemporary workWork experience placementLocal area- CNA Insurance is seeking an experienced claims manager in Overland Park, Kansas to... ...will be responsible for managing complex investigations and negotiating settlements while ensuring... ...of claims experience, possesses strong analytical skills, and can effectively communicate...SeniorClaimsFlexible hours
- Gainwell Technologies is seeking a Senior Reporting Business Analyst to contribute skills in improving healthcare for vulnerable populations. This role involves coordinating teams, defining business requirements, and enhancing business processes through technology solutions...SeniorRemote job
- Ensures the integrity and accuracy of claims processes and protocols. Collects data for audits/investigations into claims, utilizing a combination of analytical skills and attention to detail, reviewing documentation, interviewing involved parties, and communicating with...ClaimsWork experience placement
$69k - $115k
Swiss Re Corporate Solutions is seeking a seasoned claims professional in Kansas City, MO, to join their US Casualty and Financial Lines... .... Ideal candidates are detail-oriented, possess strong analytical skills, and are comfortable in client engagement. The position...SeniorClaimsWork at office3 days per week- ...commercial lines, and involves coordinating policy renewals, responding to client inquiries, and resolving claims issues. The ideal candidate will exhibit strong analytical skills and excellent communication abilities, thriving in a client-focused environment. This position...SeniorClaims
- Gallagher in the United States is seeking an experienced claims professional to support risk consulting and claims management across... ...brokers to resolve coverage issues. The role emphasizes strong analytical abilities, proficiency in MS Office, and the ability to deliver...SeniorClaims
- Ross & Yerger Insurance, Inc. is seeking a Claims Assistant to support commercial lines property and casualty clients in reporting and... ...along with three years in property/casualty insurance. Strong analytical and interpersonal skills are essential for success in this role...SeniorClaimsWork experience placement
- ...Manager, Reporting & Analytics, Vendor Management Southlake Campus The Manager, Reporting... ...position requires deep knowledge of healthcare revenue cycle functions, Epic systems, and... ...including CPT, ICD-10, HCPCS, and UB/1500 claims formats Knowledge of data governance...ClaimsFull timeContract workRemote work
- CVS Health is seeking an Accounts Receivable Associate, Senior Coordinator, dedicated to managing medical claims. You will refute denials and ensure compliance with regulations while identifying trends and developing solutions. We value passionate colleagues who want to...SeniorClaimsFull timeWork at office
- ...matters and proven skills in handling employment discrimination claims efficiently. This role requires substantial experience with the... ..., federal and state courts, along with excellent writing and analytical skills. Candidates will benefit from a flexible, hybrid work environment...SeniorClaimsWork at officeFlexible hours
- ...Who You Are The Senior Accountant will provide monthly and daily general... ...tables, VLOOKUPs). Excellent analytical, written, and verbal communication... ...individuals who assist or participate in the investigation of any complaint or discrimination claim. #J-18808-Ljbffr...SeniorClaims
- ...Prepare complex payroll reports, reconciliations, and analytics for senior management review, identifying trends,... ...any individuals who assist or participate in the investigation of any complaint or discrimination claim. Know Your Rights Poster is included here: Know...SeniorClaimsLocal area
- ...transportation, energy, water, healthcare, and more. Learn more about... ...forensic engineering investigations of buildings and other structures... ...ideal candidate has strong analytical and communication skills, experience... ...and other property‑related claims. Responsibilities Conduct...ClaimsWork at officeLocal areaNight shift
- ...Join to apply for the Senior In-House Litigation Attorney role at... ...including regulatory, competition, healthcare law and more. You'll assist... .... • Negotiate and settle claims, including settlement negotiations... ...communication, writing and analytical skills. Strong academic and...SeniorClaimsRelocationRelocation package
$79.8k - $119.7k
...reporting deliverables, including preparation of IFRS and NAIC claim roll forward. Contribute to the compilation of audit requests.... ...to manage conflicting demands. Detail oriented with excellent analytical and organizational skills. Effective communication and interpersonal...SeniorClaimsWork at officeLocal area- BJC HealthCare is seeking a finance professional to maintain financial transactions and manage the general ledger. The ideal candidate will possess a Bachelor's degree in Accounting or a related field, along with 2-5 years of experience. Responsibilities include preparing...SeniorRemote job
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