claims and encounter data. Proven experience as a Health Care Data Analyst, preferably with a focus on medical claims... to enhance claims and encounter management and processing. Data Analysis & Reporting - Analyze large datasets related to medical...
Overview Support the Pharmacy Division with data reports and analytics needed to provide KPS clients consultation... hoc reports utilizing internal and external data Create client facing report templates in excel and PowerPoint...
serves as a subject matter expert in pharmacy and medical claims data and a consultant in meeting complex analytical needs.... Primary Responsibilities: Query pharmacy and medical claims/eligibility data from various UHG data sources Work closely...
eligibility, inpatient and outpatient claims, authorizations, EHR documentation, clinical assessments, and related data sources... with claims data and health plan quality metrics (e.g., HEDIS, QARR) preferred Proficiency conducting statistical analysis with R...
linear models Experience analyzing data, ideally healthcare claims data or health outcome data Preferred Work Experience... performance metrics. The position will also provide statistical support to general R&D and Medical Affairs projects...
JOB DESCRIPTION A Claim Specialist in the Coverage & Complex Claims Analyst Team will be responsible for supporting... to complex, long tail exposure claims as well as lawsuits and arbitrations naming Chubb issuing companies and affiliated entities...
the most. We live our values every day, demonstrating we through our values, initiatives and journey. Our Claims Finance..., Analytics and Insights team is currently seeking a Claims Finance Director in our Worcester, MA offices in a hybrid work...
Job Description: A Claim Specialist in the Coverage & Complex Claims Analyst Team will be responsible for supporting... to complex, long tail exposure claims as well as lawsuits and arbitrations naming Chubb issuing companies and affiliated entities...
exchange program and the associated vendor partners. Analyzes and reports on claims data using statistical techniques...; implements and maintains databases; identifies, analyzes, and interprets trends from the data; and maintains claims monthly...
Kforce has a client in Purchase, NY that is seeking a Guidewire Claims Center AI Integration Business Analyst... responsible for developing detailed business and functional requirements for claims processing and administration systems, as well...
Analyst with coordination of Billings Clinic and affiliate site medical malpractice claims. Participates in the development... reports, and assisting in coordination of medical malpractice claims at the direction of the Risk Management Director...
. Analyst I needs to be able to identify claim benefits regarding the specific policy and operates on multiple claims systems.... Life Claims are received from medical reviewers, underwriting, examiners or mail clerks. The Examiner I has a checklist...
of an incontestable claim and determines how to process. High exposure to a multitude of life claims is a norm for this position. Analyst... Claims are received from medical reviewers, underwriting, examiners or mail clerks. The Examiner I has a checklist...
Fraud Strategy Analyst performs analysis and interpretation of fraud-based threats by gathering and analyzing data... and providing reports from the analysis. Primary Responsibilities Collects and interprets macro level fraud data and trends...
and root cause of accident. Enter claim data into various claims management systems. Answer incoming calls from clients...Overview: Aerotek has an immediate opening for an ONSITE Customer Service Representative (Intake Compliance Analyst...
Overview: As a Senior Technical Sales Consultant (Claims) you will seek to understand detailed customer needs... customer’s business requirements. Stages scenarios and creates demo data as needed. Presents customized demonstrations...
specialties by reviewing the coding of claims (i.e. ICD-10, CPT-4, etc.) and/or auditing medical charts to ensure that data...The Medical Coding Analyst is responsible for the resolution of complex coding inquiries, while also supporting various...
specialties by reviewing the coding of claims (i.e. ICD-10, CPT-4, etc.) and/or auditing medical charts to ensure that data...The Medical Coding Analyst is responsible for the resolution of complex coding inquiries, while also supporting various...
Medical Officer or designee when provider specific information warrants, to include but not limited to NPDB queries, claims...Join Our Team as a Credentialing Analyst! Are you detail-oriented and passionate about ensuring healthcare excellence...
-Strong knowledge of actuarial reserving, forecasting and medical economics -Expertise in working with medical claims data and using...DESCRIPTION Amazon One Medical is hiring a Actuarial Manager Analyst. Actuarial rigor is one of the keys...