Southwest Service Administrators: Provides third-party administration for labor-management trust funds.
3+ YOEHigh school diploma/GED, 3+ years processing medical claims, knowledge of medical terminology, CPT and ICD-9/10, 40 WPM, and strong Excel/Word and communication skills.
Atlanta or Lenexa or Dallas or Scottsdale or Chicago
$73k-$97k/yrOnsiteFull Time
AIG: Global provider of property casualty insurance and risk solutions.
Experienced claims adjuster for North American aerospace (light and general aviation) with technical claim handling, vendor management, trend identification, stakeholder communication, and proficiency with claims systems.
Troy or Arizona or California or Colorado or District of Columbia or Iowa or Illinois or Indiana or Kentucky or Massachusetts or Maryland or Michigan or Missouri or Nevada or Ohio or Oregon or Pennsylvania or Texas or Utah or Washington or Wisconsin or United States
$25-$27/hrRemoteFull Time
BeneSys: Provides third-party administration for multi-employer benefit plans.
2+ YOERequires high school diploma or GED, two years of related medical claims processing experience, medical terminology and coding knowledge, analytical skills, and benefit determination ability.
Green Light Cost Management: A healthcare technology that partners with health plans and providers to resolve out-of-network medical claims fairly and efficiently.
2+ YOE2+ years in healthcare, insurance, billing, claims, collections, customer service, or revenue cycle; high school diploma or equivalent; strong verbal/written communication, phone-based negotiation, attention to detail, and ability to manage high-volume caseloads.
Claims Management Program Analyst (O-4 Billet) Non-Supervisory
Salt Lake City or Seattle or Phoenix or Los Angeles or San Francisco or Denver or Washington or Miami or Atlanta or Chicago or Indianapolis or New Orleans or Boston or Minneapolis or Kansas City or Albuquerque or New York or Oklahoma City or Portland or Austin
$1-$150k/yrOnsiteFull Time
ICE: Enforces immigration laws and provides medical care to detainees.
3+ YOEMinimum 3 years professional experience with at least 2 years in program management/healthcare management or medical claims; knowledge of claims processes, ICD-10/CPT/DRG/CMS coding, EHRs, and Microsoft Office/SharePoint; must be USPHS IHSC officer.
Microsoft Office, Sharepoint, Electronic Health Records
Epic Revenue Cycle Professional Billing & Claims Analyst - 6317562
Nashville or Milwaukee or Dallas or Columbus or Kirkland or Cincinnati or New York City or Cleveland or Oklahoma City or Austin or Albany or Chicago or St. Petersburg or Hartford or Pittsburgh or St. Louis or Miami or Sacramento or Raleigh or Minneapolis or Mountain View or Scottsdale or San Francisco or Morristown or Denver or Boston or Philadelphia or Des Moines or Overland Park or Los Angeles or Charlotte or Walnut Creek or Carmel or Seattle or Houston or Arlington or Atlanta or Redmond or Bentonville or Beaverton or Detroit or San Diego
RemoteFull Time, Contract
AccentureNYSE: ACN: Global provider of management consulting and technology services.
5+ YOERequires 5+ years of work experience, advanced Epic Systems proficiency, active Epic Professional Billing and Claims certification, and a high school diploma or GED.
Newark or Wisconsin or California or Colorado or Arkansas or Arizona or Alabama or District of Columbia or Florida or Connecticut or Georgia or Delaware or Iowa or Kansas or Indiana or Kentucky or Illinois or Idaho or Louisiana or Massachusetts or Maryland or Maine or North Dakota or Michigan or Mississippi or Washington or Texas or Missouri or Montana or North Carolina or Minnesota or New Hampshire or Oklahoma or Vermont or Nebraska or Tennessee or Nevada or New York or Ohio or Oregon or New Mexico or Pennsylvania or Rhode Island or South Dakota or Utah or South Carolina or West Virginia or Virginia or Wyoming
3+ YOERequires 3–5 years of short- or long-term disability claims experience, strong analytical and communication skills, knowledge of ERISA and state requirements, and proficiency with claims and Microsoft Office tools.
San Antonio or Tampa or Colorado Springs or Phoenix or Plano or Virginia
$127k-$243k/yrHybridFull Time
USAA: Provides insurance and banking to the military community.
6+ YOEBachelor's or equivalent education/experience; 6+ years analytics/strategy experience (6–8 years depending on degree); expertise in GenAI strategy, analytics, and cross-functional leadership.
Microsoft Excel, Tableau, R, Python, SQL, Snowflake, SAS, Adobe Analytics
United States or Phoenix or San Antonio or Columbus or Charlotte or Chicago or Denver or San Diego or Houston or Los Angeles or Seattle or Washington, D.C. or Boston or San Francisco or New York City or San Jose
$103k-$135k/yrRemoteFull Time
Included Health: Provides integrated virtual care and healthcare navigation services.
5+ YOE5+ years in healthcare economics/actuarial or quantitative analysis; bachelor’s degree required; 1+ actuarial exam preferred; expert SQL and Excel/Google Sheets; Python preferred; experience with medical/Rx claims and reporting tools.
SQL, Microsoft Excel, Google Sheets, Python, Looker, Tableau, GitHub, Jira, Confluence
Phoenix or Alaska or Arkansas or Arizona or Colorado or Florida or Hawaii or Iowa or Idaho or Illinois or Kansas or Louisiana or Maryland or Minnesota or Missouri or Montana or Nebraska or Nevada or New Mexico or North Carolina or North Dakota or Oklahoma or Oregon or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or District of Columbia or Washington or Wisconsin or Wyoming
$78k-$92k/yrRemoteFull Time
TriWest Healthcare Alliance: Manages healthcare programs for veterans and military families.
3+ YOEBachelor's degree or equivalent, 3+ years healthcare/data analysis, knowledge of CMS coding and provider reimbursement, strong Excel and SQL skills, experience with data visualization and government claims preferred.
Microsoft Excel, SQL, SQL Reporting Services (SRS), Tableau, Power BI
Dallas or Indiana or Idaho or Alabama or Iowa or Connecticut or Ohio or Oregon or South Carolina or Louisiana or Montana or North Carolina or Texas or Kentucky or Pennsylvania or Maryland or Washington or Massachusetts or Nevada or Illinois or New Mexico or California or Michigan or Mississippi or Arkansas or New York or Virginia or Colorado or Florida or Minnesota or Georgia or Missouri or Arizona or New Jersey or Tennessee or United States
$75k-$85k/yrHybridFull Time
Sky Zone: Operates indoor active entertainment and trampoline parks for all ages.
3+ YOEBachelor's degree preferred; 3+ years in safety compliance, risk management, claims, insurance litigation support, or related work. Requires investigation, root cause analysis, reporting, communication, and documentation skills.
Risk Management Information System (RMIS), Microsoft Excel, Microsoft PowerPoint, Microsoft Word
Personify Health: Personalized health navigation and wellness engagement platform.
3+ YOEBachelor's degree or equivalent experience, 3+ years in claims configuration, auditing, quality assurance, benefits administration, or healthcare operations; advanced Javelina or similar claims system experience required.
Oscar HealthNYSE: OSCR: Provides tech-enabled health insurance plans and telemedicine services.
2+ YOEBachelor's degree or 4 years experience; 2+ years in health insurance customer service/claims/appeals/regulatory; strong attention to detail; ability to manage complex documentation; proficiency with MS Office and Google Tools.
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
3+ YOE3+ years retail pharmacy experience, 2+ years claims adjudication research experience, bachelor's degree required, 2+ years Microsoft Office (Excel, Outlook, Word), strong communication, analytical and critical thinking skills.
Microsoft Excel, Microsoft Outlook, Microsoft Word, claims adjudication software
Mountain Park Health Center: Provides affordable primary medical and wellness services for families.
3+ YOEBachelor’s degree in finance, accounting, healthcare or business administration; three years of healthcare finance or revenue cycle experience; reimbursement, claims, denial management, and analytical expertise.
Microsoft Excel, Microsoft Word, Microsoft PowerPoint
Valleywise Health: A public health system providing hospital and clinical care.
3+ YOEBachelor's degree or equivalent experience, 3+ years in healthcare revenue cycle, vendor support, analytics, financial analysis, claims, billing, or collections; reporting and data analysis experience required.
Pennsylvania or Maryland or Washington or North Carolina or Louisiana or Kentucky or Kansas or Indiana or Illinois or Georgia or Iowa or Florida or Colorado or California or Delaware or Connecticut or Arkansas or Arizona or Alabama or Alaska or Nevada or Vermont or Tennessee or Idaho or Oklahoma or Hawaii or Mississippi or Utah or New Hampshire or New Mexico or Wyoming or North Dakota or South Dakota or Rhode Island or West Virginia or Montana or Texas or District of Columbia or Ohio or New Jersey or Oregon or South Carolina or Missouri or Virginia or Massachusetts or Nebraska or Minnesota or Michigan or Wisconsin or New York or Maine
$79k-$127k/yrOnsiteFull Time
Highmark Health: Provides health insurance and integrated medical care services.
5+ YOE5+ years designing and delivering clinical and population health analyses using claims, clinical, enrollment and provider data; bachelor's in related field required; strong coding, database and analytic skills; project leadership and consultative experience.
CNA National: Administers vehicle service contracts and protection plans through dealerships.
3+ YOERequires 3–5 years in contact center, workforce management, claims, scheduling, reporting, or systems support; Excel proficiency and analytical skills. Bachelor's degree preferred; high school diploma with technical certifications accepted.
RingCentral, DialPad, Five9, Genesys, NICE, Verint, Microsoft Excel
United States or Richardson or Hartford or Minneapolis or Dallas or Phoenix or Tampa
$20-$36/hrRemoteFull Time
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
1+ YOEHigh school diploma/GED or equivalent experience, 1+ year of UNET and NDB knowledge, claims processing experience, managed care or medical insurance experience, and strong analytical, communication, and problem-solving skills.
UNET, NDB, Microsoft Excel, Microsoft Word, Microsoft Outlook, Microsoft SharePoint