3mo
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Senior Claims Analyst
Huntington Beach, California, United States
$70k-$80k/yr OnsiteFull Time
5+ YOE5+ years of healthcare claims operations experience; Bachelor’s degree; strong knowledge of claims systems and EDI; liaison between business and IT.
EDI, Claims systems, UAT, Test case development, CMS regulations
1mo
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Promotional Claims Accrual Analyst
Corona, California, United States
$33-$38/hr HybridFull Time
3+ YOEBachelor's degree preferred (Accounting, Mathematics, Business); 3+ years accounting experience and 1+ years analytics; intermediate-advanced Microsoft Excel; experience with accruals, SAP, Power BI, Salesforce, and strong analytical and communication skills.
Microsoft Excel, Microsoft Office Suite, Microsoft SharePoint, Microsoft Power BI, SAP, Salesforce, VIP-PPM
1mo
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Analyst III, Epic Application Professional Billing and Claims
Irvine, California, United States
$103k-$133k/yr OnsiteFull Time
3+ YOEEpic Professional Billing & Claims SME with 3+ years' relevant experience, current Epic certification (or recent use), bachelor's degree in IT/healthcare (or equivalent), strong project management and communication skills.
Epic
2mo
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Analyst III, Epic Application Professional Billing and Claims
Irvine, California, United States
$103k-$133k/yr OnsiteFull Time
3+ YOEEpic certification (current/active within 2 years), 3+ years relevant experience, bachelor's degree or equivalent experience preferred, strong project management and leadership skills.
Epic Professional Billing and Claims, Epic PB and Claims
2d
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Data Analyst Sr, Finance - Encounter Data (Covered California)
Orange, California, United States
$84k-$135k/yr HybridFull Time
5+ YOEBachelor's plus 5 years data analyst experience with SQL; 3 years Medi-Cal managed care or Medicare Advantage and Covered California experience required; experience reconciling encounter/claims data and working with DHCS/CMS.
SQL, Electronic Data Interchange (EDI), Microsoft Word, Microsoft Outlook, Microsoft Excel, Microsoft PowerPoint
1mo
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Account Analyst
Tacoma or Santa Ana
$26-$33/hr HybridFull Time
Experience with insurance claims processing, denial management, appeals, and accounts receivable; strong analytical skills; proficiency in Microsoft Excel; high school diploma required; Associate's degree preferred.
Microsoft Excel
1mo
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Haulaway Operations Team - Analyst
Irvine, California, United States
$26-$28/hr OnsiteFull Time
0+ YOEHigh school diploma/GED, 0-3 years logistics/claims/transportation experience, strong communication, planning, and critical thinking, proficiency with Microsoft Office and EDI, ability to operate office equipment and sit for long periods.
Microsoft Excel, Microsoft Word, Microsoft Outlook, Microsoft PowerPoint, EDI
2mo
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Risk & Insurance Analyst
Carlsbad, California, United States
$75k-$96k/yr OnsiteFull Time
3+ YOE3+ years in insurance, claims management, risk management; strong financial analysis; advanced Excel skills; budgeting/forecasting experience.
Microsoft Excel, Financial modeling
1w
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Actuarial Analyst (Reserving)
La Jolla or Edina
$80k-$142k/yr OnsiteFull Time
3+ YOEBachelor's in math/statistics/actuarial science preferred; ~3 years actuarial or analytical experience; actuarial exams in progress (~3 passed) preferred; experience with reserving, loss analytics, claims integration, data preparation, and research.
Arius
1mo
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Senior Actuarial Analyst
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/yr RemoteFull Time
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
3w
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Senior Risk Analyst
Encinitas, California, United States
$100k-$151k/yr OnsiteFull Time
4+ YOEPlans and administers risk management programs, investigates and manages claims, coordinates insurance and loss prevention; requires associate’s degree (bachelor’s preferred), valid CA driver license, First Aid and CPR, and 4+ years risk experience.
1mo
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Haulaway Operations Team - Analyst
Irvine, California, United States
$26-$28/hr OnsiteFull Time
0+ YOEHigh school diploma/GED; 0-3 years logistics/transportation/claims experience; strong communication, planning, organizational, and critical-thinking skills; proficient with Microsoft Office and EDI.
Microsoft Excel, Microsoft Word, Microsoft Outlook, Microsoft PowerPoint, EDI
5d
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Risk Management/Insurance Analyst (Financial Analyst III)
Orange, California, United States
$91k-$145k/yr OnsiteFull Time
5+ YOEBachelor's in business/finance/risk or equivalent plus 5+ years in corporate risk management or insurance broker experience; insurance program administration, claims handling, contract review, and Microsoft Office proficiency.
Microsoft Word, Microsoft Outlook, Microsoft Excel, Microsoft PowerPoint
2mo
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Revenue Recovery Analyst
San Bernardino, California, United States
$35-$40/hr OnsiteFull Time
5+ YOEMinimum 5+ years in healthcare claims processing and auditing; HS diploma required; Bachelor’s preferred in business, finance, or accounting; strong Excel skills; ability to analyze and reconcile receivables.
Microsoft Office, Excel, EZ-Cap
2w
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System Configuration Analyst
Tustin, California, United States
$65k-$75k/yr RemoteFull Time
2+ YOEHigh school diploma/GED, 2+ years PPO/HMO claims processing experience, HSP and dental procedure knowledge, proficiency with Word/Excel/Access, strong analytical and communication skills.
Microsoft Word, Microsoft Excel, Microsoft Access, Crystal Report, HSP
3w
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Revenue Recovery Analyst
Anaheim, California, United States
$52k-$65k/yr OnsiteFull Time
5+ YOEAssociate degree required; 5+ years medical billing/claims follow-up in outpatient primary care; coding knowledge; experience with payor guidelines, Medi‑Cal denials, HIPAA 5010; strong communication and computer skills.
EclinicalWorks, NextGen, Microsoft Word, Microsoft Excel, Microsoft Outlook
2w
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System Configuration Analyst
Tustin or United States
$65k-$75k/yr RemoteFull Time
2+ YOEHigh school diploma/GED, minimum 2 years PPO/HMO claims processing or auditing, HSP systems and dental procedure knowledge, Microsoft Word/Excel/Access and Crystal Reports proficiency, advanced analytical and communication skills.
Microsoft Word, Microsoft Excel, Microsoft Access, Crystal Reports, HSP
1mo
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Senior Data Analyst, Performance Guarantees
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
$104k-$137k/yr RemoteFull Time
Bachelor's degree, advanced SQL and Looker experience, familiarity with EHR/claims data, strong stakeholder communication, financial accruals experience, and capability to manage performance guarantee analytics and dashboards.
SQL, Looker, Salesforce CRM, EHR
1mo
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Medical Informatics Analyst, Consultant- Utilization Management
El Dorado Hills or Long Beach or Lodi or Rancho Cordova or Redding or San Diego or Woodland Hills
$123k-$185k/yr HybridFull Time
7+ YOECollege degree, SAS Base and Advanced credentials, 7+ years relevant experience (5+ in healthcare), 2+ years Power BI/Tableau, SQL, DBT, Power Query, and utilization/claims domain knowledge.
SAS, Microsoft Power BI, Tableau, SQL, DBT, Power Query
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