Claims Analyst or (Senior) Claims & Patient Safety Specialist
Oakland or California or Hawaii
$73k-$157k/yrRemoteFull Time
MIEC: Physician-owned medical professional liability insurer serving physicians, acupuncturists, healthcare professionals, groups, and facilities in four western states.
5+ YOEBachelor's degree, valid driver's license, 5–10+ years medical professional liability claims or risk management experience depending on level; knowledge of PSRM, clinical systems, and strong communication and analytical skills.
Word, Excel, Power Point, Windows, Teams, Sharepoint, CoPilot, Candello - Solutions by CRICO, MPL Association Data Sharing Project, Preverity
HMSA (Hawaii Medical Service Association): HMSA is a nonprofit Hawaii health insurer providing affordable health plans to individuals, families, and employers.
5+ YOEBachelor's degree and five years of related experience or equivalent; strong presentation skills; payer revenue-cycle, claims, health-plan financial data, and Microsoft Office expertise.
Microsoft Office, Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft PowerPoint
United States or Alaska or Connecticut or Delaware or Hawaii or Idaho or Kansas or Kentucky or Maine or Massachusetts or Mississippi or Montana or New Hampshire or New Mexico or North Dakota or Rhode Island or South Carolina or South Dakota or Vermont or District of Columbia or West Virginia or Wyoming
$60k-$73k/yrRemoteFull Time
Lumicera Health Services: U.S. specialty pharmacy delivering complex medications, clinical guidance, adherence support, and cost-plus services to patients and health systems.
3+ YOEBachelor’s degree, 3+ years managed care/pharmacy benefits or pharmaceutical experience, pharmacy technician license preferred, ability to analyze claims and contracts, RFP and audit support experience.
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: Privately held healthcare administrator connecting military families and Veterans with community care under federal contracts.
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
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
$63k-$74k/yrRemoteFull Time
TriWest Healthcare Alliance: Privately held healthcare administrator connecting military families and Veterans with community care under federal contracts.
5+ YOERequires 5+ years clinical coding experience, 3+ years claims processing, high school diploma/GED, CIC/CCS/RHIT certification, U.S. citizenship and ability to pass DoD background investigation.
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: To create a remarkable health experience, freeing people to be their best.
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.