SIHO Insurance Services: Provides health insurance plans and healthcare administration services.
2+ YOEReview and adjudicate non-routine medical, pharmacy, vision and dental claims; interpret plan language; meet productivity and accuracy standards; strong communication and Microsoft Office skills.
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.
Illinois or Indiana or Iowa or Kentucky or Michigan or Missouri or Ohio or Oregon or Pennsylvania or Wisconsin or Troy
$21-$24/hrRemoteFull Time
BeneSys: Provides third-party administration for multi-employer benefit plans.
2+ YOETwo years of related experience, medical claims processing and terminology knowledge, Microsoft Office proficiency, high school diploma or GED, and strong reasoning, mathematical, communication, and phone skills.
Indiana Attorney General: Provides legal representation and consumer protection for Indiana's citizens.
Prefer Associate or Bachelor degree or equivalent experience. Requires strong critical thinking, attention to detail, analytical skills, written and verbal communication, knowledge of Indiana unclaimed property law, and fluency with Microsoft Excel/Word/Outlook.
Accurint, IDI Core, Microsoft Excel, Microsoft Word, Microsoft Outlook
Swiss ReSIX Swiss Exchange: SREN: Provides global reinsurance and insurance-based risk management solutions.
Recent Bachelor's or Master's degree, ≤3 years professional experience, strong analytical and communication skills, willingness to obtain adjuster licensing, familiarity with claims assessment and documentation.
1+ YOEHigh school diploma, 1+ year mortgage servicing/default or QA experience (or college graduate). Must review default claims for accuracy, validate expenses, follow investor/insurer guidelines, meet deadlines, and communicate effectively.
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
Alabama or Arkansas or Florida or Georgia or Iowa or Idaho or Indiana or Kansas or Kentucky or Louisiana or Michigan or Minnesota or North Carolina or North Dakota or Ohio or Oklahoma or South Carolina or South Dakota or Tennessee or Texas or Wisconsin
RemoteFull Time
Aspirus Health: Integrated nonprofit health system operating hospitals and medical clinics.
2+ YOEEpic claims and remittance expertise, 2+ years healthcare/IT experience, Epic Resolute Billing certification, strong SDLC knowledge, project and training experience, excellent communication and analytical skills.
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.
Arizona or Arkansas or Idaho or Texas or Georgia or Montana or Iowa or Wisconsin or Oregon or Washington or New York or District of Columbia or Connecticut or Nebraska or Rhode Island or Tennessee or Kentucky or Ohio or West Virginia or Maryland or Massachusetts or South Carolina or Missouri or Utah or South Dakota or Pennsylvania or New Hampshire or Vermont or Minnesota or New Mexico or Michigan or California or Maine or North Dakota or Kansas or Indiana or New Jersey or Nevada or Louisiana or Mississippi or Oklahoma or Alabama or Virginia or Illinois or North Carolina or Colorado or Florida or Wyoming or Delaware
$47k-$122k/yrRemoteFull Time
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
1+ YOE1+ years programming/analytical experience, strong SQL skills, data warehouse experience, claims/encounters knowledge, communication and collaboration skills.
Grand Prairie or Atlanta or Durham or Indianapolis or Mason
HybridFull Time
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
5+ YOEBA/BS and 5+ years of business analysis experience required; pharmacy benefits, healthcare claims, data analysis, testing, Agile collaboration, and communication skills preferred.
Blue & Co.: Accounting and advisory firm providing financial auditing and consulting.
3+ YOEBachelor's or equivalent, 3+ years in data analytics/BI or healthcare consulting, Power BI and dimensional modeling experience, familiarity with healthcare claims/EHR data and Microsoft Fabric, strong communication and AI tool usage.
Power BI, DAX, Power Query (M), Microsoft Fabric, Snowflake, EMR, EHR, Copilot, ChatGPT, Claude, LLMs
Newark or Wisconsin or California or Colorado or Arkansas or Arizona or Alabama or District of Columbia or Florida or Connecticut or Georgia or Wyoming or Delaware or Iowa or Kansas or Indiana or Kentucky or Illinois or Idaho or Louisiana or Massachusetts or Maryland or Maine or Michigan or Mississippi or Washington or Texas or Missouri or Montana or North Carolina or Minnesota or North Dakota or New Hampshire or Oklahoma or Vermont or Nebraska or New Jersey 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
3+ YOERequires 3–5 years of standalone long-term disability claims experience, knowledge of ERISA and state requirements, strong analytical, communication, customer service, collaboration, and documentation skills.
Remote - Lead Epic Revenue Application Analyst III - HB Claims & Remittance
Saint Joseph or Alabama or Colorado or Florida or Georgia or Idaho or Indiana or Iowa or Kansas or Kentucky or Minnesota or Missouri or Mississippi or Nebraska or North Carolina or Oklahoma or Texas or Utah or Virginia
RemoteFull Time
Mosaic Life Care: Provides comprehensive hospital and clinical healthcare services.
5+ YOEBachelor's in IT/Business or 5 years related experience, 5+ years supporting clinical/ancillary/business environments, application build experience, Epic certification required within hire timeframe, strong communication and problem-solving skills.
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
Virginia Beach or Alabama or Delaware or Florida or Georgia or Idaho or Indiana or Kansas or Louisiana or Maine or Maryland or Minnesota or Nebraska or Nevada or New Hampshire or North Carolina or North Dakota or Ohio or Oklahoma or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or Washington or West Virginia or Wisconsin or Wyoming
$80k-$134k/yrRemoteFull Time
Sentara Health: Operates hospitals and provides health insurance and medical services
3+ YOEBachelor's in analytics/statistics/informatics/business/public health, 3+ years data analysis, advanced Microsoft Excel/SQL/Power BI, dashboard development, data quality, experience with Epic or claims preferred, strong communication.
Microsoft Excel, SQL, Power BI, Epic, Databricks, Azure, ETL, data warehouse
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.
Louisville or Kentucky or Indiana or Missouri or Ohio or Tennessee or Alabama or Virginia or Mississippi or North Carolina or South Carolina
RemoteFull Time
Norton Healthcare: Provides comprehensive hospital, surgical, and specialty medical care services.
1+ YOE1 year revenue cycle experience with an Associate's degree (or 3 years without); subject-matter knowledge of payor reimbursements, medical policies, claims analysis, billing and collections.