14 claims analyst jobs at 10 companies in Maine
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Sr. Claims Analyst, Health and Risk Solutions
Wellesley Hills or Hartford or Baltimore or Portland or Memphis or Kansas City or Milwaukee or United States
$68k-$102k/yr HybridFull Time
7+ YOE7+ years handling complex claims, especially Medical Stop Loss or complex medical claims, with expertise in claims practices, legal precedents, claims accounting, healthcare legislation, negotiation, and stakeholder influence.
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Sr. Claims Analyst, Health and Risk Solutions
Wellesley Hills or Hartford or Baltimore or Portland or Memphis or Kansas City or Milwaukee
$68k-$102k/yr HybridFull Time
7+ YOERequires 7+ years handling complex medical or stop-loss claims, expertise in claims practices, legal precedents, accounting, healthcare legislation, negotiation, communication, and complex problem-solving.
Microsoft Excel
2d
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Workers Compensation Claims Adjuster Analyst I (538804)
Salisbury or Quincy or Maine or Pennsylvania or South Carolina or Illinois or Maryland or New York
$27-$46/hr HybridFull Time
Licensed adjuster or ability to obtain a license, bachelor's degree or 4 years of workers' compensation claims experience, complex claims knowledge, medical terminology, negotiation, communication, and critical-thinking skills.
1mo
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Worker's Compensation Analyst II Claims Adjuster
Carlisle or Salisbury or Scarborough or Quincy
$63k-$109k/yr HybridFull Time
5+ YOE5+ years workers' compensation claims experience, ability to handle lost-time claims, active/obtainable adjuster license, working knowledge of statutes and medical terminology, bachelor\u0002s or equivalent experience.
4w
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Workers Compensation Analyst II Claims Adjuster
Carlisle or Quincy or Salisbury or Scarborough
$63k-$109k/yr HybridFull Time
5+ YOERequires 5+ years of Workers' Compensation claims handling experience, including lost-time claims; a bachelor's degree or equivalent experience; applicable adjuster license; and knowledge of statutes, medical terminology, FMLA, ADA, and return-to-work coordination.
FMLA, ADA, PBM
1mo
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Worker's Compensation Analyst II Claims Adjuster
Salisbury or Scarborough or Quincy or Carlisle
$63k-$109k/yr HybridFull Time
5+ YOE5+ years workers' compensation claims experience, active adjuster license or ability to obtain, bachelor\u0002s or equivalent experience, working knowledge of WC statutes and medical terminology.
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Senior Appeals Analyst
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
$67k-$110k/yr RemoteFull Time
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.
Microsoft Office
3w
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Revenue Cycle IDR Analyst
Alabama or Arkansas or Arizona or Florida or Georgia or Idaho or Indiana or Kansas or Maine or Michigan or Missouri or Mississippi or North Carolina or New Mexico or Oklahoma or Pennsylvania or South Carolina or Tennessee or Texas or Virginia or Wisconsin or West Virginia
RemoteFull Time
3+ YOEBachelor's degree or equivalent experience; 3+ years in hospital revenue cycle analytics or accounts receivable claims management; experience reviewing insurance cards, EOBs, claims data, and revenue cycle systems.
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Senior Appeals Analyst - LTD
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
$67k-$110k/yr HybridFull Time
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.
Microsoft Office
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Analyst, Contract Operations
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/yr RemoteFull Time
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.
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Product Delivery Analyst, Revenue Cycle Analytics
Alabama or Arkansas or Arizona or Florida or Georgia or Idaho or Indiana or Kansas or Maine or Michigan or Missouri or Mississippi or North Carolina or New Mexico or Oklahoma or Pennsylvania or South Carolina or Tennessee or Texas or Utah or Virginia or Wisconsin or West Virginia
RemoteFull Time
3+ YOEBachelor's degree in a related field and 3–6 years of healthcare analytics or revenue cycle experience. Requires claims data, X12, SQL, and Snowflake experience.
SQL, Snowflake, BI, 835 Electronic Remittance Advice (ERA), 837 Claims, X12
2mo
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Senior Healthcare Data Analyst - Remote
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/yr RemoteFull Time
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
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Senior Clinical & Population Health Analyst
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/yr OnsiteFull Time
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.
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Project Manager (Business Analyst)
Alabama or Arizona or California or Colorado or Connecticut or District of Columbia or Delaware or Florida or Georgia or Illinois or Louisiana or Maine or Maryland or Massachusetts or Michigan or Minnesota or Missouri or Nevada or North Carolina or New Jersey or New York or Ohio or Oklahoma or Oregon or Pennsylvania or Rhode Island or South Carolina or Texas or Tennessee or Utah or Virginia or Washington or Wisconsin
$114k-$127k/yr RemoteFull Time
Subject-matter expertise in Medicare claims (Part A/Part B), business analysis or product ownership experience, strong Excel skills, HIPAA/PHI handling, excellent communication and attention to detail, ability to obtain CMS Public Trust.
Microsoft Excel