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.
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.
Salt Lake City or Boise or Medford or Portland or Fargo or Lewiston
$22-$51/hrRemoteFull Time
Cambia Health Solutions: Non-profit health solutions providing insurance and care services.
3+ YOEBachelor's in business or related, 3+ years claims processing experience, pricing/reimbursement or pricing analyst experience for Level II, strong contract interpretation, analytical, and communication skills.
Microsoft Excel, Microsoft Word, Microsoft Access, SQL
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.
State of Oregon: Provides public administration and services for Oregon residents.
4+ YOEBachelor's in a related field and 4 years of professional evaluative/analytical work (or equivalent experience); expertise in Excel, SQL, SAS, Power BI, R, Python, ArcGIS; insurance and health claims experience preferred.
Microsoft Excel, SAS, SQL, Power BI, R, ArcGIS, Python
Tegria: Provides healthcare consulting and technology services to provider organizations.
3+ YOEBachelor's degree or equivalent experience, 3+ years with TriZetto Facets, healthcare payer and claims processing knowledge, requirements analysis, testing, troubleshooting, and communication skills.
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
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: Manages healthcare programs for veterans and military families.
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.
Confederated Tribes of Warm Springs: Sovereign tribal government managing natural resources and community services.
3+ YOEHigh school diploma or equivalent, 3 years medical office experience, medical terminology and claims processing, strong computer and communication skills, pass background check and drug/alcohol screening.
Moda Health: A health insurance providing medical, dental, and pharmacy plans.
0+ YOEBachelor's degree (or equivalent), 0–2 years health insurance or related experience, proficiency with Microsoft Office/Excel, basic SQL, familiarity with provider data and claims processing, strong analytical and communication skills.
Facets, Robotic Automation System (RAS), Microsoft Office, Microsoft Excel, SQL
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.
Moda Health: A health insurance providing medical, dental, and pharmacy plans.
5+ YOEBachelor's in business/healthcare (or equivalent), 5+ years in systems configuration/claims/operations, 2–5 years with CareAdvance, Facets knowledge, advanced health plan configuration expertise, MS Office proficiency, project management and configuration change management experience.
CareAdvance Enterprise Application, Facets, Microsoft Office
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/yrRemoteFull Time
Nava: Consultancy providing digital modernization services to government agencies.
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.