17 claims analyst jobs at 13 companies in Pacifica, CA
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Veterans Claims Analyst
Alameda County, California, United States
$6k-$8k/moHybridFull Time
State Controller's Office: California's fiscal controller managing state financial operations and assets.
Provide claims assistance for veterans by evaluating and developing case files, attaining USDVA accreditation, passing Analyst II exam for list eligibility, and using multiple computer systems and MS Office.
Microsoft Excel, Microsoft Outlook, Microsoft Word, Microsoft PowerPoint, VBMS, CASEFLOW
State Controller's Office: California's fiscal controller managing state financial operations and assets.
Must meet Analyst II minimum qualifications, pass Analyst II examination to establish eligibility, obtain USDVA accreditation within six months, and access USDVA systems to represent veterans before USDVA and BVA.
NorthBay Health: Provides comprehensive hospital care and medical services in Northern California.
4+ YOEAssociate's degree or 4+ years claims experience required; 4 years claims payment systems experience; strong healthcare reimbursement knowledge; experience with Microsoft Word/Excel, QuickCap, Crystal Reports; knowledge of CPT, ICD-9, DRG, CMS-1500/UB04, COB rules.
Microsoft Word, Microsoft Excel, QuickCap, Crystal Reports
Claims Analyst or (Senior) Claims & Patient Safety Specialist
Oakland or California or Hawaii
$73k-$157k/yrRemoteFull Time
MIEC: Provides medical professional liability insurance and healthcare risk management services.
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
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.
Collective Health: Cloud platform for managing employer-sponsored health benefits.
8+ YOE8+ years healthcare analytics with claims experience, strong SQL, Looker/Tableau, Jira/Confluence, ability to lead client analyses and communicate findings; bachelor’s or equivalent experience.
UCSF Health: Academic medical center providing advanced patient care and research.
3+ YOEBachelor's in biological/computational field or equivalent, 3+ years data manipulation and statistical analysis experience, proficiency in SAS, Python, R, or SQL, experience with large EMR/claims datasets and research environment.
University of California, San Francisco: Public research university dedicated to health sciences and education.
3+ YOEBachelor's in biological/computational field or equivalent; 3+ years data manipulation, quality control, and statistical modeling; proficiency in SAS, Python, R, or SQL; experience with large (>50GB) EMR/claims datasets and research environments.
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/yrRemoteFull Time
Included Health: Provides integrated virtual care and healthcare navigation services.
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
Mudflap: Fuel payment and discount platform for the trucking industry.
2+ YOE2+ years owning claims/cases/tickets, strong written/verbal communication, attention to detail, spreadsheet and ticketing platform experience, ability to investigate transactions and collaborate cross-functionally; payments/fintech experience a plus.
Zendesk, Microsoft Excel, Google Sheets, ChatGPT, Claude
Arthur J. Gallagher & Co.NYSE: AJG: Global insurance brokerage and risk management services provider.
5+ YOE5+ years handling workers' compensation claims or consulting, 2+ years in risk management, strong knowledge of workers' compensation laws, FEHA/Interactive Process experience, return-to-work program and analytical skills, excellent communication.
Momentum for Health: Provides mental health treatment and residential care services.
3+ YOE3+ years healthcare revenue cycle experience; expertise in billing, denial management, Medi‑Cal and county behavioral health reimbursement; advanced Excel; myAvatar and claims systems experience; California driverʼs license and good driving record.
myAvatar, Inovalon, ChangeHealthcare, Microsoft Excel
San Francisco or New York City or Chicago or United States
$128k-$170k/yrRemoteFull Time
Komodo Health: Provides AI-driven healthcare data and patient journey analytics software.
5+ YOEMS in quantitative field required, 5+ years building production SQL pipelines for large-scale healthcare data, proficient in R/Python/SAS, Git experience, familiarity with administrative claims/EHR and US medical coding systems.
Revenue Cycle Management Analyst I (Onsite, Hybrid, Remote)
Fairfield or United States or Washington or Ohio or Wyoming or North Dakota or Puerto Rico or Virgin Islands, U.S.
$34-$41/hrHybridFull Time
NorthBay Health: Provides comprehensive hospital care and medical services in Northern California.
Bachelor's in a related field (or equivalent experience), CRCR to be obtained within nine months, experience with database reporting/interfaces, SQL preferred, and proficiency with Microsoft Excel/Access/Word/PowerPoint; knowledge of CPT/HCPCS/Rev Codes, claims processing, and Medicare.
SQL, Microsoft Excel, Microsoft PowerPoint, Microsoft Word, Microsoft Access