14 claims analyst jobs at 12 companies in Rhode Island
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Warranty Claims Analyst
Rhode Island, United States
OnsiteFull Time
CarrierNYSE: CARR: Manufactures HVAC, refrigeration, and fire safety systems.
2+ YOEHigh school diploma/GED plus 2+ years in warranty claims processing or hydronics, or associate degree plus 1+ year. Requires customer service, analytical, organizational, and communication skills.
Gainwell Technologies: Delivers technology solutions for public health and Medicaid programs.
6+ YOERequires 6+ years as a business analyst, advanced Excel, SQL, and ALM proficiency, SDLC knowledge, requirements leadership, process re-engineering, testing, and healthcare claims experience preferred.
Microsoft Excel, SQL, Application Lifecycle Management (ALM), ServiceNow, Software Development Life Cycle (SDLC)
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.
Healthcentric Advisors: Provides clinical quality improvement and healthcare consulting services to providers.
1+ YOEBachelor's degree required (master's preferred),1+ years healthcare data analytics,proficiency in Excel,SAS/Python/PySpark/SQL,experience with health claims and data presentation.
Microsoft Excel, SAS, SQL, Python, PySpark, Microsoft Power BI, REDCap, SurveyMonkey, Tableau
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.
Care New England Health System: Integrated non-profit health system providing hospital and medical services.
2+ YOEHigh school diploma and minimum 2 years healthcare or accounts receivable experience; strong knowledge of insurance billing, claims resolution, documentation, and excellent communication and typing skills.
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
Navitus Health Solutions: Transparent pharmacy benefit management and specialty pharmacy provider.
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.
Canton or Cranston or Farmington or Mansfield or Southborough
$72k/yrHybridFull Time
Hilb Group: Provides insurance brokerage and employee benefits advisory services.
2+ YOEHigh school diploma required; insurance license required. Preferred: 2–5 years in employee benefits, stop loss, claims analysis, or related work; advanced Excel, reporting, analytical, organizational, and communication skills.
Microsoft Excel, Microsoft Office Suite, Agency Management Systems
Senior Analyst Claim Reporting and Special Services
Woonsocket, Rhode Island, United States
$47k-$112k/yrHybridFull Time
Qureos: AI-powered recruitment platform automating candidate sourcing and screening.
2+ YOE2+ years processing claims in ACAS, knowledge of Aetna claim/provider systems, data analysis, project management, strong communication and ability to meet turnaround objectives.
Care New England Health System: Integrated non-profit health system providing hospital and medical services.
2+ YOEHigh school diploma and minimum 2 years related healthcare or accounts receivable experience; strong communication and typing skills; knowledge of insurance and government billing guidelines; ability to manage AR aging, resolve claims, and maintain HIPAA compliance.
Blue Cross & Blue Shield of Rhode Island: Provides health and dental insurance plans to Rhode Islanders.
5+ YOEBachelor's or Master's in a quantitative field,5+ years analyzing healthcare claims data,advanced SQL and Python,experience with Snowflake and Power BI,ability to present insights to leadership.
Florida 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 Arizona 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 Wyoming or Delaware
$47k-$122k/yrRemoteFull Time
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
1+ YOEHigh school diploma or GED; 1+ year in business operations and data analytics and in healthcare or third-party administration; 1+ year using Microsoft Excel, PowerPoint, and Outlook. Claims, reporting, and Meritain systems experience preferred.
Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, DG, CSI
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.
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.