Analyst - MA Claims Operations

Responsible for assisting and supporting management in the evaluation, recommendation, establishment, implementation and analysis of new and improved production workflows, work processes for systems, reporting and new products/programs to improve customer service levels and overall quality. * Support the development, coordination, and implementation of...

Responsible for planning, organizing and managing an assigned business unit. Operate within broad objectives to ensure optimum utilization of resources; adapt business unit plans and priorities to address resource and operational challenges. Evaluate policies, procedures and business unit goals to make decisions and solve problems. * Manage activities of a...

Title: Claims Analyst/Billing AnalystWork Location: Detroit, MI, 48226Duration: 12 MonthsJob Type: Contract Work Type: HybridPay Rate: $44.00-44.00/Hourly/W2Engagement Description: This role will be responsible for implementing benefit changes for multiple client customers, working in the claims benefits system to identify and document requirements for...

Title: Claims Analyst/Billing AnalystWork Location: Detroit, MI, 48226Duration: 12 MonthsJob Type: Contract Work Type: HybridPay Rate: $44.00-44.00/Hourly/W2Engagement Description: This role will be responsible for implementing benefit changes for multiple client customers, working in the claims benefits system to identify and document requirements for...

Position: Systems Analyst IICompany: KYYBA IncRole Overview –This position entails overseeing the implementation of benefit modifications for various significant healthcare payer clients. The incumbent will engage with the claims benefits system to pinpoint and document requirements for system alterations, conduct claims testing, validate system...

STRATEGIC STAFFING SOLUTIONS IS HIRING Position: Systems Analyst (Claims) Location: Remote Work with On-Site Requirements Engagement Duration: Long-Term Contract Engagement Role Overview – The selected candidate will play a crucial role in executing benefit modifications for various clients. This position involves working within the claims...

STRATEGIC STAFFING SOLUTIONS IS HIRING Position: Systems Analyst (Claims) Location: On-Site Engagement Duration: Long-Term Contract Engagement Role Overview: The selected candidate will play a crucial role in managing benefit modifications for various clients. This position involves working within the claims benefits system to gather and...

Position: Insurance Claims AnalystLocation: Remote Work AvailableContract Duration: Long-term EngagementJob Classification: Contractual PositionWork Arrangement: Hybrid (1 day onsite)Compensation: $40 per hour on W2 basisROLE OVERVIEW: The individual in this position will oversee the execution of benefit modifications for various client accounts, utilizing...

Job Opportunity at Strategic Staffing SolutionsJob Title: Senior Systems AnalystJob Summary:We are seeking a highly skilled Senior Systems Analyst to join our team at Strategic Staffing Solutions. As a Senior Systems Analyst, you will be responsible for implementing benefit changes for multiple insurance customers, working in the claims benefits system to...

STRATEGIC STAFFING SOLUTIONS IS HIRING Position: Systems Analyst (Claims) Location: On-Site Required – 1 Day per week Duration: 12+ Months Role Type: W2 Contract Engagement Position Overview – The selected candidate will play a crucial role in executing benefit modifications for various clients. This position involves working within the...

It's a great time to join AAA The Auto Club GroupJOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARDJob Type:Full timeExempt/Non Exempt:SalaryJob Description:Reports to (job title): Claim Manager as appropriateI. Position DescriptionWill earn a competitive salary of $63, $85,000 annually with annual bonus potential based on performance.****This position...

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your...

STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENINGStrategic Staffing Solutions is currently seeking a Business Analyst for a contract opportunity with one of our prominent clients.Position: Business Analyst Location: Remote/Hybrid Contract Duration: 3+ Months Employment Type: W2 Contract EngagementEngagement OverviewThe selected candidate will play a...

Actuarial AnalystThe Actuarial Team at CURE Auto Insurance is looking for a Actuarial Analyst to join our growing team! In this role, you will be a key member in helping CURE grow profitably. The Actuarial Analyst will be involved in a variety of actuarial work, including rate indication, reserving and development of predictive model.Cure Auto Insurance is a...

STRATEGIC STAFFING SOLUTIONS HAS AN OPENING!Healthcare AnalystLocation: Detroit, MI On-Site Hybrid Duration: 12+ Months Role Type: W2 Contract Engagement SUMMARY: The Healthcare Analyst position is responsible for assisting Medicare Advantage PPO, HMO and PDP plans meet CMS compliance requirements for PBM oversight, CMS reporting and benefit set up and...

STRATEGIC STAFFING SOLUTIONS HAS AN OPENINGHealthcare AnalystLocation: RemoteDuration: 12+ MonthsRole Type: W2 Contract EngagementSUMMARY:The Healthcare Analyst role is pivotal in supporting Medicare Advantage PPO, HMO, and PDP plans to adhere to CMS compliance standards regarding PBM oversight, CMS reporting, and benefit configuration and testing. This...

PCR TeamStrong Testing experienceNASCO mainframeMedical Claims KnowledgeProof of ConceptPolicy/Benefits preferredAnalytical skillsSelf StarterJob Title: Systems Analyst IIRESPONSIBILITIES:Engagement Description:This role will be responsible for the delivery of Our Client’s Policy Change Requests.The work includes but is not limited to business requirement...

PCR TeamStrong Testing experienceNASCO mainframeMedical Claims KnowledgeProof of ConceptPolicy/Benefits preferredAnalytical skillsSelf StarterJob Title: Systems Analyst IIRESPONSIBILITIES:Engagement Description:This role will be responsible for the delivery of Our Client’s Policy Change Requests.The work includes but is not limited to business requirement...

Job DescriptionJob DescriptionActuarial AnalystThe Actuarial Team at CURE Auto Insurance is looking for a Actuarial Analyst to join our growing team! In this role, you will be a key member in helping CURE grow profitably. The Actuarial Analyst will be involved in a variety of actuarial work, including rate indication, reserving and development of predictive...

Job DescriptionJob DescriptionActuarial AnalystThe Actuarial Team at CURE Auto Insurance is looking for a Actuarial Analyst to join our growing team! In this role, you will be a key member in helping CURE grow profitably. The Actuarial Analyst will be involved in a variety of actuarial work, including rate indication, reserving and development of predictive...