Medical Claim Analyst

What you’ll do In a few words… Abarca is igniting a revolution in healthcare. We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning… The Darwin Claims Administration team provides high quality services to clients and beneficiaries and meets that standard by configuring timely...

What you’ll do In a few words… Abarca is igniting a revolution in healthcare. We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning… The Darwin Claims Administration team provides high quality services to clients and beneficiaries and meets that standard by configuring timely...

The Sr Claims Auditor ensures incoming claims are processed in accordance with policies, procedures and guidelines, as outlined by Leon Health and contractual agreements; within mandated timeframes; and according to rates as reflected in respective provider contracts. The Claims Auditor will be responsible for pre-payment, post-payment validations and the...

The Sr Claims Auditor ensures incoming claims are processed in accordance with policies, procedures and guidelines, as outlined by Leon Health and contractual agreements; within mandated timeframes; and according to rates as reflected in respective provider contracts. The Claims Auditor will be responsible for pre-payment, post-payment validations and the...

**Position Summary** **Duties and Responsibilities** - Conduct analysis around various claims payment processes to ensure accuracy of system configuration and provider payments. - Investigate and resolve problem claims, while focusing on improving errors and problems to prevent future occurrences. - Perform and execute various claims process testing...

Strong healthcare domain knowledge is a must. Hands-on experience working with CMS and/or Payer data feeds - Medical Claims, Eligibility, Rx Claims, Provider, CMS data, Quality Care Gap data. Advanced SQL skills with demonstrated experience performing data analysis, data illustration/visualization, data validation, data profiling and data cleansing...

Job Title: Business System AnalystLocation: Miami FL - Onsite Preferred but Remote is okDuration: Fulltime or Long term Contract Job Description:1. Strong healthcare domain knowledge is a must.2. Hands-on experience working with CMS and/or Payer data feeds - Medical Claims, Eligibility, Rx Claims, Provider, CMS data, Quality Care Gap data.3. dvanced SQL...

Job Description Job Description COMPANY OVERVIEW: Founded in 1989, United Automobile Insurance Company is an innovative and established organization looking for a PIP Supervisor to join our team. Family-owned, UAIC, is one of the largest privately held property and casualty insurance companies in the United States. The key to our growth and success is a...

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet. The University of Miami has a great opportunity for a Risk...

Who are we looking for? Digital Analyst to research and identify ways to build clients` targeted audiences and paid media placements across multiple platforms. Responsibilities include, but are not limited to: tracking advertising costs, researching consumer behavior, creating targeted audiences, and exploring market trends and opportunities. The Digital...

Who are we looking for? Digital Analyst to research and identify ways to build clients` targeted audiences and paid media placements across multiple platforms. Responsibilities include, but are not limited to: tracking advertising costs, researching consumer behavior, creating targeted audiences, and exploring market trends and opportunities. The Digital...

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet. The University of Miami has an exciting opportunity for a...

Journey with us! Combine your career goals and sense of adventure by joining our exciting team of employees. Royal Caribbean Group is pleased to offer a competitive compensation & benefits package, and excellent career development opportunities, each offering unique ways to explore the world. Position Summary / Job Purpose The Compliance Specialist of the...

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet. The Financial Analyst assists in the preparation, coordination,...

BSA Compliance Analyst – Miami, FL – Job # 3325 Who We Are: The Symicor Group is a boutique talent acquisition firm based in Lincolnshire, IL & Rockport, TX. Our nationally unique value proposition centers around providing the very best available banking and accounting talent. In fact, most of our recruiters are former bankers or accountants themselves!...

We’re unique. You should be, too. We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We’re different than most primary care providers. We’re rapidly expanding and we need great...

Job Description Job Description JOB SUMMARY: The business intelligence analyst will conduct thorough data analysis, design, and implement analytic programs, generate reports, and collaborate with various teams to ensure we have the data necessary to optimize our resources, product performance and maximizing our market share. To succeed in this position, you...

Job Description Job Description The Payor Contract Analyst will support payor negotiations and strategic decisions with existing payor relationships through financial modeling and analysis. Job Functions: Evaluate the profitability of new and existing payor contracts by extracting, analyzing, and interpreting complex data. Maintain all payor agreements and...

The Televisa Univision digital analyst for Local will work to analyze marketing, financial and inventory related data with respect to spotting trends, weakness and opportunities to identify the most advantageous path for clients and the company. ABOUT YOU: As a digital analyst, this role will place a crucial aspect in deciphering digital data to drive...

Who we are: AerSaleis a global leader and market innovator specializing in aviation products and services to meet the growing demand for aftermarket support in global passenger, cargo, and government segments. Featuring complete aircraft nose-to-tail, value-added offerings, including Aircraft & Component Maintenance, Repair and Overhaul Services (MRO),...