Claims and Encounter Data Analyst

JOB PURPOSE: The Claims and Encounter Analyst enhances the efficiency and effectiveness of the claims department by analyzing data, refining processes, and ensuring compliance with State, CMS, and contractual guidelines. This role requires knowledge of Government Programs medical claims and authorization data analytics, encounter process, risk adjustment,...

JOB PURPOSE: The Claims and Encounter Analyst enhances the efficiency and effectiveness of the claims department by analyzing data, refining processes, and ensuring compliance with State, CMS, and contractual guidelines. This role requires knowledge of Government Programs medical claims and authorization data analytics, encounter process, risk adjustment,...

JOB PURPOSE: The Claims and Encounter Analyst enhances the efficiency and effectiveness of the claims department by analyzing data, refining processes, and ensuring compliance with State, CMS, and contractual guidelines. This role requires knowledge of Government Programs medical claims and authorization data analytics, encounter process, risk adjustment,...

JOB PURPOSE: The Claims and Encounter Analyst enhances the efficiency and effectiveness of the claims department by analyzing data, refining processes, and ensuring compliance with State, CMS, and contractual guidelines. This role requires knowledge of Government Programs medical claims and authorization data analytics, encounter process, risk adjustment,...

Summary: Develop/gather business requirements for queries needed to analyze vendor payment data. Utilize pre/post claim editing, auditing, and claim recovery programs that will drive incremental value year over year. Analyze and interpret claims, payment, and vendor data to identify, prevent, and recover overpayments, as well as to drive process...

Claims Analyst III Join us as a Claims Analyst III to take on key responsibilities within a world-class claims function. Make your mark in Claims. As a Claim Analyst III, you will be responsible for handling all aspects of multi-line, financial lines claims from inception through conclusion brought against insureds. The responsibilities for this role include...

JOB PURPOSE: The Claims and Credentialing Analyst will be a pivotal role in analyzing and coordinating all activities of the Provider Data team by evaluating and refining processes, conducting comprehensive data analysis, and ensuring compliance with all applicable State, CMS, contractual guidelines and ensuring provider compliance with credentialing...

Job Description Join us as a Claims Analyst III to take on key responsibilities within a world-class claims function. Make your mark in Claims As a Claim Analyst III, you will be responsible for handling all aspects of multi-line, financial lines claims from inception through conclusion brought against insureds. The responsibilities for this role include...

Job Description Join us as a Claims Analyst III to take on key responsibilities within a world-class claims function. Make your mark in Claims As a Claim Analyst III, you will be responsible for handling all aspects of multi-line, financial lines claims from inception through conclusion brought against insureds. The responsibilities for this role include...

Job Description Join us as a Claims Analyst III to take on key responsibilities within a world-class claims function. Make your mark in Claims As a Claim Analyst III, you will be responsible for handling all aspects of multi-line, financial lines claims from inception through conclusion brought against insureds. The responsibilities for this role include...