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claims business analyst

608 claims business analyst jobs found

May 30, 2023  
Claims Business Analyst-Remote
You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you ll have access to competitive benefits including a fresh perspective on workplace flexibility.Position Purpose: Serve as the claims payment and claims configuration expert for plan and various departments to effectively identify and resolve claims issues. Act as the subject matter expert for the claims payment structure.Audit check run and send claims to the claims department for corrections. Collaborate with the claims department to price pended claims correctly. Identify authorization issues and trends and research for potential configuration related work process changes.Collaborate with various business units to resolve claims issues to ensure prompt and accurate claims adjudication. Document, track and resolve all plan providers claims projects. Research the claims on various reports to...
Sunshine State Health Plan Remote * (Tallahassee, FL, USA)
May 30, 2023  
Claims Business Analyst-Remote
You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Serve as the claims payment and claims configuration expert for plan and various departments to effectively identify and resolve claims issues. Act as the subject matter expert for the claims payment structure. Audit check run and send claims to the claims department for corrections. Collaborate with the claims department to price pended claims correctly. Identify authorization issues and trends and research for potential configuration related work process changes. Collaborate with various business units to resolve claims issues to ensure prompt and accurate claims adjudication. Document, track and resolve all plan providers claims projects. Research the claims on various...
Sunshine State Health Plan Remote * (Hialeah, FL, USA)
May 29, 2023  
Claims Business Process Analyst - Remote in Texas
Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) The Claims Business Process Analyst supports network contracting teams and claims team through properly configuring contracts based on CMS/contract methodologies for accurate claims payment. Responds to inquires received from eternal/internal providers, review claims in inventory or provider disputes due to contract set issues. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. There is no restrictions but preferably located in Texas.  Primary Responsibilities: Audit claims, that stop in the queue in IKA, to identify, and correct errors preventing IKA for processing the claims Tests and audits claims payment accuracy against contract information loaded into claims payment system...
UnitedHealth Group Boston, MA, USA
May 29, 2023  
Claims Business Process Analyst - Remote in Texas
Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) The Claims Business Process Analyst supports network contracting teams and claims team through properly configuring contracts based on CMS/contract methodologies for accurate claims payment. Responds to inquires received from eternal/internal providers, review claims in inventory or provider disputes due to contract set issues. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. There is no restrictions but preferably located in Texas.  Primary Responsibilities: Audit claims, that stop in the queue in IKA, to identify, and correct errors preventing IKA for processing the claims Tests and audits claims payment accuracy against contract information loaded into claims payment system...
UnitedHealth Group Austin, TX, USA
May 29, 2023  
Claims Business Process Analyst - Remote in Texas
Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) The Claims Business Process Analyst supports network contracting teams and claims team through properly configuring contracts based on CMS/contract methodologies for accurate claims payment. Responds to inquires received from eternal/internal providers, review claims in inventory or provider disputes due to contract set issues. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. There is no restrictions but preferably located in Texas.  Primary Responsibilities: Audit claims, that stop in the queue in IKA, to identify, and correct errors preventing IKA for processing the claims Tests and audits claims payment accuracy against contract information loaded into claims payment system...
UnitedHealth Group San Diego, CA, USA
May 29, 2023  
Claims Business Process Analyst - Remote in Texas
Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) The Claims Business Process Analyst supports network contracting teams and claims team through properly configuring contracts based on CMS/contract methodologies for accurate claims payment. Responds to inquires received from eternal/internal providers, review claims in inventory or provider disputes due to contract set issues. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. There is no restrictions but preferably located in Texas.  Primary Responsibilities: Audit claims, that stop in the queue in IKA, to identify, and correct errors preventing IKA for processing the claims Tests and audits claims payment accuracy against contract information loaded into claims payment system...
UnitedHealth Group Charlotte, NC, USA
May 29, 2023  
Claims Business Process Analyst - Remote in Texas
Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) The Claims Business Process Analyst supports network contracting teams and claims team through properly configuring contracts based on CMS/contract methodologies for accurate claims payment. Responds to inquires received from eternal/internal providers, review claims in inventory or provider disputes due to contract set issues. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. There is no restrictions but preferably located in Texas.  Primary Responsibilities: Audit claims, that stop in the queue in IKA, to identify, and correct errors preventing IKA for processing the claims Tests and audits claims payment accuracy against contract information loaded into claims payment system...
UnitedHealth Group Las Vegas, NV, USA
May 29, 2023  
Claims Business Process Analyst - Remote in Texas
Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) The Claims Business Process Analyst supports network contracting teams and claims team through properly configuring contracts based on CMS/contract methodologies for accurate claims payment. Responds to inquires received from eternal/internal providers, review claims in inventory or provider disputes due to contract set issues. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. There is no restrictions but preferably located in Texas.  Primary Responsibilities: Audit claims, that stop in the queue in IKA, to identify, and correct errors preventing IKA for processing the claims Tests and audits claims payment accuracy against contract information loaded into claims payment system...
UnitedHealth Group Phoenix, AZ, USA
May 29, 2023  
Claims Business Process Analyst - Remote in Texas
Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) The Claims Business Process Analyst supports network contracting teams and claims team through properly configuring contracts based on CMS/contract methodologies for accurate claims payment. Responds to inquires received from eternal/internal providers, review claims in inventory or provider disputes due to contract set issues. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. There is no restrictions but preferably located in Texas.  Primary Responsibilities: Audit claims, that stop in the queue in IKA, to identify, and correct errors preventing IKA for processing the claims Tests and audits claims payment accuracy against contract information loaded into claims payment system...
UnitedHealth Group Philadelphia, PA, USA
May 29, 2023  
Claims Business Process Analyst - Remote in Texas
Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) The Claims Business Process Analyst supports network contracting teams and claims team through properly configuring contracts based on CMS/contract methodologies for accurate claims payment. Responds to inquires received from eternal/internal providers, review claims in inventory or provider disputes due to contract set issues. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. There is no restrictions but preferably located in Texas.  Primary Responsibilities: Audit claims, that stop in the queue in IKA, to identify, and correct errors preventing IKA for processing the claims Tests and audits claims payment accuracy against contract information loaded into claims payment system...
UnitedHealth Group Indianapolis, IN, USA
May 29, 2023  
Claims Business Process Analyst - Remote in Texas
Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) The Claims Business Process Analyst supports network contracting teams and claims team through properly configuring contracts based on CMS/contract methodologies for accurate claims payment. Responds to inquires received from eternal/internal providers, review claims in inventory or provider disputes due to contract set issues. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. There is no restrictions but preferably located in Texas.  Primary Responsibilities: Audit claims, that stop in the queue in IKA, to identify, and correct errors preventing IKA for processing the claims Tests and audits claims payment accuracy against contract information loaded into claims payment system...
UnitedHealth Group Orlando, FL, USA
May 29, 2023  
Claims Business Process Analyst - Remote in Texas
Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) The Claims Business Process Analyst supports network contracting teams and claims team through properly configuring contracts based on CMS/contract methodologies for accurate claims payment. Responds to inquires received from eternal/internal providers, review claims in inventory or provider disputes due to contract set issues. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. There is no restrictions but preferably located in Texas.  Primary Responsibilities: Audit claims, that stop in the queue in IKA, to identify, and correct errors preventing IKA for processing the claims Tests and audits claims payment accuracy against contract information loaded into claims payment system...
UnitedHealth Group San Francisco, CA, USA
May 29, 2023  
Claims Business Process Analyst - Remote in Texas
Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) The Claims Business Process Analyst supports network contracting teams and claims team through properly configuring contracts based on CMS/contract methodologies for accurate claims payment. Responds to inquires received from eternal/internal providers, review claims in inventory or provider disputes due to contract set issues. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. There is no restrictions but preferably located in Texas.  Primary Responsibilities: Audit claims, that stop in the queue in IKA, to identify, and correct errors preventing IKA for processing the claims Tests and audits claims payment accuracy against contract information loaded into claims payment system...
UnitedHealth Group San Jose, CA, USA
May 29, 2023  
Claims Business Process Analyst - Remote in Texas
Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) The Claims Business Process Analyst supports network contracting teams and claims team through properly configuring contracts based on CMS/contract methodologies for accurate claims payment. Responds to inquires received from eternal/internal providers, review claims in inventory or provider disputes due to contract set issues. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. There is no restrictions but preferably located in Texas.  Primary Responsibilities: Audit claims, that stop in the queue in IKA, to identify, and correct errors preventing IKA for processing the claims Tests and audits claims payment accuracy against contract information loaded into claims payment system...
UnitedHealth Group Houston, TX, USA
May 29, 2023  
Claims Business Process Analyst - Remote in Texas
Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) The Claims Business Process Analyst supports network contracting teams and claims team through properly configuring contracts based on CMS/contract methodologies for accurate claims payment. Responds to inquires received from eternal/internal providers, review claims in inventory or provider disputes due to contract set issues. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. There is no restrictions but preferably located in Texas.  Primary Responsibilities: Audit claims, that stop in the queue in IKA, to identify, and correct errors preventing IKA for processing the claims Tests and audits claims payment accuracy against contract information loaded into claims payment system...
UnitedHealth Group Miami, FL, USA
May 29, 2023  
Claims Business Process Analyst - Remote in Texas
Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) The Claims Business Process Analyst supports network contracting teams and claims team through properly configuring contracts based on CMS/contract methodologies for accurate claims payment. Responds to inquires received from eternal/internal providers, review claims in inventory or provider disputes due to contract set issues. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. There is no restrictions but preferably located in Texas.  Primary Responsibilities: Audit claims, that stop in the queue in IKA, to identify, and correct errors preventing IKA for processing the claims Tests and audits claims payment accuracy against contract information loaded into claims payment system...
UnitedHealth Group Chicago, IL, USA
May 29, 2023  
Claims Business Process Analyst - Remote in Texas
Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) The Claims Business Process Analyst supports network contracting teams and claims team through properly configuring contracts based on CMS/contract methodologies for accurate claims payment. Responds to inquires received from eternal/internal providers, review claims in inventory or provider disputes due to contract set issues. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. There is no restrictions but preferably located in Texas.  Primary Responsibilities: Audit claims, that stop in the queue in IKA, to identify, and correct errors preventing IKA for processing the claims Tests and audits claims payment accuracy against contract information loaded into claims payment system...
UnitedHealth Group Los Angeles, CA, USA
May 29, 2023  
Claims Business Process Analyst - Remote in Texas
Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) The Claims Business Process Analyst supports network contracting teams and claims team through properly configuring contracts based on CMS/contract methodologies for accurate claims payment. Responds to inquires received from eternal/internal providers, review claims in inventory or provider disputes due to contract set issues. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. There is no restrictions but preferably located in Texas.  Primary Responsibilities: Audit claims, that stop in the queue in IKA, to identify, and correct errors preventing IKA for processing the claims Tests and audits claims payment accuracy against contract information loaded into claims payment system...
UnitedHealth Group Dallas, TX, USA
May 29, 2023  
Claims Business Process Analyst - Remote in Texas
Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) The Claims Business Process Analyst supports network contracting teams and claims team through properly configuring contracts based on CMS/contract methodologies for accurate claims payment. Responds to inquires received from eternal/internal providers, review claims in inventory or provider disputes due to contract set issues. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. There is no restrictions but preferably located in Texas.  Primary Responsibilities: Audit claims, that stop in the queue in IKA, to identify, and correct errors preventing IKA for processing the claims Tests and audits claims payment accuracy against contract information loaded into claims payment system...
UnitedHealth Group New York, NY, USA
May 28, 2023  
Claims Business Process Analyst - Remote in Texas
Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) The Claims Business Process Analyst supports network contracting teams and claims team through properly configuring contracts based on CMS/contract methodologies for accurate claims payment. Responds to inquires received from eternal/internal providers, review claims in inventory or provider disputes due to contract set issues. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. There is no restrictions but preferably located in Texas.  Primary Responsibilities: Audit claims, that stop in the queue in IKA, to identify, and correct errors preventing IKA for processing the claims Tests and audits claims payment accuracy against contract information loaded into claims payment system Completes...
UnitedHealth Group San Antonio, TX, USA