Financial Claims Examiner II Jobs in Phoenix, AZ

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Epic Resolute PB Claims Analyst

Talent Groups

•

Remote

Full-time

Position: Epic Resolute PB Claims Analyst Location: Remote Job Type: Direct Hire Job Description:The Professional Billing Claims Analyst position will be housed under a subsidiary organization. To implement, maintain, support, and maximize the use of clinical, financial, and administrative portions of the software applications utilized by client in conducting daily operations under the direction of the Manager of Professional Billing and Claims.Responsibilities: Maintaining current clinical, f
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Posted 3 days ago

Guidewire UAT- Orange County CA but 100% remote

Tech Rakers

•

Remote

Third Party, Contract

Job Title: Guidewire UAT Location: Orange County CA but 100% remote Duration: 18 months (Extensions) Top Skills' Details Bachelor s degree in Accounting/Finance preferred or relevant technical field. Progressive and relevant systems/applications, and/or accounting experience. At least 2 years of prior accounting systems testing experience. Prior insurance accounting or similar field is a plus. Prior experience with Guidewire or Tableau is a plus. Detail-oriented and appreciation for work accurac
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Posted 3 days ago

Application Analyst Epic Resolute Professional Billing, Claims & Remittance

Tranzeal, Inc.

•

Remote or San Francisco, California, USA

Contract

Application Analyst Epic Resolute Professional Billing, Claims & Remittance Job Summary: We re seeking an experienced Application Analyst with deep expertise in Epic Resolute Professional Billing, Claims, and Remittance modules. This role will be key in implementing, optimizing, and supporting Epic billing applications, enhancing revenue cycle workflows, and ensuring system integrity and performance. Key Responsibilities: Lead configuration and implementation of Epic Resolute and Claims/Remittan
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Posted 18 days ago | Updated 3 days ago

Technical Business Analyst (Claims/HRP)- W2

PamTen Inc

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Remote

Contract

Project Description: This position is responsible for understanding stakeholder needs and business issues to be addressed in the Enrollment Applications. Collaborate with the Product owner to assess configuration, EDI Eligibility transactions data mapping, Open Enrollment process, Exchange (Affordable Care Act) processes. Understand Eligibility and Premium billing functions. Assess requirements associated with new input and output Eligibility feeds, define UAT scope/testing needs and validate re
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Posted 18 days ago

Data Analyst - Cloud (Remote)

S2Tech

•

Remote

Full-time

Data Analyst - Cloud Location: Remote About Us: Known for Delighting the Client through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of both technical and business services in support of Health and Human Services-related projects. Feel free to learn more at s2tech.com. Why S2Tech?: Stable privately-owned company with a strong reputatio
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Posted 3 days ago | Updated 3 days ago

Senior Data Analyst

PARAKEET WORLD SOLUTIONS LLC

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Remote

Full-time

Job Title : Senior Data Analyst Location: Fort Worth, TX (100% Onsite)Type: Full-Time (W2 only)Duration: 5 Months This is a FTE req from an existing client, which is in software consulting company. They would hire the candidate on their payroll to work on the clients We are seeking an experienced Senior Data Analyst to join our client s Enterprise Data team. The ideal candidate will have 8+ years of hands-on experience, with a deep understanding of the P&C insurance domain, strong data modellin
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Posted 3 days ago | Updated 3 days ago

Finance Manager (Remote in US)

Gainwell Technologies LLC

•

Remote or Columbus, Ohio, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a dynamic Finance Manager to serve as a financial leader in building and implementing a high-performing financia
Posted 60+ days ago | Updated 9 hours ago

Sr. Oracle EPM Cloud Architect

Tek Inspirations LLC

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Phoenix, Arizona, USA

Contract, Third Party

Job Description - Job Title: Sr. Oracle EPM Cloud Architect Job Type: Contract to Hire Location: Phoenix, Arizona(Onsite)(Need Locals) Primary Skills: PYTHON, API, ORACLE, Report, Budgeting, Cloud Fusion, EPM Job Description Purpose of the Job The Oracle Cloud EPM Architect will be responsible for understanding how our organization operates and leverages its financial systems. This role will involve making recommendations on how to utilize the out-of-the-box functionality of Oracle EPM systems t
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Posted 10 days ago

Senior Analyst, Medical Economics - REMOTE

Molina Healthcare

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Remote or Phoenix, Arizona, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to
Posted 1 hour ago

Senior Analyst, Medical Economics - REMOTE

Molina Healthcare

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Remote or Scottsdale, Arizona, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to
Posted 1 hour ago

Senior Analyst, Medical Economics - REMOTE

Molina Healthcare

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Remote or Mesa, Arizona, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to
Posted 1 hour ago

Senior Analyst, Medical Economics - REMOTE

Molina Healthcare

•

Remote or Chandler, Arizona, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to
Posted 1 hour ago

Senior Analyst, Risk & Quality Reporting (Remote)

Molina Healthcare

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Remote or Glendale, Arizona, USA

Full-time

Job Description Job Summary The Sr Analyst, Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom health plan reports to support local interventions, provider outreach, and tracks outcomes of the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research, development, and completion of special performance improvement projects including root cause
Posted 1 hour ago

Senior Analyst, Risk & Quality Reporting (Remote)

Molina Healthcare

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Remote or Phoenix, Arizona, USA

Full-time

Job Description Job Summary The Sr Analyst, Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom health plan reports to support local interventions, provider outreach, and tracks outcomes of the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research, development, and completion of special performance improvement projects including root cause
Posted 1 hour ago

Senior Analyst, Risk & Quality Reporting (Remote)

Molina Healthcare

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Remote or Avondale, Arizona, USA

Full-time

Job Description Job Summary The Sr Analyst, Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom health plan reports to support local interventions, provider outreach, and tracks outcomes of the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research, development, and completion of special performance improvement projects including root cause
Posted 1 hour ago

Senior Analyst, Risk & Quality Reporting (Remote)

Molina Healthcare

•

Remote or Gilbert, Arizona, USA

Full-time

Job Description Job Summary The Sr Analyst, Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom health plan reports to support local interventions, provider outreach, and tracks outcomes of the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research, development, and completion of special performance improvement projects including root cause
Posted 1 hour ago

Actuary Lead

USAA

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Phoenix, Arizona, USA

Full-time

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity The Auto Pricing Modernization is lo
Posted 14 hours ago | Updated 1 hour ago

PBM Data Engineer

CVS Health

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Remote or Scottsdale, Arizona, USA

Full-time

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all w
Posted 60+ days ago | Updated 1 hour ago

Data Scientist Senior - Fraud Identity Analytics

USAA

•

Phoenix, Arizona, USA

Full-time

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity We offer a flexible work environment
Posted 14 hours ago

VP Data Analytics and Services

TriWest Healthcare Alliance

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Phoenix, Arizona, USA

Full-time

We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, WA, WI & WY only). Our Department of Defense contract requires ship and a favorably adjudicated DOD background investigation for this position. Veterans, Reservists, Guardsmen and military family members are encouraged to apply! Job Summary The Vice President of Data Analytics and Services will report to the Chief Financial Officer and will pro
Posted 60+ days ago | Updated 9 hours ago