medical claims analyst

Sprouts Farmers Market

<div>Overview:
<div>
We are seeking a highly motivated Workers&rsquo; Compensation Analyst II to join the Claims Team in a dynamic and growing company. This role supports the management of workers&rsquo; compensation claims across the full lifecycle&mdash;from initial report of injury through resolution, including coordination on litigated matters when applicable.</div><div></div><div><br>
The Analyst II serves as a key liaison between injured Team Members, internal stakeholders, and third‑party administrators (TPAs), ensuring claims are handled efficiently, compliantly, and with a focus on timely resolution, cost containment, and positive Team Member outcomes. The role requires multi‑jurisdictional awareness and the ability to leverage data and tools to enhance claim performance.</div><div></div><div><br>
Position reports into our Store Support Office in Phoenix, AZ. Hybrid schedule, in office Tuesday-Thursday. #LI-MS1</div>
Essential Functions:
<ul><li>Support the end‑to‑end lifecycle of workers&rsquo; compensation claims, including investigation support, compensability analysis, medical and indemnity monitoring, coordination on litigated claims, and claim closure</li><li>
Partner closely with TPAs and adjusters to support claim strategy, timely handling, appropriate reserving, and effective resolution; escalate issues as needed</li><li>
Review claim activity and recommend claim closures, reserve changes, and settlements in accordance with delegated authority and escalation guidelines</li><li>
Serve as a primary point of contact for injured Team Members, providing clear communication regarding benefits, recovery expectations, and stay-at‑work processes</li><li>
Act as a liaison across internal and external stakeholders including Operations, HR, Safety, Legal, Risk Management, Leave of Absence, TPAs, insurance brokers, medical providers, and outside counsel</li><li>
Coordinate with legal counsel on litigated claims by tracking status, summarizing exposure, and supporting documentation and reporting needs</li><li>
Maintain accurate records and reporting to support compliance with applicable state and federal regulations across multiple jurisdictions</li><li>
Analyze claim data to identify trends, risks, and opportunities to improve outcomes, duration, and cost</li><li>
Prepare regular reporting and summaries on claim performance, trends, and observations</li><li>
Support stay‑at‑work efforts by coordinating transitional duty options with internal partners</li><li>
Participate in audits to support quality claim handling and adherence to internal standards and best practices</li><li>
Contribute to continuous improvement of claims processes, procedures, and program effectiveness</li><li>
Utilize claims management systems and reporting tools; apply automation or advanced analytics where appropriate to improve efficiency and decision‑making</li><li>
Perform other duties as assigned</li></ul>
Knowledge, Skills, Abilities and Physical Requirements:
<ul><li>Bachelor&rsquo;s degree or equivalent work experience</li><li>
2&ndash;4 years of experience in workers&rsquo; compensation, claims analysis, or a related field</li><li>
Working knowledge of workers&rsquo; compensation laws and practices across multiple jurisdictions</li><li>
Strong analytical skills with the ability to interpret data and support actionable recommendations</li><li>
Experience working with TPAs and collaborating to influence timely and quality claim handling</li><li>
Proficiency in claims management systems and reporting tools</li><li>
Strong written and verbal communication skills</li><li>
Detail‑oriented with the ability to manage competing priorities</li><li>
Demonstrates empathy, sound judgment, and the ability to build effective working relationships across all levels</li><li>
Professional certification (e.g., CWCP) a plus</li></ul>
Benefits:
<ul><li>Employee Assistance Program (EAP)</li><li>
401(K) Retirement savings plan with a generous company match</li><li>
Company paid life insurance</li><li>
Contests and appreciation events throughout the year full of prizes, food and fun!</li><li>
Eligibility requirements may apply for the following benefits:<ul><li>
Bonus based on company and/or individual performance</li><li>
Affordable benefit coverage, including medical, dental and vision</li><li>
Health Savings Account with company match</li><li>
Pre-tax Flexible Spending Accounts for healthcare and dependent care</li><li>
Company paid short-term disability coverage</li><li>
Paid parental leave for both mothers and fathers</li><li>
Paid holidays</li></ul></li><li><b>
Get Paid Every Day!</b></li></ul><div>
Sprouts Farmers Market offers DailyPay - if you&rsquo;re hired as an eligible employee, you&rsquo;ll be able to <b>transfer the money you&rsquo;ve already earned at no extra cost, and get it the next business day, for free</b>. We offer DailyPay so you don&rsquo;t have to wait for payday to access the money you&rsquo;ve already worked for. With DailyPay, you can see how much you&rsquo;ve made every day and you can transfer your money any time before payday.</div><div></div><div><br>
 You can learn more by visiting <b>https://www.dailypay.com/partners/sprouts-farmers-market/</b><b>.</b></div>
Why Sprouts:
<div><b>
Grow with us!</b></div><div>
If you have a passion for inspiring people and a flair for fresh food, consider applying for a job at Sprouts! With a focus on customer service, our neighborhood grocery stores offer high-quality, farm fresh produce, natural meats, plenty of scoop-your-own bulk goods and much more in a fun, friendly, old-fashioned farmer&rsquo;s market setting. Come grow your career in healthy living with a fast-paced, rapidly growing company and teams that pride themselves on empowering others along their journey.</div><div></div><div><br>
The above statements are intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties, responsibilities, and requirements. Sprouts&rsquo; management reserves the right to amend and change duties, responsibilities, and requirements to meet business and organizational needs as necessary.</div><div></div><div><br>
Sprouts will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the Fair Chance in Hiring Ordinance.</div><div></div><div><br>
California Residents: We collect information in accordance with California law, please see here for more information.</div></div><div></div>

Claims Analyst II

Western CBO

<div>Responsibilities:
<div><b>
Universal Health Services (UHS) - Western Region Consolidated Business Office (WCBO)</b></div><div>
The Western Region Consolidated Business Office delivers comprehensive insurance revenue services to our affiliated UHS facilities, encompassing billing, collections, cash posting, pre-access management, variance analysis, and customer service. Our dedication to associate satisfaction and growth is recognized by industry leaders, exemplifying our commitment to fostering a positive and inclusive workplace culture. Our associates can count on competitive salaries, top-tier medical, dental, and retirement benefits, career training, and support for continued professional development.</div><div></div><div><b><br>
Job Description: Reimbursement Analyst 7:00AM-3:30PM</b></div><div>
The Reimbursement Specialist Analyst analyzes reimbursement trends and identifies underpayments, facilitates reconsiderations, and appeals with payers. This role coordinates and oversees the complete process of underpayment reconsiderations, including correction of insurance plan errors, payment transfers, and account adjustments.</div>
Qualifications:
<div><b>
Experience:</b></div><div>
2 + years medical contracts and claims experience.</div><div></div><div><b><br>
Education:</b><br>
High School or equivalent.</div><div></div><div><b><br>
Requirements:</b></div><ul><li>
Experience in medical payer contracts. Explanation of benefits experience preferred.</li><li>
Articulate with medical insurance terminology.</li><li>
Strong attention to detail, analytical and critical thinking.</li><li>
Strong Microsoft Office (Excel and Word) and 10-key data entry skills.</li></ul><div>
 This opportunity offers the following:</div><ul><li>
Challenging and rewarding work environment</li><li>
Growth and Development Opportunities within UHS and its Subsidiaries</li><li>
Competitive Compensation</li><li>
Excellent Medical, Dental, Vision and Prescription Drug Plan</li><li>
401k plan with company match</li></ul><div></div><div><b><br>
About Universal Health Services</b></div><div>
One of the nation&rsquo;s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World&rsquo;s Most Admired Companies by Fortune; and listed in Forbes ranking of America&rsquo;s Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com</div><div></div><div><br>
EEO Statement:</div><div>
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.</div><div></div><div><br>
We believe that diversity and inclusion among our teammates is critical to our success.</div><div></div><div><br>
Notice:</div><div>
At UHS and all our subsidiaries, our Human Resources departments and recruiter are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.</div><div>
This position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.</div><br>
<div></div>
Salary: Starting from $19.00 to $25.17 an hour</div>

REIMBURSEMENT SPECIALIST/ANALY

Smart IT Frame LLC

<div>
 <p>
  <strong>
   Role: Data Analyst &ndash; Insurance (Onsite)
  </strong>
 </p>
 <p>
  <strong>
   Location: Raleigh, NC | Onsite
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <p>
  Looking for a client-facing Data Analyst with strong Insurance domain knowledge (Policy, Claims, Billing, Risk). Hands-on experience in SQL, Excel, Power BI/Tableau, and data validation.
 </p>
 <p>
  <br/>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Skills:
  </strong>
 </p>
 <p>
  Insurance Data &amp; Analytics
 </p>
 <p>
  Client Interaction &amp; Reporting
 </p>
 <p>
  SQL, Excel, Power BI/Tableau
 </p>
 <p>
  Data Validation &amp; Metrics Tracking
 </p>
 <p>
  Databricks
 </p>
</div>


Data Analyst – Insurance

Wellmark Blue Cross and Blue Shield

<div>
 <strong>
  Why Wellmark
 </strong>
 : We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, and we&rsquo;ve built our reputation on over 80 years&rsquo; worth of trust. We are not motivated by profits. We are motivated by the well-being of our friends, family, and neighbors&ndash;our members. If you&rsquo;re passionate about joining an organization working hard to put its members first, to provide best-in-class service, and one that is committed to sustainability and innovation, consider applying today!
 <br/>
 <br/>
 Learn more about our unique benefit offerings here.
 <br/>
 <br/>
 <strong>
  Job Description
  <br/>
  <br/>
 </strong>
 As a Health Services Coding Analyst, you will provide clinical leadership and subject-matter expertise to support the analysis, configuration, and administration of complex medical policy content within claims processing systems, including Plan General Exclusion (PGE) rules and FACETS table maintenance. You will ensure the accurate implementation of medical policies, review criteria, and authorization requirements, while maintaining the integrity of system infrastructure and serving as a key liaison between business and technical teams. To do this, you will research and analyze system and business issues, develop high-level requirements, test and implementsolutions, and audit and document outcomes. The Health Services Coding Analyst also serves as an expert resource for medical policy configuration and PGE coding, mentoring and training Coding Specialists, and providing policy-related training and support to operational partners such as customer and provider services.
 <br/>
 <br/>
 <strong>
  Must be willing to work core business hours of 8 AM - 5 PM Central Time.
  <br/>
  <br/>
 </strong>
 <strong>
  Candidates located in Iowa or South Dakota preferred. This role is remote eligible and will require candidates to provide high-speed internet at their work location.
  <br/>
  <br/>
 </strong>
 <strong>
  Qualifications
  <br/>
  <br/>
 </strong>
 <strong>
  Preferred Qualifications - Great to have:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Prior health plan experience.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Required Qualifications - Must have:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Associate degree or direct and applicable work experience preferred.
  </li>
  <li>
   Certified Professional Coder (CPC) required.
  </li>
  <li>
   Clinical background which may include either formal education or training in a clinical or health-related discipline (such as nursing, medical assisting, surgical technology, health information management, or a related field) and/or direct work experience in a clinical or healthcare setting.
  </li>
  <li>
   7+ years&rsquo; or related health care experience in provider payment, claims, medical coding, or similar.
  </li>
  <li>
   Demonstrated expertise and knowledge of medical coding and terminology.
  </li>
  <li>
   Demonstrated strong attention to detail with the ability to multitask.
  </li>
  <li>
   Strong interpersonal skills including clear and concise written and verbal communication.
  </li>
  <li>
   Inquisitive nature, enthusiastic about developing and enacting new processes.
  </li>
  <li>
   Strong workflow management skills with sense of ownership, drive and initiative to continuously improve outcomes.
  </li>
  <li>
   Ability to communicate concepts clearly and concisely to individuals and groups and motivate others to achieve success with an eye toward promoting a culture of collegiality and excellence.
  </li>
  <li>
   Demonstrated ability to obtain relevant information by relating and comparing data from different sources.
  </li>
  <li>
   Proficiency in Microsoft Office applications including experience with spreadsheets, process mapping, presentation and word processing.
  </li>
  <li>
   Ability to adhere to quality and production metrics.
  </li>
  <li>
   Some experience with and continued interest in coaching and mentoring others.
  </li>
  <li>
   Demonstrated ability to consistently meet department work schedule.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Additional Information
  <br/>
  <br/>
 </strong>
 <strong>
  What you will do:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Leadership in Coding Analysis: Lead the analysis of the most complex Wellmark medical policy content and implementation of system edits to support its intent. Medical policy coding requirements are implemented, tested, documented and audited to assure compliance.
  </li>
  <li>
   Maintain the claims processing system infrastructure to ensure compliance with regulatory and accreditation bodies and vendor supported technical requirements and ensure accurate claims adjudication.
  </li>
  <li>
   Translate complex medical policy language into precise, actionable coding criteria for integration into claims systems and configuration platforms.
  </li>
  <li>
   Serve as coding subject matter expert for complex or escalated utilization management.
  </li>
  <li>
   Collaborate with Utilization Management nurses, medical directors, and claims teams to resolve coding-related denials, overrides, and policy interpretation questions.
  </li>
  <li>
   Contribute to the full lifecycle of medical policy creation, revision and interim review, including drafting coding sections, researching emerging procedures/devices, and ensuring policies reflect current coding conventions (AMA CPT, ICD10, HCPCS).
  </li>
  <li>
   Conduct impact analyses of proposed policy changes on coding, reimbursement, and operational workflows.
  </li>
  <li>
   Work directly with Health Services leadership, Medical Review staff, leadership within Claims and Customer/Provider Services and Network Engagement, Medical Directors to provide medical coding expertise and PGE rule knowledge to resolve complex claims and/or customer and provider issues.
  </li>
  <li>
   Maintain coding integrity by monitoring utilization trends to identify and resolve system configuration issues.
  </li>
  <li>
   Work with Medical Policy Leadership in the development and optimization of coding configuration standards and best practices.
  </li>
  <li>
   Work with payment integrity, business support, and data analytics teams to edit, develop, and implement Optum, Cotiviti, and Cognizant edits.
  </li>
  <li>
   Contribute to the achievement of corporate and UM Product Team objectives by independently serving as primary points of contact and UM Product Team Subject Matter Expert/Guest Star to provide expertise to support the various claims processing systems, including but not limited to PGE rules and table maintenance (FACETS and STAR). This will include attendance to various virtual cross-functional team meetings, as well as in-person attendance and participation in quarterly Iteration Planning meeting.
  </li>
  <li>
   Update coding files as required by code set revisions, HIPAA-AS, medical policy development and implementation, regulatory requirements, FEP and Blue Card guidelines, or as needed to support other internal processes.
  </li>
  <li>
   Participate in cross functional meetings or initiatives to support the goal of managing medical benefit expense.
  </li>
  <li>
   Provide expertise in the areas of medical coding PGE rule knowledge and medical policy configuration rules to support projects and broad organization initiatives. Consult with leadership as business decisions are made and retain and archive documentation of decisions made. Comply with regulatory standards, accreditation standards and internal guidelines; remain current and consistent with the standards pertinent to the Medical Policy team.
  </li>
  <li>
   Mentor and train Coding Specialist as well as provide specific topic training related to medical policy administration/PGE rules to other operational areas such as customer and provider service as needed.
  </li>
  <li>
   Other duties as assigned.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Remote Eligible:
 </strong>
 You will have the flexibility to work where you are most productive. This position is eligible to work fully remote. Depending on your location, you may still have the option to come into a Wellmark office if you wish to. Your leader may ask you to come into the office occasionally for specific meetings or other &lsquo;moments that matter&rsquo; as well.
 <br/>
 <br/>
 <em>
  <strong>
   An Equal Opportunity Employer
   <br/>
   <br/>
  </strong>
 </em>
 <em>
  The policy of Wellmark Blue Cross Blue Shield is to recruit, hire, train and promote individuals in all job classifications without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or any other characteristic protected by law.
  <br/>
  <br/>
 </em>
 <em>
  Applicants requiring a reasonable accommodation due to a disability at any stage of the employment application process should contact us at careers@wellmark.com
  <br/>
  <br/>
 </em>
 <em>
  Please inform us if you meet the definition of a "Covered DoD official".
  <br/>
  <br/>
 </em>
 At this time, Wellmark is not considering applicants for this position that require any type of immigration sponsorship (additional work authorization or permanent work authorization) now or in the future to work in the United States. This includes, but IS NOT LIMITED TO: F1-OPT, F1-CPT, H-1B, TN, L-1, J-1, etc. For additional information around work authorization needs please refer to the following resources:Nonimmigrant Workers and Green Card for Employment-Based Immigrants
 <br/>
 <br/>
 Wellmark supports and expects the responsible use of AI for our workforce! We welcome the responsible use of these tools by job seekers as well and are interested in learning from you; you will have an opportunity in the application process to share which tools you used and how you applied them.
</div>


Health Services Coding Analyst (CPC Required)

Deloitte

<div>
 Epic Hospital Billing Analyst
 <br/>
 <br/>
 <strong>
  Position Summary
  <br/>
  <br/>
 </strong>
 Join Deloitte's AI &amp; Engineering practice to support hospital billing operations in a role focused on claim accuracy, timely reimbursement, and revenue cycle performance. As an Epic Hospital Billing Analyst , you will help review and submit hospital claims, resolve billing issues, and work across teams to reduce avoidable denials. This is a primarily remote role supporting an enterprise Epic implementation, with minimal travel and scheduled onsite time as needed.
 <br/>
 <br/>
 Recruiting for this role ends on 08/01/2026.
 <br/>
 <br/>
 <strong>
  Work you'll do
  <br/>
  <br/>
 </strong>
 As an Epic Hospital Billing Analyst e on the AI &amp; Engineering team, you will be responsible for supporting hospital billing activities that improve claim accuracy, reduce denials, and help clients optimize revenue cycle performance.
 <br/>
 <br/>
 <ul>
  <li>
   Review patient accounts, charge details, coding inputs, and supporting documentation for billing accuracy and completeness
  </li>
  <li>
   Prepare and submit hospital claims to commercial, government, and other third-party payers in accordance with payer requirements
  </li>
  <li>
   Validate claim data for demographics, insurance coverage, authorizations, provider information, modifiers, and coding-related elements; identify and correct claim edits, rejections, and billing errors before submission or rebilling
  </li>
  <li>
   Work with coding, registration, authorization, clinical, and accounts receivable teams to resolve billing issues, prevent avoidable denials, and submit supporting documentation required by payer guidelines
  </li>
  <li>
   Adhere to defined standard operating procedures and workflows while working in Epic Resolute Hospital Billing, claims clearinghouse systems, payer portals, and related tools; monitor work queues and reports, support complex claim resolution, and meet productivity and quality standards
   <br/>
   <br/>
  </li>
 </ul>
 A successful candidate would possess these skills:
 <br/>
 <br/>
 <ul>
  <li>
   Ability to work independently and collaborate as part of a team
  </li>
  <li>
   Effective written and verbal communication skills
  </li>
  <li>
   Meticulous attention to detail and quality of work product
  </li>
  <li>
   Ability to build and sustain professional relationships
  </li>
  <li>
   Ability to lead projects or workstreams
  </li>
  <li>
   Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment
  </li>
  <li>
   Strong interpersonal skills and professional demeanor
  </li>
  <li>
   Ability to meet deadlines
  </li>
  <li>
   Ability to provide clear guidance to others
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  The team
  <br/>
  <br/>
 </strong>
 AI &amp; Engineering leverages cutting-edge engineering capabilities to build, deploy, and operate integrated/verticalized sector solutions in software, data, AI, network, and hybrid cloud infrastructure. These solutions are powered by engineering for business advantage, transforming mission-critical operations. We enable clients to stay ahead with the latest advancements by transforming engineering teams and modernizing technology &amp; data platforms. Our delivery models are tailored to meet each client's unique requirements.
 <br/>
 <br/>
 Our Industry Solutions offering provides verticalized solutions that transform how clients sell products, deliver services, generate growth, and execute mission-critical operations. We deliver integrated business expertise with scalable, repeatable technology solutions specifically engineered for each sector.
 <br/>
 <br/>
 <strong>
  Qualifications
  <br/>
  <br/>
 </strong>
 Required:
 <br/>
 <br/>
 <ul>
  <li>
   Bachelor's degree in information technology, business, healthcare, or a related field; or equivalent experience
  </li>
  <li>
   2+ years of experience in hospital billing operations
  </li>
  <li>
   Experience using Epic Resolute Hospital Billing
  </li>
  <li>
   Experience working in claims clearinghouse systems
  </li>
  <li>
   Experience using Epic Analytics and Reporting applications
  </li>
  <li>
   Ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve.
  </li>
  <li>
   Limited immigration sponsorship may be available.
   <br/>
   <br/>
  </li>
 </ul>
 Preferred:
 <br/>
 <br/>
 <ul>
  <li>
   Experience using Microsoft Word, Excel, and PowerPoint
  </li>
  <li>
   Experience supporting clinical or healthcare business operations
  </li>
  <li>
   Experience managing multiple projects or workstreams
  </li>
  <li>
   Experience preparing and delivering technical demonstrations
  </li>
  <li>
   Experience analyzing billing workflows, claim issues, or operational data
   <br/>
   <br/>
  </li>
 </ul>
 For individuals assigned and/or hired to work in a remote role, Deloitte is required by law to include a reasonable estimate of the compensation range for this role. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $70,000 to $90,000.
 <br/>
 <br/>
 You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.
</div>


Hospital Billing Analyst

City of Columbus, OH

<div><div><div><h2 class="jobSectionHeader"><b>Definition</b></h2></div>
<p></p><div><div>Under direction, is responsible for serving as a subject matter specialist for the City&rsquo;s employee benefits programs; performs related duties as required.<br>
<br>
<b>This is a temporary position and will be limited to 480 hours</b><b>.</b></div><div><b><br>
Preferred Qualifications</b></div><ul><li><div>
Knowledge of medical, pharmacy, dental, vision, life insurance, and disability programs.</div></li><li><div>
Knowledge of applicable laws and regulations including COBRA, HIPAA, ACA, Section 125, and ERISA.</div></li><li><div>
Advanced proficiency in MS Office and Excel.</div></li><li><div>
Advanced proficiency in data analysis and reporting.</div></li><li><div>
Ability to explain complex benefit concepts to employees and stakeholders.</div></li><li><div>
Strong organizational skills with the ability to manage multiple projects and deadlines simultaneously.</div></li></ul></div><p></p>
<div><h2 class="jobSectionHeader"><b>Examples of Work</b></h2></div>
<p></p><div><p>Monitor the Employee Benefits and Wellness inbox and route inquiries to appropriate analyst for resolution; transcribe voice messages and return phone calls, as needed; monitor life events to ensure enrollments are submitted correctly.</p><p>
Retrieve unemployment claim notifications from portal and forward notifications to appropriate department; monitor responses from departments and update information in portal, as needed.</p><p>
Conduct dependent verification reporting and track verification documents; assist with short term disability reporting validation.</p><p>
Assist with system testing for vendor implementation, plan design changes, and open enrollment; may assist with special projects; may perform other duties, as assigned.</p></div><p></p>
<div><h2 class="jobSectionHeader"><b>Minimum Qualifications</b></h2></div>
<p></p><div><div>Possession of a bachelor's degree AND two (2) years of experience in the administration of employee benefits, insurance risk management programs, worker&rsquo;s compensation, claims processing and dispute resolution, or contract interpretation and compliance.</div><div></div><div><br>
OR</div><div></div><div><br>
Possession of an associate&rsquo;s degree and four (4) years of experience in the administration of employee benefits, insurance risk management programs, worker&rsquo;s compensation, claims processing and dispute resolution, or contract interpretation and compliance.</div></div><p></p>
<div><h2 class="jobSectionHeader"><b>Test/Job Contact Information</b></h2></div>
<p></p><div><div>Recruitment #: 26-0825-V1</div><div>
Employment Type: Part-Time Temporary (480) Limitation</div><div></div><div><br>
Should you have questions regarding this vacancy, please contact:</div><div></div><div><br>
Tammy Bethea</div><div>
Department of Human Resources</div><div>
77 North Front Street</div><div>
Columbus, Ohio 43215</div><div>
P: (614) 645-0792</div><div>
E: tmbethea@columbus.gov</div><div></div><div><b><i><br>
The City of Columbus is an Equal Opportunity Employer</i></b></div></div></div></div><p></p>

Employee Benefits Analyst II (TEMPORARY) (Vacancies)

Sentara

<div><div><h1 class="jobSectionHeader"><b>Sentara is hiring a Senior Healthcare Data Analyst!</b></h1>
<p>This position is fully remote.</p>
<p></p><h1 class="jobSectionHeader"><b>Overview
</b></h1><p>The Healthcare Data Analyst Senior provides data analysis support to the customer by assisting with the development of reports and/or dashboards to monitor program and operational performance. Promotes self-service analytics for customer adoption, understanding and use of data. Supports design of programmatic analyses and reporting capabilities in addition to business requirement definition for new analyses and performs ad-hoc analysis as directed. This position supports data quality and data stewardship functions to maintain data accuracy and identify new metrics. As a subject matter expert, the Healthcare Data Analyst Senior uses analytic skills to offer data-driven conclusions and recommendations to business partners.
</p><p></p><h1 class="jobSectionHeader"><b>Education
</b></h1><ul><li>Bachelor's Degree in analytics, statistics, informatics, business, public health, or related field (Required)</li>
</ul><h1 class="jobSectionHeader"><b>Certification/Licensure
</b></h1><ul><li>No specific certification or licensure requirements</li>
</ul><p></p><h1 class="jobSectionHeader"><b>Experience
</b></h1><ul><li>3 years of experience in data analysis (Required)</li>
<li>Must have advanced-level skills in Microsoft Excel, SQL, Power BI, data validation, dashboard development
</li><li>Must have h ands-on analysis, dashboard delivery, recurring and ad hoc reporting, metric development
</li><li>Experience in Epic, claims, quality, utilization , finance, operations, service lines, population health is preferred</li>
<li>Looking for someone who can independently build dashboards, answer business questions, and explain insights clearly to partners
</li><li>Looking for someone with experience solving business problems with data</li>
<li>Ability to communicate findings clearly with operational, clinical, finance, or executive stakeholders.
</li></ul><p></p><p>Talroo</p></div></div><p></p>

Senior Healthcare Data Analyst - Remote

Search 8590+ Medical claims analyst jobs near you this June. New roles added regularly across leading industries. Apply today.