Talent.com
Senior Medicaid Claims Analyst

Senior Medicaid Claims Analyst

VirtualVocationsAustin, Texas, United States
job_description.job_card.variable_hours_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for a Senior Medicaid Claims Business Analyst.

Key Responsibilities

Act as a liaison between clients, project managers, and technical staff to define and document business requirements

Analyze and recommend improvements to business processes to support client technology goals

Develop and deliver reports, flow charts, and other documentation as required

Required Qualifications, Training, and Education

Over 6 years of experience as a Medicaid Claims Business Analyst with expertise in claims processing

Proficient in MMIS and APR-DRG for claims handling and reimbursement strategies

Strong understanding of computer programming concepts and analytical tools such as Excel and SQL

Experience managing the Software Development Life Cycle (SDLC)

Proven ability to document requirements with a client-facing approach

serp_jobs.job_alerts.create_a_job

Senior Analyst Analyst • Austin, Texas, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Senior Federal Work Comp Claims Adjuster

Senior Federal Work Comp Claims Adjuster

VirtualVocationsAustin, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Federal Work Comp Claims Adjuster.Key Responsibilities Manage claims by analyzing exposure and determining appropriate resolutions Communicate with various part...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Arizona Licensed Medical Eligibility Specialist

Arizona Licensed Medical Eligibility Specialist

VirtualVocationsAustin, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Medical Eligibility Specialist ALTCS (AZ / Remote).Key Responsibilities Assess the medical eligibility of individuals applying for the Arizona Long Term Care Services (...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Claims Supervisor - Licensed

Claims Supervisor - Licensed

VirtualVocationsAustin, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Supervisor to lead a liability claims team in a fully remote capacity.Key Responsibilities Supervise and motivate a liability claims team to ensure high-quality ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Texas Licensed Commercial Claims Adjuster

Texas Licensed Commercial Claims Adjuster

VirtualVocationsAustin, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Commercial Property Desk Claims Adjuster.Key Responsibilities Manage the entire life cycle of assigned commercial claims, including complex / large loss claims Estimate ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Missouri Licensed Utilization Review Lead

Missouri Licensed Utilization Review Lead

VirtualVocationsAustin, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Utilization Review Coordinator, Lead.Key Responsibilities Serve as a liaison among physician, nursing staff, and ancillary departments to facilitate patient processing ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
California Licensed Clinical Applications Professional

California Licensed Clinical Applications Professional

VirtualVocationsAustin, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Applications Professional 4 - Ambulatory.Key Responsibilities Lead the development, upgrade, enhancement, and support of Clinical Information systems Manage l...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
State Licensed Senior Mapping Analyst

State Licensed Senior Mapping Analyst

VirtualVocationsAustin, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Mapping Analyst.Key Responsibilities Assign and maintain administrative code set mappings for interface terminology Support product release schedules and resolv...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Claims Consultant, Management Specialty

Claims Consultant, Management Specialty

VirtualVocationsAustin, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Consultant in Management Specialty Lines.Key Responsibilities : Investigates and evaluates coverage, liability, and damages to set claim strategies and reserves ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Wisconsin Licensed Claims Examiner

Wisconsin Licensed Claims Examiner

VirtualVocationsAustin, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Workers Compensation Claims Examiner I.Key Responsibilities Manage an assigned medical-only caseload of workers' compensation claims Determine compensability of claims...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Senior Federal Claims Adjuster

Senior Federal Claims Adjuster

VirtualVocationsAustin, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Federal Work Comp Claims Adjuster.Key Responsibilities Manage claims by analyzing exposure and determining appropriate actions for resolution Communicate effect...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Senior Claims Manager

Senior Claims Manager

VirtualVocationsAustin, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Claims Manager - Risk and Insurance.Key Responsibilities Manage liability claims, including evaluation, negotiation, and resolution Coordinate with defense coun...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
New York Licensed Claims Supervisor

New York Licensed Claims Supervisor

VirtualVocationsAustin, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Commercial Claims Supervisor - Public Sector Claims.Key Responsibilities Supervise a liability claims team to ensure high-quality service delivery Promote best practic...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Medical Billing Specialist

Medical Billing Specialist

VirtualVocationsAustin, Texas, United States
serp_jobs.job_card.full_time
A company is looking for an Accounts Receivable Medical Billing Specialist (WFH).Key Responsibilities Post medical charges, payments, and journal entries to patient accounts accurately Work with...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Prebill Specialist

Prebill Specialist

VirtualVocationsAustin, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a PreBill Specialist I.Key Responsibilities Verify prebill information, including patient demographics and payor details, before coding Utilize system tools to locate in...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Senior Coordinator, Appeals Management

Senior Coordinator, Appeals Management

VirtualVocationsAustin, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Coordinator, Complaint and Appeals (Remote, PST).Key Responsibilities Oversee investigations and resolutions of appeals, ensuring timely and customer-focused res...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Claims Specialist II

Claims Specialist II

VirtualVocationsAustin, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Specialist II.Key Responsibilities : Manage customer interactions and guide them through the claims process, ensuring satisfaction Investigate claims by gatherin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Senior Consultant, Supplemental Health Claims

Senior Consultant, Supplemental Health Claims

VirtualVocationsAustin, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Consultant, Supplemental Health Claims.Key Responsibilities Process and adjudicate supplemental health insurance claims for accuracy and compliance Collaborate ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
CPC Certified Claims Coder

CPC Certified Claims Coder

VirtualVocationsAustin, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Resolution Coder - Remote.Key Responsibilities Review medical documentation to assign modifiers to insurance claims based on coding guidelines Collaborate with ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Life and Health Insurance Analyst

Life and Health Insurance Analyst

VirtualVocationsAustin, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Fulfillment Resolution Analyst to perform member enrollment audits and ensure data accuracy in benefits administration tools. Key Responsibilities Complete audits in res...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Healthcare Billing Specialist

Healthcare Billing Specialist

VirtualVocationsAustin, Texas, United States
serp_jobs.job_card.full_time
A company is looking for a Healthcare Billing Specialist to join their team remotely.Key Responsibilities Perform billing data entry and ensure accuracy of billing information Research and verif...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30