Senior Medicaid Claims Analyst
VirtualVocationsOklahoma City, Oklahoma, United Statesjob_description.job_card.1_day_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 • Oklahoma City, Oklahoma, United States
Job_description.internal_linking.related_jobs 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_variable_days 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_variable_days 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_1_day 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_variable_days 
Argo Group International Holdings, Inc.American National, US based specialty P&C companies, (together known as BP&C, Inc.
Brookfield Wealth Solutions, Ltd.BWS"), a New York and Toronto-listed public...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 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 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 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_1_day 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_variable_days 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_variable_days A company is looking for a Sr Billing Specialist.Key Responsibilities Manage billing workqueues and generate claim edits for clean claims Correct claims that have been rejected or denied by payo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Medical Insurance Verification Specialist.Key Responsibilities Handle Prior-Authorizations (PAs) and Insurance Verification Communicate with patients, providers, and i...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 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 A company is looking for a Hospice Billing Team Lead (Fully Remote).Key Responsibilities Manage AR for non-Medicare collections in assigned territory Format and file claims reconsiderations Man...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Senior Claims Business Analyst to support the claims organization by mapping processes and ensuring solutions deliver measurable value.
Key Responsibilities Manage analy...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day 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_1_day A company is looking for an AR Follow Up Specialist to manage unresolved insurance claims and ensure timely payments.Key Responsibilities Follow up on unresolved claims and check claim status wit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Senior Business Analyst - Claims.Key Responsibilities Coordinate the business analyst team's activities and mentor newer members Facilitate client meetings to gather r...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 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 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
Senior Consultant, Supplemental Health Claims
VirtualVocationsOklahoma City, Oklahoma, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
CPC Certified Claims Coder
VirtualVocationsOklahoma City, Oklahoma, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Senior Coordinator, Appeals Management
VirtualVocationsOklahoma City, Oklahoma, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Senior Claims Manager
VirtualVocationsOklahoma City, Oklahoma, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Senior Environmental Technical Claims Specialist
Argonaut Management Services, IncOklahoma City, OK, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
New York Licensed Claims Supervisor
VirtualVocationsOklahoma City, Oklahoma, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Life and Health Insurance Analyst
VirtualVocationsOklahoma City, Oklahoma, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Prebill Specialist
VirtualVocationsOklahoma City, Oklahoma, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Senior Federal Work Comp Claims Adjuster
VirtualVocationsOklahoma City, Oklahoma, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Claims Supervisor - Licensed
VirtualVocationsOklahoma City, Oklahoma, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Senior Billing Specialist
VirtualVocationsOklahoma City, Oklahoma, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Texas Licensed Medical Insurance Specialist
VirtualVocationsOklahoma City, Oklahoma, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Claims Specialist II
VirtualVocationsOklahoma City, Oklahoma, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Hospice Billing Team Lead
VirtualVocationsOklahoma City, Oklahoma, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Senior Claims Business Analyst
VirtualVocationsOklahoma City, Oklahoma, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
California Licensed Clinical Applications Professional
VirtualVocationsOklahoma City, Oklahoma, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
A / R Follow Up Specialist
VirtualVocationsOklahoma City, Oklahoma, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Senior Business Analyst - Claims
VirtualVocationsOklahoma City, Oklahoma, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Arizona Licensed Medical Eligibility Specialist
VirtualVocationsOklahoma City, Oklahoma, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Claims Consultant, Management Specialty
VirtualVocationsOklahoma City, Oklahoma, United Statesserp_jobs.job_card.full_time