Claims Analyst Nursing Jobs

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  • Data Analyst - MedicareHp(Los Angeles, California)

    This position will be located in Chico, CA or Los Angeles, CA AboutHP HP creates new possibilities for technology to have ameaningful impact on people, businesses, governments and society. The world’slargest technology company and ranked 10 on the Fortune 500 list for 2012, HPbrings together a portfolio that spans printing, personal computing, software,services and IT infrastructure to serve more ...
    Full job description at Monster

    Posted Mon 18th August

  • Clinical Appeals AnalystExperis(Raleigh/Durham-RTP, North Carolina)

    IMMEDIATE NEED for a Clinical Appeals Analyst! RN license a must! We are actively recruiting for a Clinical Appeals Analyst in Raleigh-Durham. As a Clinical Appeals Analyst, you will be responsible for determining pre- existing, medical necessity, benefit eligibility and/or appropriate reimbursement allowances for complex claims and/or products by using clinical experience, medical literature, med...
    Full job description at Monster

    Posted Wed 20th August

  • Utilization Review / Review Analyst / Registered Nurse / RNA-Line Staffing Solutions(Detroit, Michigan)

    Job Description Registered Nurse (RN) Review Analyst Responsible for the approval or rejection of claims Admissions approvals Telephone triage Benefit interpretation May be required to enter or reference data via PC and/or CRT terminal. Other related skills may be required to perform this job. Expertise in the use of medical terminology Utilization Review Chart Auditing Details 40 hours/week M-F w...
    Full job description at Monster

    Posted 3 days ago

  • Clinical Quality Improvement AnalystThe HSC Pediatric Center(Washington/Metro, District of Columbia)

    Clinical Quality Improvement Analyst Health Services for Children with Special Needs, Inc. (HSCSN) provides innovative care to the pediatric Supplemental Security Income (SSI) populations of Washington, DC through a management network that coordinates health, social, and educational services for our members. Holistic and proactive, HSCSN is a dedicated Medicaid health plan that coordinates all asp...
    Full job description at Monster

    Posted Wed 13th August

  • Medical Policy Nurse AnalystDataStaff, Inc.(Raleigh/Durham-RTP, North Carolina)

    Overview: DataStaff is currently seeking to fill an on-going contractor position for a Medical Policy Nurse Analyst on a project with one of our direct clients here in Raleigh, NC. The position may be extended based on budget, need, and individual's fit within the department. The manager is only interested in local candidates at this time and will require a face-to-face interview for selection. Th...
    Full job description at Monster

    Posted Thu 21st August

  • Lead Clinical Business Analyst Nurse For WellMedUnitedHealth Group(San Antonio, Texas)

    Description: The Lead Clinical Business Analyst delivers solutions to complex business problems. The solutions will provide consideration to WellMed and Optum evolving business needs, which include the capacity and limitation of associated business systems, and evaluating system changes for downstream impact. This position oversees the development, specification and integration of strategic WellMe...
    Full job description at Monster

    Posted Thu 21st August

  • Sr. Medical Review Nurse AnalystWPS Health Insurance(Madison, Wisconsin)

    Sr. Medical Review Nurse Analyst Wisconsin Physicians Service Insurance Corporation (WPS) is a Madison, Wisconsin-based health insurance and benefit administration company serving federal, state, and commercial clients. With more than 65 years in business, we emphasize uncompromising business ethics and innovative solutions to today’s health care environment. A not-for-profit insurer, our mission ...
    Full job description at Monster

    Posted Yesterday

  • Healthcare Support (Nursing, PT, Healthcare Support)The Assist Group(Denver, Colorado)

    Growing Local Company Hiring! The Assist Group The Assist Group (TAG), a national healthcare cost containment company, is looking to fill FT positions to meet our growing needs. VP Business Development and Sales Director - Business Development Account Coordinator Appeals Specialist Claims Resolution Specialist Medical Claims Coordinator RN - Forensic Review Clinician Forensic Review Analyst Java D...
    Full job description at Monster

    Posted Tue 12th August

  • Senior Policy AnalystHarvard Pilgrim Health Care(Boston, Massachusetts)

    Reporting to the Manager of Payment Policy & Strategy, the Sr. Clinical Policy is responsible for the research, analysis, reporting, development and implementation of custom rules for iCES – HPHC’s claims editing software. This position plays a lead role in the development of all payment and medical policies, including providing technical and methodological design consultation, database maintenanc...
    Full job description at Monster

    Posted 3 days ago

  • Investigator Special Investigations UnitBoston Medical Center Healthnet Plan(, Massachusetts)

    Job Location: Boston or Manchester NH, MA Job Description Job Summary: The Investigator, Special Investigations Unit (SIU) is a key contributor to the Plan’s member and provider fraud, waste, and abuse (FWA) detection, investigation, remediation, and prevention efforts. The Investigator utilizes preliminary recommendations provided by the SIU Data Analyst to develop, conduct, resolve, document, an...
    Full job description at Monster

    Posted Fri 4th July

  • Entry Level Management Program(San Francisco, California)

    College Grads are welcome to apply!! For immediate consideration please submit your resume Our program will develop individuals, personally and professionally, into leaders through teamwork and fundamental management training techniques. We will promote team success as well as individual achievements in a consistently positive atmosphere. Everyone at Summit understands that they hold a key role wi...
    Full job description at Monster

    Posted Sat 2nd August

  • Full Time Schedule - Training Provided - Entry LevelKarma Innovations, Inc.(Ft. Lauderdale, Florida)

    Karma Innovations is currently hiring for entry level, Sales & Marketing Account Representatives in the South Florida area. We are currently the leading vendor for a Fortune 500 telecommunications company here in the South Florida area. www.karmainnovate.com Our company is provided with leads to visit our customers to make sure that they are happy with their current services. As always, we offer t...
    Full job description at Monster

    Posted Mon 4th August

  • Sales Representative, Full Time(San Francisco, California)

    Our company is currently hiring management training positions. Our talented team of marketing professionals represents our clients with unparalleled integrity to the business community. In order for our organization to prosper, we are aggressively seeking talented, enthusiastic individuals who are searching for an opportunity to quickly work their way from ENTRY-LEVEL into a position in MANAGEMENT...
    Full job description at Monster

    Posted Fri 15th August

  • Restaurant Server, Bartender, Host Experience - Full Time - Immediate HireKarma Innovations, Inc.(Ft. Lauderdale, Florida)

    Expanding Marketing Firm Seeking Restaurant / Hospitality Experience For immediate consideration call Colleen 954.210.0612 Does your wrist hurt from carrying trays? Tired of food stains on your clothes? Spending your whole paycheck AT WORK because you have to wear your company's products? Tired of customers who think 15% is a GREAT TIP? Would you like to have more control over your success? Karma ...
    Full job description at Monster

    Posted Sat 16th August

  • MANAGEMENT TRAINING- Marketing/Advertising SalesTidewater Marketing Group(Norfolk/Hampton Roads, Virginia)

    MANAGEMENT TRAINING- Marketing/Advertising Sales LOVE the person to person interaction in your current industry, but tired of feeling like you're stuck in a dead end job? Have you been working hard, only for someone else to take the credit? Want to get PAID to talk about sports, movies, music, entertainment, and TV while working your way up the company ladder? Our team is drafting! Apply today to ...
    Full job description at Monster

    Posted Mon 18th August

  • Retail CSR/Sales Rep- Management TraineeThe Soulard Group(Providence, Rhode Island)

    Marketing – Management – Sales – Public Relations – Retail – Customer Service You have a gift. You know just what to say at any given moment. Your personality alone puts people at ease. People love you. People follow you. This is what drives you. This is the type of person we are looking for. The Soulard Group is a marketing & promotions firm located Providence that specializes in providing in sto...
    Full job description at Monster

    Posted Thu 21st August

  • Entry Level Management Program(San Francisco, California)

    BAY AREA firm seeking Entry Level Sales Reps to Train for Management College Grads are welcome to apply!! For immediate consideration please submit your resume Our program will develop individuals, personally and professionally, into leaders through teamwork and fundamental management training techniques. We will promote team success as well as individual achievements in a consistently positive at...
    Full job description at Monster

    Posted Sun 17th August

  • Sales Representative, Full Time(San Francisco, California)

    BAY AREA firm seeking Entry Level Sales Reps to Train for Management. Our talented team of marketing professionals represents our clients with unparalleled integrity to the business community. In order for our organization to prosper, we are aggressively seeking talented, enthusiastic individuals who are searching for an opportunity to quickly work their way from ENTRY-LEVEL into a position in MAN...
    Full job description at Monster

    Posted Sun 17th August

  • Sales Representative, Full Time(San Francisco, California)

    BAY AREA firm seeking Entry Level Sales Reps to Train for Management. Our talented team of marketing professionals represents our clients with unparalleled integrity to the business community. In order for our organization to prosper, we are aggressively seeking talented, enthusiastic individuals who are searching for an opportunity to quickly work their way from ENTRY-LEVEL into a position in MAN...
    Full job description at Monster

    Posted Sat 9th August

  • Full Time Schedule - Training Provided - Entry LevelKarma Innovations, Inc.(Ft. Lauderdale, Florida)

    Karma Innovations is currently hiring for entry level, Sales & Marketing Account Representatives in the South Florida area. We are currently the leading vendor for a Fortune 100 telecommunications company here in the South Florida area. www.karmainnovate.com Our company is provided with leads to visit our customers to make sure that they are happy with their current services. As always, we offer t...
    Full job description at Monster

    Posted Sat 23rd August

Claims Analyst Job Search Tip

The job outlook for qualified nurses is very positive as in many geographical areas, there are many more available positions than nurses to fill them. Employment is expected to grow at a fast pace because the nursing industry is a large industry and many new jobs will be created in addition to filling the needs of already understaffed facilities. Nurses can pick of many different specializations or be general study nurses. Education will include a minimum of completion of a nursing program or bachelor's degree and also a passing grade on the state licensing examination.

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