Senior Claims Analyst Salary at Tm Claims Service Inc BETA

Analyst We are seeking an Analyst on a full-time basis, hybrid role located in Cerritos, CA. Primary Responsibilities and Job Duties: Perform statistical population health utilization, cost and quality analytics to develop cost of care targets for at-risk populations Conduct margin analysis on infusion drugs and oral drugs, identify margin drivers, run deep dive analysis to explain trends and assess opportunities Perform profitability analysis on capitation as well as FFS contracts Working with our RCM team, conduct in-depth reviews of claims AR and payments to assess collection results and trends, reporting findings to various internal teams and senior leadership Working with business partners in Business Development, UM, Clinical/Ops, prepare financial models to assess ROI around operational expansion initiatives Support and inform clinical, network and efficiency improvement initiatives through complex analytics and financial modeling using SQL language Provide analytical research a

Job Description Job Description The Staff Accountant is an integral part of the Finance team to provide accounting and revenue validation support to the Hospital Financial Risk Pool Analyst, Hospital Financial Analyst Supervisor and Lead, Senior Finance Manager, VP of Finance Corporate Controller, and CFO. Responsible for working with the timely and accurate monthly accounting close functions, balance sheet and revenue file preparation & reconciliations and annual audit process. Assist in reviewing, reconciling, and analyzing data to ensure financial integrity of information reported. Complete additional assignments and projects as required by the Hospital Financial Risk Pool Analyst, Hospital Financial Analyst Supervisor and Lead, Senior Finance Manager, VP of Finance Corporate Controller, and CFO or other administrative team members. Duties and Responsibilities: · Perform daily cash management duties (updating Cash Flows, uploading and decisioning Positive Pay) · Perform monthly acco

Bryson specializes in Employee Benefits, Retirement Planning, Property & Casualty, Life Insurance, and Wealth Management Services. We pride ourselves in delivering the Bryson WOW, which is our commitment to service excellence. PERSONAL TOUCH RESOLUTION ACCOUNTABILITY INTELLECTUAL CAPITAL DELIVERING VALUE As the Self-Insured Benefits Analyst, you will be instrumental in managing and optimizing self-funded health and welfare benefit plans. The ideal candidate will leverage their expertise to analyze claims data, manage vendor relationships, ensure compliance with regulatory requirements, and support strategic decision-making processes related to employee benefits. Essential Duties and Responsibilities Oversee detailed plan analysis for renewals and prospective clients. Prioritize and manage multiple data-related tasks efficiently to meet team and client expectations. Risk Management & Data Analytics such as claims reporting, benchmarking, claims repricing and network disruption Monitor a

Thank you for your interest in working for our Company. Recruiting the right talent is crucial to our goals. On April 1, 2024, 3M Healthcare underwent a corporate spin-off leading to the creation of a new company named Solventum. We are still in the process of updating our Careers Page and applicant documents, which currently have 3M branding. Please bear with us. In the interim, our Privacy Policy here: https://www.solventum.com/en-us/home/legal/website-privacy-statement/applicant-privacy/ continues to apply to any personal information you submit, and the 3M-branded positions listed on our Careers Page are for Solventum positions. As it was with 3M, at Solventum all qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Description: Supply Chain Analyst (Solventum) 3M Health Care is now Solventum At Solventum, we enable bet

Your Role The Growth and Servicing analytics team is part of the centralized Data and Analytics organization and oversees Analytics relating to Contact Center, Digital, Marketing, Claims, Appeals, Grievances, Disputes, Customer Experience and Lines of Business. The Data Analyst, Senior will report to the Senior Manager of Inventory Management. In this role you will support the contact center customer experience stakeholder to deliver faster and deeper data insights and solutions with measurable financial and experiential outcomes. You will connect into the contact center domain, harnessing all available data to execute analytic initiatives that help achieve contact center goals around experience, efficiency, and cost of healthcare. You will also engage directly with stakeholders to help frame business problems, participate in recommending analytic frameworks to address those problems and deliver high quality / high impact solutions. Your Work In this role, you will: Analyze structured