Top 8 Claims analyst Jobs in Southport, Nc

Business Analyst ACO Operations
Wilmington Health PLLC —Wilmington, NC
- Microsoft Office
- SQL
- Bachelor's degree
Claims Analyst - Wilmington
North Carolina Education Lottery —Wilmington, NC
- $20.25 an hour
- Full-time
- Spanish
- CPR Certification
- Microsoft Excel
- Flexible schedule
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Employee Benefits Financial Analyst
HUB International —Wilmington, NC
- Full-time
- Customer service
- Mid-level
- Office
- Wellness program
- Paid parental leave
Sr. Business Systems Analyst – Benefits Architect (Healthcare)
High5 —Carolina Beach, NC
- $30 - $38 an hour
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- Remote
- 5 years
- Salesforce
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Claims Analyst - Wilmington
North Carolina Education Lottery —Wilmington, NC
Validate and process lottery prize claims by verifying player eligibility, age, and identity using secure verification tools and IRS TIN matching systems.
$20.25 an hour
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8d
Business Analyst ACO Operations
Wilmington Health PLLC —Wilmington, NC
Assists with or facilitates meetings, conference calls, web meetings, presentations, and other communication methods. Ability to manage time-sensitive projects.

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Business Analyst ACO Operations

Wilmington Health PLLC -
Wilmington, NC

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Job Details

Qualifications

Public health

Full Job Description

About Wilmington Health

Since 1971, Wilmington Health has been committed to the care and health of our community in Wilmington as well as all of Southeastern North Carolina. Wilmington Health is structured as a multi-specialty medical practice with primary care providers integrated into the system. In this way, Wilmington Health is able to provide a comprehensive and coordinated approach to the care of all our patients. Wilmington Health is committed to using collaborative, evidence-based medicine in providing the highest quality of care to the patients we serve.

Purpose:

Wilmington Health is looking for a Business Analyst to support ACO operations. This position requires an in-depth understanding of healthcare data including provider, clinical and member data. In this role, the Analyst is charged with developing high level analyses, recommending strategic actions to be taken based on data and presenting opportunities to support internal and external initiatives in support of strategic efforts.

Essential Duties/Responsibilities:

Incorporate large amounts of healthcare data to discover patterns, trends, and relationships to produce actionable insights which can inform strategy and identify cost reduction, quality improvement, and risk capture.
Create and maintain documentation of operational practices used in the development of analysis and reports.
Present thoughtful analytical summaries to internal and external stakeholders, using strong written and verbal communication.
Actively participate in developing strategies and targets for scaling business and targeting initiatives that improve quality, improve patient satisfaction and control healthcare costs.
Work with clinical and operational leaders to identify, analyze, research, select, modify, or update population health solutions.
Assists with or facilitates meetings, conference calls, web meetings, presentations, and other communication methods.
Conducts or facilitates drill down and other ad hoc analyses of population healthcare data.
Writes reports for use by other team members and leaders to support population health management.
Proficient in use of Excel and SQL and SAS

Other Duties:

Appears for work on time and attends meetings as required
Maintains strict confidentiality
Communicates courteously and appropriately with patients, physicians, and coworkers
Other duties specified by manager

KNOWLEDGE, SKILLS, AND ABILITIES:

Strong organizational skills
Ability to manage time-sensitive projects
Effective communication skills
Ability to work independently and take initiative in addressing concerns and issues
Proficient with computer-based applications such as MS Office, Adobe, registries/medical databases, claims data, population health benchmarking and electronic health records

QUALIFICATIONS

Required

Bachelor’s Degree or equivalent experience
1-2 years of population health experience

Wilmington Health is an Equal Opportunity Employer committed to providing equal opportunities to all applicants and employees. We are committed to treating everyone equally and with respect regardless of race, age, sex, religion, national origin, citizenship, marital status, veteran’s status, sexual preference, disability, genetic information, or any other class protected under state or federal law.

ADA Physical Demands:

Rarely (Less than .5 hrs/day) Occasionally (0.6 – 2.5 hrs/day) Frequently (2.6 – 5.5 hrs/day) Continuously (5.6 – 8.0 hrs/day)

Physical Demand

Required?

Frequency

Standing

Occasionally

Sitting

Continuously

Walking

Occasionally

Kneeling/Crouching

Rarely

Lifting

Rarely

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claims analyst jobs in southport, nc

Business Analyst ACO Operations

Claims Analyst - Wilmington

Employee Benefits Financial Analyst

Sr. Business Systems Analyst – Benefits Architect (Healthcare)

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