Top 41 Claims analyst Jobs in Wilmington, De

Contract Analyst
Christiana Care Health Systems —Wilmington, DE
- $68,161.60 - $109,054.40 a year
- Full-time
- Mid-level
- Bachelor's degree
- Contracts
- Paid parental leave
- Health insurance
Property Claims Analyst
FM —Malvern, PA
- $68,000 - $97,000 a year
- Full-time
- Customer service
- Writing skills
- Research
- 401(k)
- Tuition reimbursement
Fraud Team Support Analyst
City National Bank —Newark, DE
- $53,955 - $86,177 a year
- Full-time
- Microsoft Access
- Writing skills
- Research
- Health insurance
- Dental insurance
Billing Analyst - AHA
Independence Blue Cross —Philadelphia, PA
- Hybrid work
- Microsoft Outlook
- Mid-level
- Office
Audit Analyst
Independence Blue Cross —Philadelphia, PA
- Hybrid work
- Bachelor of Science
- Mid-level
- Office
Collections Analyst
Independence Blue Cross —Philadelphia, PA
- Mid-level
- Bachelor's degree
- Business
Quality Business Analyst
Independence Blue Cross —Philadelphia, PA
- Writing skills
- Mid-level
- Analysis skills
Senior Healthcare Data Analyst - Hybrid (PA/NJ/DE)
Independence Blue Cross —Philadelphia, PA
- Hybrid work
- Clinic experience
- Mid-level
- Office
4d
Business Analyst AHA
Independence Blue Cross —Philadelphia, PA
- Microsoft Excel
- Research
- Mid-level
Lead Analyst, Total Rewards
Comcast Corporation —Philadelphia, PA
- Weekends as needed
- 7 years
- Writing skills
- SQL
Actuarial Analyst
AIG PC Global Services, Inc. —Philadelphia, PA
- $60,000 - $75,000 a year
- Email
- Bachelor of Science
- Mid-level
- Office
- Health insurance
Quick Apply
Actuarial Analyst II
Independence Blue Cross —Philadelphia, PA
- Research
- Mid-level
- Office
Senior Analyst, Payment Integrity Disputes
Oscar Health —Philadelphia, PA
- $64,832 - $85,092 a year
- Overtime
- Remote
- Research
- Mid-level
- SQL
- Paid parental leave
- Paid holidays
Quick Apply
9d
Risk Management Analyst for University of Pennsylvania
Penn Medicine —Philadelphia, PA
- $76,000 - $125,500 a year
- Background check
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
Corporate Insurance & Risk Management Analyst
Chubb —Philadelphia, PA
- Full-time
- Bachelor of Science
- Mid-level
- Office
Logistics Analyst
J.W. Pepper & Son, Inc. —Exton, PA
- $45 - $50 a year
- Full-time
- ERP systems
- Mid-level
- Analysis skills
Quick Apply
Markets Asset Servicing - Income and Corporate Action Analyst
JPMorganChase —Newark, DE
- Full-time
- Research
- Mid-level
- Office
- Health insurance
- Tuition reimbursement
5d
Senior Analyst, Kroll Settlement Administration
Kroll —Philadelphia, PA
- $32 - $36 an hour
- Full-time
- Hybrid work
- Customer service
- Research
- Mid-level
- Paid holidays
- Disability insurance
Analyst, Kroll Settlement Administration
Kroll —Philadelphia, PA
- $25 - $27 an hour
- Full-time
- Hybrid work
- Customer service
- Research
- Mid-level
- Paid holidays
- Disability insurance
Actuarial Analyst (Hybrid)
NFP Corp —Woodbury, NJ
- $75,000 - $90,000 a year
- Full-time
- Mid-level
- Finance
- SQL
- Paid holidays
- Health insurance
10d

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claims analyst jobs near wilmington, de

Contract Analyst

Christiana Care Health Systems -
Wilmington, DE

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Job Details

Full-time
$68,161.60 - $109,054.40 a year

Benefits

Paid parental leave
Health insurance
Dental insurance
Paid time off
Parental leave
Vision insurance
403(b)
Gym membership
Life insurance

Qualifications

Safety protocol adherence
Filing
Mid-level
Contract management experience in healthcare
Bachelor's degree
Change management for system development
Health insurance knowledge
Contracts
Contract management support tasks
Epic
Document change management
Healthcare reimbursement methods
2 years

Full Job Description

Are you looking to join a healthcare company that is based on excellence and love? Then this is the position you need to check out!

ChristianaCare is one of the country's most dynamic healthcare organizations, centered on improving health outcomes, making high-quality care more accessible, and lowering healthcare costs. ChristianaCare includes an extensive network of outpatient services, home health care, urgent care centers, three hospitals (1,299 beds), a free-standing emergency department, a Level I trauma center and a Level III neonatal intensive care unit, a comprehensive stroke center and regional centers of excellence in heart and vascular care, cancer care, and women's health. It also includes the pioneering Gene Editing Institute and was rated by IDG Computerworld as one of the nation's Best Places to Work in IT. ChristianaCare is a nonprofit teaching health system with more than 260 residents and fellows. It is continually ranked by U.S. News & World Report as the Best Hospital. With the unique CareVio data-powered care coordination service and a focus on population health and value-based care, ChristianaCare is shaping the future of health care.

ChristianaCare Offers

Full Medical, Dental, Vision, Life Insurance, etc.
Two retirement planning offerings, including 403(b) with company contributions
Generous paid time off with annual roll-over and opportunities to cash out
12-week paid parental leave
Incredible Work/Life benefits including annual membership to care.com, access to backup care services for dependents through Care@Work, retirement planning services, financial coaching, fitness and wellness reimbursement, and great discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets and much more!

About This Position

ChristianaCare is searching for Contract Analyst to update contract management systems and schedules related to changes in managed care contracts and government reimbursement for system services.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Implement required additions, revisions, and updates to Contract Management system for managed care and governmental payers, including annual contract updates and quarterly fee schedule revisions.
Document all system changes via “Change Control” process managed by IT. Thoroughly test all new contract build, as well as contract and fee schedule updates to determine if claims are netting down correctly prior to loading payment terms into production.
Conduct payment reviews to identify payer variances resulting from incorrect system set up, policy changes, or payer noncompliance.
Maintain payor files including contract agreements, fee schedules, and amendments.
Work closely with immediate manager and team, communicating in daily huddles.
Strong independent work ethic and self-motivated to complete daily tasks and other projects.
Attend and participate in departmental staff and management staff meetings.
Adhere to established departmental safety rules and practices.
Perform other duties, as required.

EDUCATION AND EXPERIENCE REQUIREMENTS:

Bachelor’s Degree and/or equivalent work experience.
A minimum of two years of healthcare billing/accounts receivable or payor contract management experience preferred.
Epic reimbursement contract experience preferred
Knowledge of payor contracting, third-party/managed care reimbursement and contract management systems preferred.
PLEASE NOTE: A Resolute Hospital Billing Expected Reimbursement Contracts Administration certification will be required to obtain within 6 months of date of hire.

Annual Compensation Range $68,161.60 - $109,054.40

This pay rate/range represents ChristianaCare’s good faith and reasonable estimate of compensation at the time of posting. The actual salary within this range offered to a successful candidate will depend on individual factors including without limitation skills, relevant experience, and qualifications as they relate to specific job requirements.

Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.

EEO Statement: ChristianaCare Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.

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Refine Your Search

claims analyst jobs in wilmington, de

Contract Analyst

Property Claims Analyst

Fraud Team Support Analyst

Billing Analyst - AHA

Audit Analyst

Collections Analyst

Quality Business Analyst

Senior Healthcare Data Analyst - Hybrid (PA/NJ/DE)

Business Analyst AHA

Lead Analyst, Total Rewards

Actuarial Analyst

Actuarial Analyst II

Senior Analyst, Payment Integrity Disputes

Risk Management Analyst for University of Pennsylvania

Corporate Insurance & Risk Management Analyst

Logistics Analyst

Markets Asset Servicing - Income and Corporate Action Analyst

Senior Analyst, Kroll Settlement Administration

Analyst, Kroll Settlement Administration

Actuarial Analyst (Hybrid)

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