Claims Resolution Analyst
Magellan Health(2 months ago)
About this role
The Claims Internal Resolution Analyst coordinates resolution of claims issues at the health plan by researching and analyzing systems and cross-functional processes. The role focuses on identifying root causes across member enrollment, provider information, benefits configuration, and claims processing, and works with internal teams and providers to ensure timely issue closure.
Required Skills
- Claims Research
- Issue Resolution
- Claims Analysis
- Provider Relations
- Process Analysis
- Enrollment Management
- Benefits Configuration
- Trend Analysis
- Documentation
Qualifications
- Bachelor's Degree
About Magellan Health
magellanhealth.comMagellan Health manages the fastest growing, most complex areas of healthcare, bringing solutions to health plans, employers and state and Federal programs.
View more jobs at Magellan Health →Apply instantly with AI
Let ApplyBlast auto-apply to jobs like this for you. Save hours on applications and land your dream job faster.
More jobs at Magellan Health
Personal Financial Counselor, PFC-Richmond, VA - Army National Guard
Magellan Health(4 days ago)
On-site Home Visitor, LCSW/LMFT any state, RN/BSN, Fort Carson, Colorado
Magellan Health(4 days ago)
Part Time (20 hours a week) ID Card Specialist; Philadelphia, PA
Magellan Health(4 days ago)
Personal Financial Counselor, PFC-Aberdeen Proving Ground, MD
Magellan Health(4 days ago)
Similar Jobs
Provider Disputes Claims Examiner
AltaMed Health Services(2 months ago)
Claims Verification Analyst
Manulife(1 month ago)
Commercial Claims Operations Manager
Brigham and Women(25 days ago)
Customer Service Representative I, Geisinger Health Plan (Pennsylvania resident)
Geisinger(1 month ago)
Director, Claims Configuration
Gravie(23 days ago)
Claims Investigation Analyst I
Geisinger(24 days ago)