Claims Resolution Analyst

MagellanHealth

United States, United States
Base: $45,655 - $68,485; bonus/equity: eligible fo...
Claims issue resolution
Claims research and analysis
Cross-department coordination
The Claims Internal Resolution Analyst is responsible for coordinating the resolution of claims issues locally at the health plan by actively researching and analyzing systems and processes that span across multiple operational areas

Job Summary

  • The Claims Internal Resolution Analyst is responsible for coordinating the resolution of claims issues locally at the health plan by actively researching and analyzing systems and processes that span across multiple operational areas.
  • Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.
  • Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace.

Matching Summary

The Claims Internal Resolution Analyst is responsible for coordinating the resolution of claims issues locally at the health plan by actively researching and analyzing systems and processes that span across multiple operational areas.

Salary

Base: $45,655 - $68,485; Bonus/Equity: Eligible for short-term incentives; Benefits: Comprehensive benefits package

Skills & Requirements

Must-have

  • Claims issue resolution
  • Claims research and analysis
  • Cross-department coordination
  • Provider billing analysis
  • Claims trend analysis

Nice-to-have

  • Customer expectation management
  • Risk communication
  • Regulatory complaint review

Key Requirements

  • Bachelor's degree or equivalent
  • 5-7 years claims experience
  • Minimum 1 year complex claims research
  • Experience in managed care reimbursement analysis

Work Rights

Not specified

Tailored Resume

Cover Letter