67 bill review analyst i jobs found

Responsible for receiving and entering medical claims while maintaining accuracy and meeting turnaround requirements. The Setup Analyst provides a higher level skillset, supporting the goals of the Setup department, personal growth, and of CorVel.  This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Ensure bill is eligible for MCS review Handle / organize bills to be entered in a timely fashion Enter bill proficiently and accurately into internal system Communicate any special handling of each claim Maintains production standards and production requirements Comply with standard protocol for processing problem claims Responsible for high profile clients, including production, QC, communications, etc. Train new employees Function as back-up for filter or filter leads Requires punctual and consistent attendance Must be willing and able to work overtime as required Assist co-workers, supervisor and management in accomplishing...

The Payment Integrity Analyst is responsible for accurately reviewing and completing pre- and post pay claim audits based on client, policy, industry standards and/or CMS guidelines.   ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Reviews, analyzes, and completes internal audits and/or appeals in accordance with client policy, CMS guidelines and industry standards in clear and professional written communication Use clinical judgement to appropriately interpret and apply client policies along with CMS guidelines as it relates to reviews done by CERIS such as itemized bill, DRG and/or specialty audits Utilize applicable tools and resources to complete internal audits and/or appeals Timely completion of internal audits and/or appeals Attends clinical team meetings, company meetings, educational opportunities/trainings, and other meetings Additional duties as assigned   KNOWLEDGE & SKILLS: Ability to use clinical judgment and analytical skills for...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity  As a dedicated Intermediate Decision Science Analyst, you will provide decision support for business areas across the association. Staff in this area will be responsible for applying mathematical and statistical techniques and/or innovative /quantitative analytical approaches to draw conclusions and make 'insight to action' recommendations to answer business objectives and drive change. The essence of work performed by the Decision Science Analyst involves gathering, manipulating and synthesizing data (e.g.,...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Decision Science Analyst, you will provide decision support for business areas across the association. Staff in this area will be responsible for applying mathematical and statistical techniques and/or innovative /quantitative analytical approaches to draw conclusions and make 'insight to action' recommendations to answer business objectives and drive change. The essence of work performed by the Decision Science Analyst involves gathering, manipulating and synthesizing data (e.g., attributes,...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity Within Transformation & Ventures, we are hiring a leader to shape how we test, learn, and evaluate modern distribution technical capabilities. Through structured experimentation and data-driven decisions, you will drive strategic execution across digital channels and partner platforms — validating future insurance distribution capabilities and strengthening our position as the #1 choice for the military community. This role is remote eligible in the continental U.S. with occasional business travel. However,...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Audit Manager, you will lead and execute complex audit engagements throughout the audit lifecycle, to include understanding of horizontal and vertical business impacts, integrating audits with IT, analytics, and projects and reviewing work papers. May lead engagements as Auditor-In-Charge (AIC). This role maintains knowledge of financial services regulations, creates and independently performs complex work assignments and problem resolution in support of risk-based assurance and advisory engagements....

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity We have multiple exciting opportunities available on our Pricing, Indications , and Reserving teams.  As a dedicated Actuarial Analyst I , you will be a near-credentialed analyst responsible for independently applying complex technical and actuarial methodologies as well as requiring expert knowledge in one actuarial practice area (pricing, reserving, modeling, catastrophe risk, claims analytics, product management, etc.) to complete unstructured projects. This role is remote eligible in the continental U.S....

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity The Go-To-Market Manager, Ecosystem Go‑to‑Market (eGTM) for the Auto and Home Ecosystems is a central orchestrator responsible for driving adoption, integration, and performance of interconnected products and services. As an evangelist for the ecosystem vision and strategy, this role influences business alignment, works with marketing for execution, and partners closely with advice, member value, product, experience owners, and other teams to deploy cohesive eGTM initiatives. Focused on the management, execution,...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity The Director, Strategic Development is a key leader driving a core, association‑wide initiative to develop a home and auto ecosystem experience for our members. This role works horizontally across execution teams, user experience, and many stakeholders to ensure alignment and impact, while also leading a dedicated team responsible for delivering high‑value outcomes that enhance member experience and create new revenue opportunities.  As a dedicated Director, Digital / Technical Product Management, you will lead...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity The Opportunity Our Liquidity Strategy Analyst I develops, implements and monitors liquidity management strategies at the enterprise and line of business levels , specifically banking, utilizing proficient knowledge of the enterprise, financial services industry, regulatory requirements, rating agency requirements, risk management and financial planning. Provides analysis and support in the execution of complex liquidity and financial initiatives and implementation of business solutions that ensure USAA's...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Decision Science Analyst Senior, you will provide decision support for business areas across the association. Staff in this area will be responsible for applying mathematical and statistical techniques and/or innovative /quantitative analytical approaches to draw conclusions and make 'insight to action' recommendations to answer business objectives and drive change. The essence of work performed by the Decision Science Analyst involves gathering, manipulating and synthesizing data (e.g., attributes,...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity We are seeking a  Director, Product Development  to lead a team in our P&C Property Product area.  This role will directly responsible for monitoring product performance, generating insightful data reports, and identifying key opportunities to drive product design opportunities for all Property products. This role manages a team of individual contributors that are responsible for overseeing and managing the launch and maturation of new products into target strategic markets. Serving as a cross functional...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity We are seeking a Product Development Director to support the P&C Property Product area.  This team will be instrumental in monitoring product performance, generating insightful data reports, and identifying key opportunities to drive product design opportunities for all Property products. This role is accountable for developing new products, overseeing and managing the launch and maturation of new products into target strategic markets. Acting as a cross functional expert, this position provides expertise...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Mid-level Data Scientist, you will work with the core Data Science team for the Technology organization at USAA. As a member of our dynamic community of innovators, you will tackle a broad and evolving spectrum of business targets to provide outstanding impacts for our membership, leveraging both structured and unstructured data through traditional pillars of operations research such as simulation, optimization, and machine-learning techniques, as well as a heavy emphasis on cutting-edge technologies...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity We are seeking a Product Development Manager  to support the P&C Property Product area.  This team will be instrumental in monitoring product performance, generating insightful data reports, and identifying key opportunities to drive product design opportunities for all Property products. This role supports the development of new products into target strategic markets. Provides support for product line initiatives related to product development, compliance, operational and process improvements, claims...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Manager, Workload Planning and Forecasting , you will be r esponsible for managing and guiding teams to support operational workforce planning/management and forecasting activities. This position will establish effective relationships with internal and external partners to ensure processes, procedures and systems provide accurate and reliable workforce management for USAA operational environments. We offer a flexible work environment that requires an individual to be in the office 4 days per...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity We offer a flexible work environment that requires an individual to be in the office 4 days per week. This position can be based in one of the following locations: San Antonio, TX, Plano, TX, Phoenix, AZ, Colorado Springs, CO, Charlotte, NC, or Tampa, FL Relocation assistance is available for this position. We have multiple exciting opportunities available on our Modeling Factory and Insights & Development teams. As a dedicated Actuarial Analyst I, you will be a near-credentialed analyst responsible...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity This Decision Science role is integral to optimizing underwriting strategies within the personal lines Property & Casualty business. The role will be responsible for the end-to-end process of acquiring, synthesizing, and analyzing complex data sets. Insights will directly inform critical business decisions related to risk precision, risk sharing, risk mitigation, and risk acceptability, ultimately driving profitable growth and enhanced member protection. This role is remote eligible in the continental U.S....

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity We offer a flexible work environment that requires an individual to be in the office 4 days per week. This position can be based in one of the following locations: San Antonio, TX, Plano, TX, Phoenix, AZ, Colorado Springs, CO, Charlotte, NC, or Tampa, FL. Relocation assistance is available for this position. We are seeking a highly skilled Data Scientist Senior to join our dynamic and growing Modeling Factory team within the Underwriting & Pricing Analytics department. This is a unique opportunity to...

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity This Mid-Level Decision Science role is integral to optimizing underwriting strategies within the personal lines Property & Casualty business. The role will be responsible for the end-to-end process of acquiring, synthesizing, and analyzing complex data sets. Insights will directly inform critical business decisions related to risk precision, risk sharing, risk mitigation, and risk acceptability, ultimately driving profitable growth and enhanced member protection. We offer a flexible work environment that...