22 business rules analyst senior jobs found

CorVel is hiring a Medical Bill Review Analyst. The Bill Review Analyst is responsible for review, auditing and data-entry of medical bills for multiple states and lines of business.  This is a remote role. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: Responsible for auditing medical bills to ensure that they are appropriate and adhere to the State Fee Schedules, customer guidelines and PPO discounts.  Position requires knowledge of the Fee Schedule and the operation of the computer terminal May consult reference materials in the auditing process Requires regular and consistent attendance. Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP). Additional duties as assigned.   PRODUCTION REQUIREMENTS: Based upon situation or state specific issues meet 98% accuracy, 10,000+ keystrokes per hour   KNOWLEDGE & SKILLS: Knowledge of medical terminology, workers’...

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. We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs. The Opportunity As a dedicated Financial Regulatory Reporting Senior , you will serve as a key contributor in the preparation, review, and analysis of reports compiled for regulatory agencies to include the FR Y-9C, FR Y-9LP, FR Y-11, FR 2314, and FFIEC 009/009a. You will be responsible for preparing highly technical components of the...

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. We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs. The Opportunity We are seeking a highly skilled Compliance and Operational Risk Testing Analyst Senior – Information Security and Corporate Functions     to join our team. This role is responsible for executing and enhancing technology-focused risk and compliance testing programs to ensure a strong and effective control environment across the...

If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers and partners are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. This Consultant, Risk Management will support agribusiness working on large accounts. The territory is th eastern seaboard. Qualified candidates will reside in PA, NC, SC, VA or WV. #LI-TH1 Job Description Summary Do you have a keen sense of observation, the ability to assess a situation and make recommendations to improve safety practices? If you are a consultant at heart, with an affinity for the agriculture and food industries and the desire to learn...

Description Summary: The Segment Risk Manager Sr – Business Continuity & Resiliency leads operational risk oversight while owning the design and execution of business continuity, disaster recovery, and resiliency programs for a major business segment. This role ensures effective risk governance, regulatory compliance, and organizational preparedness for disruptive events. Duties & Responsibilities: Oversee operational and regulatory risk management programs for a major business segment. Evaluate effectiveness of internal controls and risk mitigation strategies. Direct self-monitoring, testing, and Risk & Control Self-Assessments (RCSA) in alignment with Corporate Risk requirements. Ensure adherence to corporate policies, procedures, and regulatory expectations. Serve as the central point of coordination between business segment, Corporate Risk, and Audit. Escalate significant...

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. We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs. The Opportunity As a Financial Analyst Lead , you will oversee key financial processes and expense categories, leveraging advanced financial analysis to solve complex business challenges. This role is responsible for forecasting, budgeting, financial planning, and modeling related to revenue, profitability, liquidity, capital structure,...

Description Summary: The Head of Leveraged Finance – Execution (“LFE”) is responsible for leading the overall strategy, deal execution & underwriting, risk management & reporting, and team management of Huntington’s LFE group.  This team is primarily responsible for the structuring, underwriting, and credit approval execution of debt financings for Huntington’s financial sponsor-backed and corporate clients across the Commercial Bank, including multiple specialty industry verticals within the Corporate, Specialty & Government (“CSG”) group and Middle Market Banking.  This team serves in a “First Line” role, partnering closely with Syndicated & Leveraged Finance, CSG Industry & Middle Market bankers, the Financial Sponsors Coverage team, and Credit to deliver comprehensive financing solutions and drive fee growth. Primary Duties and Responsibilities: Lead and manage the Leveraged Finance...

Description The Associate - Leveraged Finance Execution, is responsible for providing underwriting and execution support to senior deal team members on leveraged finance transactions pertaining to M&A, LBOs, recapitalization, etc. The Associate may also serve as a lead on select transactions under guidance from the Vice President, Associate Director, Director and/or Managing Director. Additionally, the Associate is responsible for training, managing, and monitoring work product of Analysts. This position includes all aspects of the leveraged finance execution process such as performing due diligence and preparing internal credit approval documents. Additionally, as part of the Huntington Capital Advisors (HCA) sub-team, this role will focus on executing transactions for privately held businesses, including founder-owned, family office–owned, and small-cap sponsor-backed companies. Typical client needs include...

Description Summary: The Managing Director -Aerospace and Defense is responsible for building and servicing a sound and profitable portfolio of commercial business relationships and loans, and satisfying and exceeding customer needs and expectations, as well as credit and regulatory requirements, for originating and structuring Commercial loans. Originate, monitor and renew loan relationships consistent with the bank’s policies and procedures. Serves as the point person in determining the customer's needs and meeting them through the seamless delivery of the bank's products, services and associated resources.  Will be assigned a minimum sales goal of $60MM and a minimum portfolio of $40MM in commitments.  Will work on moderately complex deals structures. Duties & Responsibilities: Originate, analyze, structure and close profitable loan transactions. Participate with more senior Relationship Managers on...

Job Description: Pacific Life is investing in bright, agile and diverse new talent to contribute to our mission of innovating our business and creating a superior customer experience. We’re actively seeking a talented User Access Management (UAM) Analyst who will be responsible for day-to-day execution of user provisioning, deprovisioning, and access modification activities across enterprise platforms. In this role, you will be responsible for the security of our systems and data, assisting with controlling and supporting these resources to ensure the right people have access to the right resources at the right times.  You will also collaborate and coordinate with end users within all Pacific Life divisions and business lines, other technologists and support staff to ensure service level agreements are met while keeping compliance and conformance to standards as top of mind. Finally, you will work to improve and track the maturity of the UAM services by showcasing the...

Description Join a high-impact underwriting team focused on building and growing a profitable, diversified Public Entity and Government portfolio. In this role, you will combine technical underwriting expertise, strategic market insight, and strong agent/broker relationships to help drive business growth and portfolio performance. You’ll serve as a trusted subject matter expert on multi-line business, including professional liability, while collaborating closely with internal partners on key initiatives that shape the business. This is an opportunity to make a visible impact, mentor emerging talent, and help influence underwriting strategy in a dynamic, market-facing role. This position offers a hybrid work schedule with 2 days per week onsite.   Responsibilities:   Risk Selection: Reviews, evaluates, and underwrites new and renewal business by assessing risk quality, determining premium and coverage terms, obtaining approvals as...

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. We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs. The Opportunity As a Director within the Strategy & Innovation organization, you will play a critical role in shaping the strategic direction of the USAA Federal Savings Bank and Member Value organization. You will partner with executive leadership to define long-term strategy, solve complex business challenges, and drive alignment across...

We’re thrilled that you are interested in joining us here at the Amynta Group! Why This Role Matters As a Business Systems Analyst, you will play a critical role in shaping and delivering high quality insurance and accounting solutions that power the business. You’ll work at the intersection of business strategy, technology, and delivery, partnering with stakeholders, developers, and global vendor teams to translate complex business needs into scalable, high impact solutions. This is an opportunity for a seasoned analyst who thrives in complex environments, enjoys deep problem solving, and wants to own outcomes—not just document requirements. What You’ll Do Own the end-to-end requirements definition process for complex, high‑visibility initiatives, ensuring clarity, completeness, and alignment across business and technology teams. Partner closely with business stakeholders to elicit, analyze, and prioritize requirements based on value, risk, and strategic...

Job Description: Providing for loved ones, planning rewarding retirements, saving enough for whatever lies ahead – our policyholders count on us to be there when it matters most. It’s a big ask, but it’s one that we have the power to deliver when we work together. We collaborate and innovate – pushing one another to transform not just Pacific Life, but the entire industry for the better. Why? Because it’s the right thing to do. Pacific Life is more than a job, it’s a career with purpose. It’s a career where you have the support, balance, and resources to make a positive impact on the future – including your own. We’re actively seeking a talented Network Operations Manager to join our team in Charlotte, NC. The Network Operations Manager is responsible for end-to-end operational delivery of enterprise network services, ensuring availability, stability, and performance across a global 24x7 infrastructure. This role provides strategic and operational leadership over Network...

Company Details     With over 35 years of proven expertise in the workers' compensation industry, Key Risk delivers innovative and responsive solutions that provide our clients the freedom to do what they do best. Offering guaranteed cost options to employers nationwide, Key Risk focuses on delivering products and services within specialized verticals to reduce workers' compensation exposures and deliver industry-leading results.   All products and services are distributed through appointed insurance agents and brokers. Key Risk is a member company of W. R. Berkley Corporation, whose insurance company subsidiaries are rated A+ (Superior), Financial Size Category XV by A.M. Best Company and A+ (Strong), by S&P.   For further information about Key Risk please visit  www.KeyRisk.com   The company is an equal opportunity employer. Responsibilities The Vice President of Human Resources (VP HR) serves as a...

Headquartered in the Central Florida city of Lakeland, Summit employs over 700 office and field associates at its main location and regional offices in Baton Rouge, Louisiana, and Gainesville, Georgia. As the people who know workers’ comp, we strive to provide an atmosphere of constant growth and development for our employees.   Summit provides workers’ compensation programs and services to thousands of employers throughout the Southeast.   Summit is a member of Great American Insurance Group, a company that focuses on building relationships and linking people to various career paths. Whether it’s underwriting, claims, accounting, IT, legal, or customer service, Great American Insurance Group combines a small-company entrepreneurial atmosphere with big- company expertise. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where...

Job Description: Pacific Life is seeking a Director, Treasury Systems Support to lead the strategy, implementation, and ongoing optimization of treasury technology platforms supporting our global Treasury organization. This role plays a critical part in enabling resilient operations, real‑time cash intelligence, and strong risk and control environments through modern, scalable technology. How you’ll help move us forward As the Director, Treasury Systems Support, you will have end‑to‑end ownership of treasury technology platforms, including Treasury Management Systems (TMS), payment hubs, and bank connectivity solutions. You will define the treasury technology roadmap, ensure operational excellence, and partner across Treasury, Finance, IT, Risk, and the broader enterprise to deliver solutions aligned with business objectives and regulatory requirements. You will also lead and develop a high‑performing treasury systems team, strengthening technical capability,...

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. The Assistant Vice President (AVP), Payroll Operations is a senior payroll leader responsible for the execution of North America payroll operations, ensuring accurate, compliant, and scalable payroll delivery. Reporting to the Vice President, Payroll & Equity Operations, this role serves as a critical link between strategy and execution, with accountability for operational performance, governance, and risk management. The AVP advances service excellence and payroll modernization in support of business growth, leveraging deep expertise in Workday Payroll and ADP SmartCompliance. This role would be a great fit for candidates who have previous payroll leadership experience from a...

The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one. If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to Accessibility (accommodation requests only; other inquiries won't receive a response). Regular or Temporary: Regular Language Fluency:  English (Required) Work Shift: 1st Shift (United States of America) Please review the following job description: We are building the foundation of the machine learning function at a market-leading insurance company. As one of the first data science hires, you will play a pivotal role in shaping our ML strategy, frameworks, and operating model. This is a unique opportunity to be hands-on, developing and maintaining production-grade solutions while influencing the long-term vision and scaling of our ML...

Headquartered in the Central Florida city of Lakeland, Summit employs over 700 office and field associates at its main location and regional offices in Baton Rouge, Louisiana, and Gainesville, Georgia. As the people who know workers’ comp, we strive to provide an atmosphere of constant growth and development for our employees.   Summit provides workers’ compensation programs and services to thousands of employers throughout the Southeast.   Summit is a member of Great American Insurance Group, a company that focuses on building relationships and linking people to various career paths. Whether it’s underwriting, claims, accounting, IT, legal, or customer service, Great American Insurance Group combines a small-company entrepreneurial atmosphere with big- company expertise. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where...