Strategic Claims Expert

2 weeks ago

Letterkenny, Donegal, Ireland beBeeClaims Full time €60,000 - €80,000

Deliver Excellence in Claims Validation

The Senior Business Analyst plays a pivotal role in ensuring that member risk-adjusting claims are evaluated against their coded medical record encounters for the payment year. This is crucial in delivering our mission to help people live healthier lives.

As a key member of our team, you will be responsible for processing, evaluating, and validating claims inventory to ensure the Claims Verification process meets the standard as set by regulatory bodies. You will work closely with Risk, Quality and Network Solutions functions to facilitate collaboration and effective communication.

Key aspects of this role include:

  • Collaborating with cross-functional teams to drive innovation and performance improvements
  • Evaluating and validating claims data to ensure accuracy and compliance
  • Developing and implementing processes to enhance efficiency and customer outcomes

You will have the opportunity to grow professionally and personally, and make a meaningful impact on the communities we serve.

Benefits of this Role

This role offers a unique opportunity to contribute to the success of our organization while advancing your career. As a Senior Business Analyst, you will have the chance to develop new skills, take on new challenges, and make a real difference in the lives of others.

What We Offer

We offer a comprehensive benefits package, including:

  • A competitive salary
  • Opportunities for professional growth and development
  • A dynamic and supportive work environment

About Us

At [Company Name], we are committed to helping people live healthier lives. We believe that everyone deserves access to quality healthcare, and we are dedicated to making a positive impact in the communities we serve.

  • Senior Data Strategist

    3 days ago

    Letterkenny, Donegal, Ireland beBeeDataStrategist Full time €80,000 - €140,000

    As a senior data strategist, you will play a pivotal role in shaping the future of healthcare by applying advanced analytics techniques to solve complex challenges in the US healthcare system.Key ResponsibilitiesDevelop and deploy impactful analytical solutions, taking full ownership of projects from problem framing and data exploration to model development,...

  • Clinical Leader for Innovation and Growth

    1 week ago

    Letterkenny, Donegal, Ireland beBeeGrowth Full time €90,000 - €120,000

    This role is a key position within our organization, driving growth and ideation strategies to maximize opportunities across all claim platforms. It involves providing strategic oversight and direction on growth portfolio management, ensuring alignment with enterprise goals.">Associate Director of Clinical GrowthIn this leadership role, you will lead the...

  • Clinical Leadership Position

    2 weeks ago

    Letterkenny, Donegal, Ireland beBeeDirector Full time

    Associate Director of Clinical Growth and StrategyAs a key member of our team, you will play a pivotal role in driving clinical growth and innovation. Our organization delivers care and services to millions of people worldwide, and we are committed to improving health outcomes through technology and collaboration.The Associate Director of Clinical Growth and...

  • Principal Data Scientist

    24 hours ago

    Letterkenny, Donegal, Ireland UnitedHealth Group Full time

    OverviewOptum is a global organisation that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and...

  • Transformative Data Science Leadership

    19 hours ago

    Letterkenny, Donegal, Ireland beBeeDataScientist Full time €120,000 - €140,000

    Leading Data Science ExcellenceWe are seeking an accomplished Data Scientist to spearhead the development of innovative analytic products and drive the growth of our Data Science team.The Role OverviewProvide strategic direction for AI/machine learning initiatives, leveraging expertise in deep learning models to enhance performance, scalability, and...

  • Chief Analytics Innovator

    4 days ago

    Letterkenny, Donegal, Ireland beBeeData Full time €98,765 - €123,456

    Job OverviewWe are seeking a highly skilled data scientist to join our Advisory Board, where you will work closely with healthcare leaders to develop provocative insights and actionable strategies.Your strong analytical and critical thinking skills, combined with your passion for innovation, will enable you to identify opportunities for methodological...

  • Principal Data Scientist

    3 days ago

    Letterkenny, Donegal, Ireland Optum Full time

    OverviewPrincipal Data Scientist - Out of Network Analytics - Dublin & Letterkenny, IrelandOptum is a global organisation that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they...

  • Senior People Strategist

    4 days ago

    Letterkenny, Donegal, Ireland beBeeStrategic Full time €100,000 - €120,000

    Lead Strategic HR Business PartnerWe're the team that drives business success through innovative people strategies.About the Role Collaborate with senior leaders to deliver strategic HR support and drive business outcomes.Design and deploy impactful HR programs, providing expert advice and guidance to stakeholders.This role plays a pivotal part in bridging...

  • Development Operations Expert

    7 days ago

    Letterkenny, Donegal, Ireland beBeeOperations Full time €80,000 - €100,000

    Job Title:Technical Operations SpecialistWe are seeking a highly skilled and motivated Technical Operations Specialist to join our team. This is an exciting opportunity for someone who is passionate about technology and has a strong interest in production management.The successful candidate will be responsible for managing the production environment,...

  • Senior Data Scientist, Product Innovation,

    5 days ago

    Letterkenny, Donegal, Ireland Optum Full time

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...