Medical Management and Claims Process Analyst

hace 7 días


San José, San José, Costa Rica Cognizant Technology Solutions A tiempo completo
Job Description

We are seeking a talented Medical Management and Claims Process Analyst to join our team at Cognizant Technology Solutions. In this role, you will analyze and process medical management and claims data, ensuring accuracy and efficiency in client services.

Key Responsibilities:
  • Analyze and process medical management and claims data to ensure accuracy and efficiency.
  • Generate client-specific reports, process data requests, and maintain accurate records of information.
  • Process claims and enrollment with high accuracy, meeting client SLAs and TATs.
  • Respond to queries and resolve issues efficiently, escalating complex problems to senior team members.
  • Collaborate with team members to achieve quality metrics and deliver excellent customer experience.
Requirements:
  • Bachelor's degree in Nursing or health science-related field (for Medical Management) or High School Equivalency (for NA).
  • Excellent analytical and problem-solving skills.
  • Ability to work in a fast-paced environment with multiple priorities.
  • Proficiency in data processing software and tools.
  • Strong attention-to-detail skills.

  • Medical Advisor

    hace 16 horas


    San José, San José, Costa Rica Legal Management Group A tiempo completo

    Our MissionWe are a growing law firm, committed to delivering exceptional legal services to our community. At Legal Management Group, we understand the importance of providing comprehensive care to individuals affected by traumatic accidents. As a highly motivated and hardworking Doctor, you will play a vital role in assisting our team in diagnosing and...

  • Medical Case Manager

    hace 5 días


    San José, San José, Costa Rica Legal Management Group A tiempo completo

    **Duties and Responsibilities**:- Manage and oversee the day-to-day operations of assigned cases- Communicate effectively with doctors, patients, health care entities to gather information, provide updates, and coordinate patient care- Ensure all necessary documentation and paperwork is completed in a timely and accurate manner- Assist in coordinating...


  • San José, San José, Costa Rica Johnson And Johnson A tiempo completo

    At Johnson & Johnson,?we believe health is everything.Our strength in healthcare innovation empowers us to build a?world where complex diseases are prevented, treated, and cured,?where treatments are smarter and less invasive, and?solutions are personal.Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across...

  • Medical Counsel

    hace 4 semanas


    San José, San José, Costa Rica Legal Management Group A tiempo completo

    **WE OFFER GREAT GROWTH OPPORTUNITY****Work from home****Fantastic Training**We are a growing law firm, working hard to satisfy the needs of our community.We work hard to help low-income, minority, or disenfranchised members of CaliforniaWe are seeking for highly motivated, hardworking Doctors that will assist in the diagnosis, treatment of clients/patients...


  • San José, San José, Costa Rica Boston Scientific Corporation A tiempo completo

    **Company Overview**: Boston Scientific Corporation is a leading medical device company dedicated to transforming lives through innovative solutions.We strive to deliver exceptional value to our customers, patients, and shareholders by pushing the boundaries of what is possible in healthcare.We are committed to fostering a culture of diversity, inclusion,...


  • San José, San José, Costa Rica Pfizer A tiempo completo

    Pfizer's Global Financial Solutions (GFS) Shared Services plays a vital role in supporting the company's worldwide businesses through various financial operations.The Chargeback Analyst will be responsible for processing chargeback claims for wholesalers in the US and Puerto Rico, ensuring timely and accurate resolution of exceptions related to contracts,...


  • San José, San José, Costa Rica Msd A tiempo completo

    **Job Description**The Senior Safety Data Specialist plays a critical role in the Quantitative Sciences team, analyzing safety and efficacy claims of potential medical breakthroughs using big data. The successful candidate will review clinical studies, applying deep scientific knowledge, statistical analysis, and high-quality data to support decision-making...

  • G2N Chargeback Analyst

    hace 2 días


    San José, San José, Costa Rica Pfizer A tiempo completo

    _Gross to Net Analyst_- Role Description_Pfizer's Global Financial Solutions (GFS) Shared Services is a well-established operation withbeginnings in Memphis, Tenn., in 1997.The organization expanded to Europe in 2003, Asia in2007, Latin America in 2013, and Eastern Europe in 2014.In 2016, GFS welcomed Cairo intoits network, providing financial shared...


  • San José, San José, Costa Rica Intel A tiempo completo

    Key ResponsibilitiesBlackLine System Administration: administration of the BlackLine Task process, system analyst support, and participation in system and process improvements.Project Management: driving efforts for process automation, coordinating with Finance and IT Business Partners in the execution of team projects.Team Support: addressing system-related...


  • San José, San José, Costa Rica Amazon Support Services Costa Rica Srl A tiempo completo

    We are looking for a Business Analyst to join the Escalation Management & Prevention (EMP) Strategy team supporting EMP's operations strategy.By using escalations as the ground source of truth for customer pain points and Amazon business risks, the BA uses insights gathered for process improvement both within EMP and the broader organization, and for driving...

  • Gross To Net Analyst

    hace 17 horas


    San José, San José, Costa Rica Asepsa A tiempo completo

    WE´RE HIRING:GROSS TO NET ANALYST(TEMPORARY POSITION)**Role Summary**The Chargeback Analyst will process chargeback claims for wholesalers in the US andPuerto Rico and resolve exceptions related to contracts, products and membership timelyand accurately.The Chargeback Analyst will regularly interface with internal and externalcustomers including, but not...


  • San José, San José, Costa Rica Intel A tiempo completo

    Intel Finance Team OverviewThe Finance team at Intel is dedicated to supporting business decisions that maximize shareholder value. As a member of this team, you will play a key role in facilitating change and improvement within finance and operations.Position SummaryThis Cost Analyst and Process Improvement Lead position requires a strong analytical mindset...


  • San José, San José, Costa Rica Bacardi A tiempo completo

    Company OverviewBacardi is a dynamic and entrepreneurial organization that values diversity and believes it is core to our business. We treat each other and our communities like family always. Our three culture pillars - Fearless, Family, and Founders - inspire our Primos to be the best they can be and drive us forward in all we do.About the JobWe are...


  • San José, San José, Costa Rica Midland Credit Management, Inc. A tiempo completo

    About Midland Credit ManagementWe are a global team of professionals who provide debt recovery solutions for consumers. Our mission is to empower individuals to begin their path towards financial recovery and build a better life for themselves and their families.At Midland Credit Management, we value exceptional people who bring a diversity of ideas, a...


  • San José, San José, Costa Rica Aspen Medical A tiempo completo

    **Aspen Medical**, a leading provider of medical support to the maritime industry, is seeking experienced Nurses to join their team. These professionals will be responsible for delivering high-quality healthcare services to guests and crew on board cruise ships.The role requires nurses with a strong background in acute and emergency care, as well as ICU...


  • San José, San José, Costa Rica Pfizer A tiempo completo

    Company Overview:Pfizer's Global Business Services (GBS) Shared Services is a leading provider of financial services, with a global presence and a workforce of over 1,000 colleagues.The GBS San Jose Financial Services team plays a critical role in delivering standardized financial processes on behalf of Biopharmaceutical Finance and their business...


  • San José, San José, Costa Rica Emerson A tiempo completo

    **Resource Management Expertise**Emerson is seeking an accomplished Resource Management Analyst to join our project management team. In this role, you'll leverage your expertise to provide strategic support to project managers, ensuring effective resource allocation and project success.**Key Responsibilities:**Delivering financial, scheduling, and quality...


  • San José, San José, Costa Rica Amzn Support Srvcs Costa Rica A tiempo completo

    1+ year HR experience or experience in the Medical Checks process.- Bachelor's Degree or advanced college education in a related field (Human Resources, Business Administration, Psychology, Industrial Engineering or alike) or 2+ years Amazon experience- Exceptional communication.Fluent English language skills (verbal and written).- Computer operating and...


  • San José, San José, Costa Rica Moody'S Corporation A tiempo completo

    **About Moody's Corporation**Moody's is a leading provider of credit ratings, research, and analysis that contribute to transparent and integrated financial markets. Our company supports independent thought and promotes a work environment that values and maximizes the contributions of all employees.We offer our employees:Commuter Benefit PlanDiscounted...


  • San José, San José, Costa Rica Pfizer A tiempo completo

    Pfizer's Global Financial Solutions (GFS) Shared Services is a well-established operation with beginnings inMemphis, Tenn., in 1997.The organization expanded to Europe in 2003, Asia in 2007, Latin America in 2013, andEastern Europe in 2014.In 2016, GFS welcomed Cairo into its network, providing financial shared Services supportto the AfME region.GFS Shared...