- Molina Healthcare (Fort Worth, TX)
- …functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received ... support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains...claims to identify billing issues that will impact claims processing and payment. Monitor new solutions implemented to… more
- Zelis (Plano, TX)
- …queries + A good understanding of public and private healthcare payment systems , medical claims , standard claim coding, claim editing, contracting, ... the personal interests that shape who you are. Position Overview The Sr . Medicaid Reimbursement Regulatory Analyst will collaborate with the Zelis Regulatory Pricer… more
- NTT DATA North America (Plano, TX)
- …competitive advantages when executed as part of an overall sourcing strategy. NTT DATA currently seeks a ** Claims Processing Associate** to join our team ... At NTT DATA , we know that with the right people...-Work independently to research, review and act on the claims -Prioritize work and adjudicate claims as… more
- NTT DATA North America (Plano, TX)
- …a bright future for NTT DATA and for the people who work here. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end ... At NTT DATA , we know that with the right people on...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims as… more
- HUB International (Irving, TX)
- …representatives and updates all HUB computer systems and automated agency management systems when necessary. Ensures the accuracy of data in those systems ... premium comparisons, renewal reviews and renewal proposals. As a Senior Account Manager, you will also be expected to...Word, Excel and PowerPoint as well as agency management systems and web browser software + Exceptional time management… more
- Molina Healthcare (Fort Worth, TX)
- … claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...information into the claim payment system and other applicable systems . + Participates in defect resolution for assigned component… more
- Molina Healthcare (Fort Worth, TX)
- … systems to support executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation...evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical… more
- Public Storage (Plano, TX)
- …We are looking for a leader to join our Risk Management team as a Senior Director, Risk Management. This leader will partner and drive our Risk Management practice ... strategies developed in partnership with broker partners. + Manage internal exposure data to assist in the preparation of underwriting submissions + Maintain… more
- Lockheed Martin (Fort Worth, TX)
- …the impossible every day\. At Aeronautics, we leverage problem solving, creativity, and data to tackle the most exciting challenges in the industry\. Our people are ... at Lockheed Martin\! **Who You Are** As a Global Supply Chain Contracts Analyst, Sr Staff you are an experienced professional with a legal, contracts or supply chain… more
- Molina Healthcare (Fort Worth, TX)
- …that internal teams and delegated vendors must follow, and you keep complaint data synchronized across appeals & grievances, enrollment, claims , pharmacy, and ... gains, audit readiness, and measurable member-experience improvements. You'll begin as a senior individual contributor with the charter to build a focused CTM… more
- Fresenius Medical Center (Plano, TX)
- …PRINCIPAL DUTIES AND RESPONSIBILITIES: + Under supervision, utilizes the appropriate systems and procedures to process payments, adjustments and denials for FVC ... (EOB's) and prints electronic Remittance Advice (RA) reports from the electronic data interchange vendor (Navicure). + Totals transactions on EOB's and RA's and… more
- Bank of America (Plano, TX)
- …expand our capabilities, reduce customer friction, and make strategic investment decisions. Data related to customer profiles and online banking login events hold an ... deliver on organizational loss goals. Device and Non Monetary Fraud and Innovation Senior Analyst- This job is responsible for performing complex analyses of online… more
- OneMain Financial (Fort Worth, TX)
- …other leave of absence programs. + Compiles and analyzes leave and accommodation data to identify trends, key metrics, gaps in processes or compliance concerns and ... recommend/execute upon solutions. + Conducts periodic reporting, performs data audits, reconciles pay discrepancies and adjusts absence data - all while ensuring… more
- UIC Government Services and the Bowhead Family of Companies (Plano, TX)
- …and coordinate briefings for the customer, support personnel and Bowhead senior management. The General Manager must be able to interact knowledgeably ... and execution of cost reduction and efficiency improvement projects. + Use data -driven approaches to enhance production performance and reduce waste. + Manage the… more
- USAA (Plano, TX)
- …Design, develop, code, and test significant technical solutions collaborating with senior and lead engineers. Lead code/design reviews to ensure smooth daily ... and leads troubleshooting of end-to-end solutions that span multiple applications and systems . Mentor and coach junior engineers. May begin working with architecture… more
- Brink's (Coppell, TX)
- …Focus on enhancing employee experience whilst closely monitoring costs, forecasting, budgets, claims trends and invoicing. + Leverage data on benefits ... . The ideal candidate will partner closely with the Senior Director of Global Benefits, internal stakeholders and external...benefits programs, including delivery of compliance requirements . + Systems : High p roficiency with Workday or a global… more