- Molina Healthcare (Dallas, 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
- Molina Healthcare (Dallas, TX)
- …Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business ... rules as they apply to each database. Validate data to be housed on provider databases and ensure...and best practices while suggesting improvement processes to ensure systems are working more efficiently and improve quality. +… more
- Elevance Health (Grand Prairie, TX)
- …** is responsible for providing support, configuration, design, testing and implementation for claims systems . Ensures accurate adjudication of claims , by ... **Pre-Pay Editing Analyst Sr ** **Location:** This role requires associates to be...and the vendor to ensure quality and timeliness of systems /project deliverables. + Configures new designs/updates in the system.… 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
- Molina Healthcare (Dallas, TX)
- …Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data , pharmacy data , lab data , and ... **JOB DESCRIPTION** **Job Summary** This Sr . Analyst, Healthcare Analytics role will be responsible...I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + Data… more
- Robert Half Finance & Accounting (Dallas, TX)
- Description We are offering an exciting opportunity in Dallas, Texas, for a Sr . Accountant to join our team. This role is integral to our accounting operations, with ... development of processes, business growth support, and assisting new practices. The Sr . Accountant will also transition our accounting system from Quickbooks Online… more
- Molina Healthcare (Dallas, TX)
- …more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, ... **Job Description** **Job Summary** Sr . Analyst, Network Strategy, Pricing & Analytics guides...(including trend analysis) by utilizing NetworX Modeler and ETL systems to support negotiating strategies, modeling current and future… more
- RTX Corporation (Mckinney, TX)
- …status is required as this position will require the ability to access US only data systems + Classified clearance may be needed in the future **Qualifications ... a safer, more secure world. The Energetics & Propulsion (E&P) Supply Chain Sr Subcontract Management Specialist will play a critical role within the Supply Chain… more
- Molina Healthcare (Dallas, 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...reports, and improvement opportunities based on analyses + Provide data driven analytics to Clinical COE, Finance, Claims… more
- Molina Healthcare (Dallas, 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
- Dal-Tile Corporation (Sunnyvale, TX)
- …first step forward and explore a career with Dal-Tile. **Job Objective:** The Sr HR Coordinator is an entry-level contributor that supports the human resources ... of administrative services and special projects as needed. . Research confidential employee data and run reports as needed. . Codes invoices and processes payment as… more
- Elevance Health (Grand Prairie, TX)
- ** Claims Data Reporting Specialist Senior ** **Location:** Middletown, NY; Columbus, GA; Indianapolis, IN; Richmond, VA; Grand Prairie, TX (preferred). This ... and adaptable workplace. Alternate locations may be considered. The **Reporting Specialist Senior ** is responsible for researching and collecting data for… more
- ENFRA (Coppell, TX)
- …of relevant data from all internal stakeholders and subcontractors. The Senior Project Scheduler is considered the technical expert in planning/scheduling and is ... Angeles, Phoenix, Dallas, Orlando, Nashville, New Jersey or Charlotte office. The Senior Project Scheduler is responsible for the development and maintenance of the… more
- Molina Healthcare (Dallas, 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 (Dallas, TX)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data regarding network ... + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + BI tools To all current Molina employees: If you… more
- Amazon (Dallas, TX)
- …of different types of products from custom electronic assemblies to large integrated systems . In this capacity the Business Manager has the responsibility to: * Lead ... * Financial Management: Managing business relationships, contracts, pricing, and claims while maintaining effective negotiation strategies. * Relationship Building:… more
- CVS Health (Richardson, TX)
- …Familiarity with GenAI concepts and usability in test automation. + Experience with data quality assurance for systems integration. + Knowledge of IBM i-Series ... focusing on accuracy, performance, scalability, and cost-effectiveness. + Validate data integrity and consistency across various API endpoints and integrations.… more
- Wells Fargo (Irving, TX)
- …empowered to grow. Join us! **About this role:** Wells Fargo is seeking a Senior Lead Control Management Officer within Fraud Claims Management. Fraud Claims ... financial crimes, operational risk, audit, legal, credit risk, market risk, IT systems security, and business process management + Provide vision, direction, and… more
- Elevance Health (Grand Prairie, TX)
- … data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy ... **Investigator Senior ** **Supports the Payment Integrity line of business**...to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health… more
- DriveTime (Dallas, TX)
- …which provides quality warranty and ancillary products, and a customer-friendly claims process. SilverRock offers a variety of ancillary products and administrative ... contracts, products, and warranties, and over $300 million in claims . **That's Nice, But What's the Job?** **_This is...eligible for hire at this time._** In long, our Senior Analyst, Strategic Analytics are responsible for: + Innovate… more