- 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
- 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
- Owens & Minor (Dallas, TX)
- …IP Billbacks/Chargebacks, Sales Rebates, and incentives- Configuration of Agreements, Master data , IP types, Claims & Transaction, matrices, buckets, Pricing ... and collaboratively in a team environment to develop and maintain high quality systems and processes. + Should be able to communicate effectively with customers and… 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
- Molina Healthcare (Fort Worth, 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
- 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
- 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
- Kemper (Dallas, TX)
- …to achieve growth & profit objectives may include training on products, systems , service, and underwriting, book transfers, development of existing accounts, new ... + Operates as the point of contact for operations, systems and policy training for account products as well...Utilizes agency segmentation, reports and technology to manage account data and performance. + Documents all completed activities with… more
- Brown-Forman (Dallas, TX)
- …complex data , identify trends, and develop actionable insights. + Systems Proficiency: Advanced proficiency in Word, Excel, and PowerPoint (or Google ... (MFL) and earthquake Probable Maximum Loss (PML) estimate calculations, providing robust data to inform our risk transfer strategies. + _Global Compliance and… 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
- 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
- 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