- CVS Health (Irving, TX)
- …and for successfully implementing this newly defined process. With respect to analytical research , this Claims Analyst would work with service requesters ... join and to grow with our finance operations team. This Senior Financial Analyst , Adjustment Reporting and Research position focuses on claim adjustment… more
- USAA (Plano, TX)
- …candidate selected for this position will be joining the Service Team within the Claims Actuary and Analytic community, which is part of P&C Data Science. They be ... responsible for delivering insights to the Claims organization related to all things Service to better...The essence of work performed by the Decision Science Analyst involves gathering, manipulating and synthesizing data (eg, attributes,… more
- Molina Healthcare (Dallas, TX)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex claims business problems and issues using data from internal and external sources to provide insight to ... task and workflow analysis. + Interpret customer business needs in the claims space and translate them into application and operational requirements + Communicate… more
- Methodist Health System (Dallas, TX)
- …:** **Days Of Week :** **Work Shift :** **Job Description :** **Insurance Risk Analyst ** **Mission and Vision.** Methodist Health System (MHS) is a $2 billion health ... are engaging in a search for an individual to fill the Insurance Risk Analyst position. The role will directly support the Corporate Risk Management and insurance… more
- Molina Healthcare (Dallas, TX)
- …trends or discrepancies related to over- or underpayment. + Utilize QNXT to research claims history, provider contract setup, and benefits configuration. + Work ... **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims … more
- Molina Healthcare (Dallas, TX)
- …around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research , analysis and modeling of complex healthcare claims data, ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for...provides insights needed to support strategic investment decisions + Research and develop reports and analyses for senior management… more
- TEKsystems (Dallas, TX)
- …of the servicer and/or client * Files respective investor/insurer initial and final claims based on the respective guidelines for allowable limits * Reviews MI claim ... Explanation of Benefits (EOB) or Insurer Advice of Payments (AOP) and research curtailment reasons for potential rebuttal * Files Appeal or Supplemental Claims … more
- Zelis (Plano, TX)
- …that shape who you are. Position Overview The Sr. Medicaid Reimbursement Regulatory Analyst will collaborate with the Zelis Regulatory Pricer Product team to further ... external issues in an accurate and timely fashion. What you'll do: + Research and decipher regulatory sources such as legislative rules, state registers, waiver… more
- Scottish Rite for Children (Dallas, TX)
- …We're committed to giving children back their childhood! Job Posting Title: Data Analyst Lead Location: Dallas - Hospital Additional Posting Details: Monday - Friday ... multiple sources including electronic medical records, patient experience surveys, claims , and administrative systems to discover meaningful analytical insights for… more
- NTT America, Inc. (Plano, TX)
- …the timelines to complete compliance training of NTT Data/Client -Work independently to research , review and act on the claims -Prioritize work and adjudicate ... as part of an overall sourcing strategy. NTT DATA currently seeks a ** Claims Processing Associate** to join our team for a remote position. **Role Responsibilities**… more
- Omnicell (Fort Worth, TX)
- …for assigned stores. . Perform root cause analysis on reoccurring issues; perform claims research . . Maintain absolute confidentiality and compliance with HIPAA ... **Reconciliation Lead** The Lead Reconciliation Analyst leads the team that provides reconciliation services...documentation. . Communicate any issues that may arise, including claims disputes. . Oversee development and communication of customer… more