- AIG (Dallas, TX)
- Claims Management Analyst Join us as a Claims Analyst to grow your experience in handling complex claims . Make your mark in Claims . Our ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
- Molina Healthcare (Dallas, TX)
- …for accurate and timely implementation and oversight of critical information on claims databases. Synchronizes data among operational and claims systems and ... experience and knowledge to research and resolve claim/encounter issues, pended claims and facilitate system update(s) as necessary. + Works with fluctuating… more
- Brink's (Coppell, TX)
- …and grow. Job Description JOB SUMMARY The Brink's Company is looking for a Claims Analyst to support the development, implementation, and oversight of its risk ... management , claims handling, and insurance programs, with...collaboration and availability across time zones. ROLE RESPONSIBILITIES The Claims Analyst will be expected to perform… more
- Molina Healthcare (Dallas, TX)
- …accurate and timely implementation and maintenance of critical information on all claims and provider databases, validate data housed on databases and ensure ... of stakeholders as it pertains to provider contracting, network management , credentialing, benefits, prior authorizations, fee schedules, and other business… more
- Sedgwick (Dallas, TX)
- …Fortune Best Workplaces in Financial Services & Insurance Performance Assurance Analyst **PRIMARY PURPOSE** **:** Performs comprehensive reviews on personal and ... commercial lines claims of varying degree of severity (up to approximately...operational and technical audit requirements. + Coordinates with the Analyst Team in implementing Sedgwick business unit (SBU) and… more
- Molina Healthcare (Dallas, TX)
- …Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial ... and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed… more
- Insight Global (Plano, TX)
- Job Description Insight Global is looking for a Korean-Speaking Order Management Analyst to join one of their clients in Plano, TX. This position will be part of ... the MX Mobile Service Parts Order Management team, where the analyst will play...with customer needs regarding shipment schedules, RMA processing, customer claims , and other logistics-related tasks. * Administrative Support: Assist… more
- S&P Global (Dallas, TX)
- **About the Role:** **Grade Level (for internal use):** 10 **The Role:** Insurance Risk Analyst **The Team** : The Business Risk Management team is responsible ... renewals and projects. **What's in it for you:** The Analyst role will have opportunities to interact with other... will be exposed to a variety of renewals, claims , and risk management projects. We offer… more
- Sedgwick (Dallas, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance SAP GRC/Security Analyst SAP GRC/Security Analyst **PRIMARY PURPOSE OF THE ROLE** : To ... INCLUDE** + Ensures software scalability and data integrity throughout all claims -related applications. + Ensures software compatibility and alignment with overall… more
- Sedgwick (Dallas, TX)
- …combination of education and experience required to include three (3) years of claims management experience at an advanced technical level. Two (2) years' ... service with Company preferred. **Skills & Knowledge** + Thorough knowledge of claims management practices and procedures + Strong understanding of quality and… more
- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** The Sr Analyst , Encounters is responsible for monitoring inbound and outbound encounter processes and ensuring timely, accurate, ... rejection inventory, and works with other areas including IT, health plan, claims , provider, enrollment, regulators, and external vendors, as needed, to remediate… more
- Molina Healthcare (Dallas, TX)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... requirements of customers as it pertains to contracting, network management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Generates data to support continuous… more
- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** The Lead Analyst , Reimbursement is responsible for administering complex provider reimbursement methodologies timely and ... existing lines of business and expansion into new states. The Lead Analyst , Reimbursement will be primarily responsible for implementation, maintenance, and support… more
- PNC (Dallas, TX)
- …have an opportunity to contribute to the company's success. As a Loan Support Analyst within PNC's Midland organization, you will be based within the PNC Midland ... and also supports remote and hybrid work environments. As a Loan Support Analyst in PNC Midland's Insurance department you will be responsible for determining… 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 utilization and ... **Required Experience** + 5-7 years increasingly complex database and data management responsibilities + 5-7 years of increasingly complex experience in quantifying,… more
- Vontier (Dallas, TX)
- …preferred locations for this opportunity. **Job Overview** The Quality Data Analyst Intern will support the Gilbarco Veeder-Root Quality organization by conducting ... opportunity to gain practical experience in data analysis, quality management methodologies, and continuous improvement practices that drive operational excellence… more
- Molina Healthcare (Dallas, TX)
- …Responsible for accurate and timely auditing of critical information on claims databases. Maintains critical auditing and outcome information. Synchronizes data ... among operational and claims systems and application of business rules as they...confirm outcomes meet the specific state/federal requirements. * Creates management reporting tools to enhance audit communication on configurations… more
- Elevance Health (Grand Prairie, TX)
- **Provider Contract Cost of Care Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... is granted as required by law. The **Provider Contract Cost of Care Analyst Senior** is responsible for providing analytical support to the Cost of Care… more
- OneMain Financial (Fort Worth, TX)
- ADA Leave Analyst Reporting directly to the Health and Wellness Benefits Manager, this position is responsible for the management of workplace accommodation and ... policies. You will provide best-in-class consultative support for HR partners, management and team members during the interactive accommodation and leave… more
- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more