- Molina Healthcare (Houston, 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 (Houston, 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
- US LawShield (Houston, TX)
- …served more than 2 million people in their self-defense journey. US LawShield is seeking a Senior Data Analyst to join our data and analytics team. This role ... will be pivotal in driving data -informed decisions across the organization by delivering actionable insights,...collaboratively in a fast-paced environment. + Knowledge of CRM, claims management systems , or member services analytics.… more
- MD Anderson Cancer Center (Houston, TX)
- … data into lasting impact for every patient we serve. We are seeking a Senior Data Engineer to lead enterprise-scale AI/ML data engineering efforts across ... vector stores to enable fast, reliable access to feature data for production AI/ML systems . *Automate Infrastructure...*Preferred Experience*: Two years of industry experience in a Senior Data Scientist role, experience in the… more
- Molina Healthcare (Houston, 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
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Senior Practice Manager position is responsible for independently managing and/or coordinating complex delivery of care within a large, ... for maximizing revenue through efficient, effective and compliant procedure. The Senior Practice Manager position works collaboratively with clinic medical staff and… more
- Houston Methodist (Houston, TX)
- …and service areas regarding action taken and resolution. + Enters patient and operational data into various database systems with a high level of thoroughness, ... At Houston Methodist, the Senior Patient Services Representative is responsible for performing...to less experienced staff. This position supports timely, accurate claims submission and may perform registration and/or other revenue… more
- Kemper (Houston, 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
- Catholic Health Initiatives (Houston, TX)
- …and Baseware. **_Required Minimum Knowledge, Skills, Abilities_** **_and Training_** Strong Data Mining/ Business Systems proficiency Multidimensional Billing ... requirements. Reports are produced for Revenue Cycle functions such claims submission, insurance follow‐up, cash management, credits/refunds, charge/payment posting,… more
- Tutor Perini (Houston, TX)
- …leading providers for the design, installation and maintenance of electrical systems , structured cabling applications, integrated electronic security systems , ... The Purple Line (D Line) Extensions in Los Angeles, SR 99 Viaduct replacement tunnel in Seattle, MGM Grand...Maid Park in Houston and multiple airport expansions and data center projects. At Fisk Electric, you will have… more
- ManpowerGroup (Houston, TX)
- …information systems and related applications. * Ability to analyze data and situations, determine errors and potential problems arising from the analyses, ... with the Compliance Program, and with HHSC, TDI, NCQA and Health Plan Senior Management. * Ensure ongoing compliance with federal and state regulations and provide… more
- Houston Methodist (Houston, TX)
- …strategies, identifies opportunities for improvement, decision support and labor analytics systems . This position also focuses on HM labor objectives and provides ... conducting new hire feedback sessions, coaching/corrective counseling, and providing recognition /commendations to achieve desired outcomes. + Identifies opportunities and… more
- Sysco (Houston, TX)
- …and business continuity. **Duties and Responsibilities:** + Design standardized safety systems , policies, training, campaigns and programs to reduce corporate and ... a network of internal (human resources, supply chain, finance, legal, corporate claims and analytics) and external alliances (industry partners, State safety groups)… more
- KBR (Houston, TX)
- …with the contract; the Contractor's policies and procedures and approved business systems ; and US Government and local regulations and policies. + Advises Project ... of the company's position on requests for equitable adjustment, potential disputes, claims , or protests. + Interfaces with US Government Contracting Officer and… more
- New Jersey Resources (Houston, TX)
- …and safety laws and regulations, company policies and operating procedures. Assist senior management in promoting a safety and compliance culture. Align with the ... response analysis reviews. * Assist in managing Workers' Compensation Claims , Return to Work programs, accident reports, claims...of experience focused on natural gas transmission and storage systems in leadership role. * Minimum 5 years of… more