- 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
- 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
- USAA (Dallas, TX)
- …truly makes us special and impactful. **The Opportunity** As a dedicated Senior Auto Appraiser, you will work within defined guidelines and framework responsible ... for the investigation, negotiation, evaluation and appraisal of vehicle damage claims for both repairable and total loss vehicles to ensure estimate accuracy in… 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
- 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
- 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 (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
- Bank of America (Plano, TX)
- …detection algorithms and systems . Perform regular audits and analysis of transaction data to detect new fraud trends. * Guiding team to Develop new fraud ... Fraud Analytics and Innovation Senior Leader - Client Protection Newark, Delaware;Plano, Texas;...data required for performing analysis. * Partner with claims , policy, strategy, and product teams to deliver … more
- Public Storage (Plano, TX)
- …We are looking for a leader to join our Risk Management team as a Senior Director, Risk Management. This leader will partner and drive our Risk Management practice ... strategies developed in partnership with broker partners. + Manage internal exposure data to assist in the preparation of underwriting submissions + Maintain… 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
- CRC Insurance Services, Inc. (Dallas, TX)
- …activities comply with regulatory requirements and internal policies. Maintain organized systems and keep internal reporting dashboards and data repositories ... other strategic arrangements (eg, initiatives with retailers and wholesalers). Ensure data and reporting compliance. + **Negotiation and Placement:** Negotiate terms… more
- Molina Healthcare (Dallas, 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
- Fresenius Medical Center (Plano, TX)
- …PRINCIPAL DUTIES AND RESPONSIBILITIES: + Under supervision, utilizes the appropriate systems and procedures to process payments, adjustments and denials for FVC ... (EOB's) and prints electronic Remittance Advice (RA) reports from the electronic data interchange vendor (Navicure). + Totals transactions on EOB's and RA's and… more
- Bank of America (Plano, TX)
- …expand our capabilities, reduce customer friction, and make strategic investment decisions. Data related to customer profiles and online banking login events hold an ... deliver on organizational loss goals. Device and Non Monetary Fraud and Innovation Senior Analyst- This job is responsible for performing complex analyses of online… more
- UIC Government Services and the Bowhead Family of Companies (Plano, TX)
- …and coordinate briefings for the customer, support personnel and Bowhead senior management. The General Manager must be able to interact knowledgeably ... and execution of cost reduction and efficiency improvement projects. + Use data -driven approaches to enhance production performance and reduce waste. + Manage the… more
- USAA (Plano, TX)
- …Design, develop, code, and test significant technical solutions collaborating with senior and lead engineers. Lead code/design reviews to ensure smooth daily ... and leads troubleshooting of end-to-end solutions that span multiple applications and systems . Mentor and coach junior engineers. May begin working with architecture… more