- CVS Health (Irving, TX)
- …Experience Transmission (CET Files) on behalf of our Clients and their vendors. The Claims Data Reporting Analyst will have primary responsibility and ... it all with heart, each and every day. **Position Summary** PBM Financial Operations Data Reporting is responsible for the implementation and ongoing support of … more
- USAA (San Antonio, TX)
- …** Analytics, you will responsible for the development and implementation of multiple Data and Analytics sub-functions for Claims that may include: Information ... and vision of the assigned sub-functions for the CoSA Claims working with peers to set objectives across the...strategic, tactical, operational, and financial responsibilities associated with CoSA data storage, data preparation, data … more
- Providence (TX)
- …insurance codes, regulations, and our department's policies and procedures + Secure monthly claims data reports and provide quality assurance recommendations to ... quality assurance program, management of projects and continual learning, data integrity, settlement and excess reporting , payor...files for quality assurance purposes + Experience working with claims data analytics + Experience in project… more
- Public Storage (Plano, TX)
- …monthly updates on open claims + Develop guidelines and procedures for incident reporting and claims handling + Approve claims reserves, payments and ... , issues, questions and other related matters + Oversee reporting of claims and compliance with state...information and to draw conclusions + Ability to evaluate data for current trends and apply trends to loss… more
- Amazon (Austin, TX)
- …recommendations and influencing stakeholders - 3+ years experience in data reporting and analytics for auto insurance claims Preferred Qualifications - ... and implement cost reduction opportunities. About the team Logistics Claims Management and Operations (LCMO) provides insurance and risk...- Ability to influence stakeholders - Deep experience with data reporting and data visualization… more
- Molina Healthcare (Austin, TX)
- …of critical information on 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 to business and system requirements of… more
- USAA (San Antonio, TX)
- …ensure cohesive and continuous alignment to measures of success. Utilizes and oversees reporting , data , and analytics to measure process and project performance, ... seeking a dedicated Director Business Process Ownership - Communication Ecosystem - Claims Optimization. We offer a flexible work environment that requires an… more
- Guardian Life (Austin, TX)
- …daily, weekly, and monthly reports on team productivity 1) for operational reporting and monitoring purposes; 2) to identify trends and training opportunities; and ... process improvement ideas to revise workflows and procedures. + Support claims initiatives by encouraging/providing relevant feedback and being an effective change… more
- USAA (San Antonio, TX)
- …projects and services using proactive communication and engagement strategies. + Utilizes reporting , data , and analytics to measure process and project ... impactful. **The Opportunity** As a dedicated **Business Process Owner Senior for Claims Modernization** , you will plan, direct, and coordinate activities for… more
- USAA (Plano, TX)
- …ensure cohesive and continuous alignment to measures of success. Utilize and oversee reporting , data , and analytics to measure process and project performance, ... you apart:** + Experience in property, catastrophe, and/or multi-line Claims Operations and/or Optimization + Experience developing strategy, leading… more
- CVS Health (Richardson, TX)
- …focusing on accuracy, performance, scalability, and cost-effectiveness. + Validate data integrity and consistency across various API endpoints and integrations. ... the functionality and performance of the evaluation framework itself. + Implement automated reporting and analysis of test results. + Run automated tests against one… more
- USAA (San Antonio, TX)
- …industry change management methodology. + Extensive experience developing, maintaining, and reporting on large cost work effort(s) / program budgets. **What sets ... **Compensation:** USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive....the salary range based on your experience and market data of the position. The actual salary for this… more
- CVS Health (Irving, TX)
- …will work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information ... will continuously improve quality controls and accuracy of reported data , looking for ways to further automate reporting...AWS/ Azure. + Experience working with medical and/or pharmacy claims data . + Experience in healthcare industry,… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …of Field Technology will lead the design, optimization, and delivery of field sales reporting platforms and tools. This role is critical in ensuring that our field ... teams have seamless access to accurate, actionable data to drive performance. The role focuses on managing...Serve as the business lead for execution of field reporting and enablement systems within the assigned therapeutic area.… more
- Sumitomo Pharma (Austin, TX)
- …Master's) of relevant experience. + Experience in pharmaceutical commercial operations and data reporting strongly preferred. + Familiarity with sales operations ... + Partner cross-functionally with Sales, Market Access, Commercial Analytics, CRM and Data Strategy to align reporting solutions with business goals and… more
- Molina Healthcare (TX)
- …Marketplace and Medicare/MMP + Develops custom health plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and ... and post impact analyses for any logic and source code changes for data and reporting module keeping other variables as constant that are not of focus +… more
- CVS Health (Irving, TX)
- …will work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information ... Health has an exciting opportunity to join our PBM Reporting group as a Data Engineer within...AWS/ Azure * Experience working with medical and/or pharmacy claims data * Experience in healthcare industry,… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …Commercial third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data , Specialty pharma, omnichannel data , SalesForce/Veeva ... to optimize the manageability, flexibility, and utility of Otsuka's data assets. **Job Description** Reporting to the...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- GuideOne Insurance (Dallas, TX)
- …initiatives and AI adoption. * Architect and manage a scalable, multi-tenant data infrastructure to support analytics and reporting for multiple insurance ... As the Director of Data Platform and AI, you will lead the...development of intelligent AI capabilities that drive analytics, operational reporting , and automation across the organization. You'll be responsible… more
- Scottish Rite for Children (Dallas, TX)
- …preferred. + 6+ years of relevant healthcare industry experience working in analytics, reporting , business intelligence, or data management role required. + 6+ ... We're committed to giving children back their childhood! Job Posting Title: Data Analyst Lead Location: Dallas - Hospital Additional Posting Details: Monday -… more