- AIG (Dallas, TX)
- Senior Claims Management Analyst Join us as a Senior Claims Analyst to grow your experience in handling complex claims . Make your mark in ... to ensure accuracy of financial exposure. Identifies and makes reserve recommendations to management on claims evaluated greater than assigned authority. + Works… more
- 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
- Chevron Corporation (Houston, TX)
- Chevron is accepting online applications for the position **Insurance & Claims Analyst ** through **10/17/2025** at **11:59 pm** **Central Time.** We are looking ... for an Insurance Risk & Claims Analyst to serve in a high...related field + 3+ years of experience in a claims handling or risk management environment for… more
- Highmark Health (Austin, TX)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... as current issues regarding client activities; disseminates necessary information to the management . Follows up on pended claims in accordance with department… more
- Elevance Health (Grand Prairie, TX)
- **Manager Rating/ Claims System Analyst ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... unless an accommodation is granted as required by law. The **Manager Rating/ Claims System Analyst ** is responsible for managing the day-to-day workload/workflow… more
- Molina Healthcare (Fort Worth, 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
- Prime Therapeutics (Austin, TX)
- …to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across the organization ... decision we make. **Job Posting Title** Sr. AI Business Analyst - Remote **Job Description** **Are you a Business...development team, broader project team and various levels of management . With consistent Senior Leadership visibility, the IT BSA… more
- Sedgwick (Austin, 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 (San Antonio, 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
- Molina Healthcare (Dallas, TX)
- **JOB DESCRIPTION** **JOB DESCRIPTION** **Job Summary** The **Senior Analyst , Utilization Management ** plays a critical role in supporting clinical and ... into technical solutions. This role works closely with clinicians, utilization management teams, and business stakeholders to gather requirements and deliver… more
- Baylor Scott & White Health (Austin, TX)
- …inbound and outbound encounter process. + Monitors and oversees the end-to-end claims encounter management workflow. + Identifies and interprets encounter data, ... + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position… 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
- Defense Logistics Agency (Fort Sam Houston, TX)
- …the region. Requirements Conditions of Employment Qualifications To qualify for a Management and Program Analyst , your resume and supporting documentation must ... new or modifies work methods, organizational structures, records, files, management processes, staffing patterns, procedures for administering program services,… more
- Molina Healthcare (San Antonio, TX)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... previous experience and knowledge to research and resolve claim/encounter issues, pended claims and update system(s) as necessary. + Works with fluctuating volumes… more
- Molina Healthcare (Austin, 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 (Austin, 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
- Prime Healthcare (Farmers Branch, TX)
- …join our corporate team! Responsibilities This role supports Revenue Cycle Management by analyzing data and identifying process improvement opportunities. The Senior ... Analyst will apply analytical and critical thinking to develop...are met/or trends independently and makes business recommendations to management . Responsibilities + Work independently and take ownership of… more
- Molina Healthcare (Austin, TX)
- …to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee, ... and compliance with State and Federal regulatory guidelines. The Sr. Analyst develops and performs audits and oversight functions involving business-critical… more
- HCA Healthcare (San Antonio, TX)
- …UT, VA). Do you have the career opportunities as a(an) Billing Integrity Analyst Credentialed you want with your current employer? We have an exciting opportunity ... Do you want to work as a Billing Integrity Analyst Credentialed where your passion for creating positive patient...based on the chargemaster expertise and that are delaying claims from processing in the Patient Accounting and/or Relay… more