- Molina Healthcare (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
- Amazon (Austin, TX)
- …The Program, Project, Product, and Vendor Management Team within Amazon's Logistics Claims Management and Operations group is seeking a motivated and experienced ... Senior Risk Manager. The ideal candidate will be familiar with insurance and claims programs, and insurance policies, have a history of success in procurement,… more
- Molina Healthcare (San Antonio, TX)
- …Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business ... rules as they apply to each database. Validate data to be housed on provider databases and ensure...and best practices while suggesting improvement processes to ensure systems are working more efficiently and improve quality. +… 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
- International (San Antonio, TX)
- …MES SCADA Analyst to support our Digital Transformation Journey. Supervisory Control and Data Acquisition (SCADA) systems help monitor and control operations and ... be hands-on in designing, configuring, deploying, maintaining, and improving these systems in a fast-paced, dynamic Discrete Manufacturing environment. You will… 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
- Evolent (Austin, TX)
- …Familiarity with value-based care and utilization management is preferred + Understanding of data systems and the critical thinking skills to solve new problems ... interactions fostering expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. **Qualifications… 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
- Intermountain Health (Austin, TX)
- …of actual and budgeted contractual allowances and variances, monitoring of individual claims (logs), etc.). Interacts with HIM, PAS, and hospital finance staff as ... **Qualifications Required** + Demonstrated experience in a role requiring data analysis. + Demonstrates computer skills including spreadsheets, databases, word… more
- Valero (San Antonio, TX)
- …insurers, investigations, and site support activities. * Assists in analyzing business loss and claims data to identify trends and loss reduction focus areas. * ... of operations. * Provides design and engineering support for company fire protection systems , shutdown and isolation systems , facility siting, plant layout, 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
- Providence (TX)
- …insurance codes, regulations, and our department's policies and procedures + Secure monthly claims data reports and provide quality assurance recommendations to ... Employment Practices, Fiduciary, Property, Cyber, Managed Care, and Auto Claims . The Senior Quality Analyst assists the...files for quality assurance purposes + Experience working with claims data analytics + Experience in project… more
- CVS Health (Richardson, TX)
- …Familiarity with GenAI concepts and usability in test automation. + Experience with data quality assurance for systems integration. + Knowledge of IBM i-Series ... focusing on accuracy, performance, scalability, and cost-effectiveness. + Validate data integrity and consistency across various API endpoints and integrations.… more
- UIC Government Services and the Bowhead Family of Companies (Fort Bliss, TX)
- … Senior : In support of the PEO C3N Program, Bowhead seeks a Senior Systems Engineer in Fort Bliss, TX. **Responsibilities** + Planning and documenting ... CFWE and JWA Application Smart book which documents the data flow and interoperability between systems +...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- Cardinal Health (Austin, TX)
- …and enhance the overall healthcare experience. We are seeking a highly motivated and experienced Senior Data Scientist to join our team as a thought leader and ... data to solve complex business problems on large data sets, integrating multiple systems . At Cardinal...Extensive knowledge of healthcare data , including clinical data , patient demographics, and claims data… more
- Datavant (Austin, TX)
- …designing, developing, and maintaining robust data pipelines for healthcare data including prescriptions, medical claims , MAO4, patient demographics, and ... with the other engineering teams to troubleshoot issues with API's and data exchanges between multiple systems . **What You Need to Succeed** + 5+ years Data … 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
- Molina Healthcare (Fort Worth, 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
- Ascension Health (Austin, TX)
- …operational readiness and marketability issues. Ensuring a seamless path from marketing claims and value propositions to conversion. + Data Management: Oversight ... time of the offer._ **Responsibilities** We are seeking a Senior Director of Regional Marketing to lead and drive...marketing tools, marketing automation systems , content management systems (CMS), and data analytics tools. +… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- **Position Summary** The Senior Manager of Field Technology will lead the design, optimization, and delivery of field sales reporting platforms and tools. This role ... in ensuring that our field teams have seamless access to accurate, actionable data to drive performance. The role focuses on managing field-facing technology … more