- Molina Healthcare (Dallas, TX)
- …Operations teams + Interprets, communicates, and presents, clear in-depth analysis of claims research results, root cause analysis, remediation plans and fixes, ... **Job Description** **Job Summary** Serves as claims subject matter expert. Assist the business teams...Molina. Identifies the root cause of processing errors through research and analysis, coordinates and engages with appropriate departments,… more
- Acosta Group (Lewisville, TX)
- **DESCRIPTION** As a Claims Resolution Analyst , you will be at the forefront of ensuring the accuracy and efficiency of our claims process. Your key ... to determine their validity, make final decisions on escalated claims , and research validation issues to recommend...make final decisions on escalated claims , and research validation issues to recommend appropriate solutions. + **Dashboard… more
- Carrington (Plano, TX)
- …amazing team and work remote from home! The Loss Claim Recovery Analysis Analyst is responsible for performing financial reconciliation on all liquidated loans and ... to mitigate losses for both Carrington Mortgage Services and its clients. Research must be completed on incurred losses to determine responsibility, find bill… more
- TEKsystems (Dallas, TX)
- …of the servicer and/or client + Files respective investor/insurer initial and final claims based on the respective guidelines for allowable limits + Reviews MI claim ... Explanation of Benefits (EOB) or Insurer Advice of Payments (AOP) and research curtailment reasons for potential rebuttal + Files Appeal or Supplemental Claims … more
- TEKsystems (Dallas, TX)
- …of the servicer and/or client + Files respective investor/insurer initial and final claims based on the respective guidelines for allowable limits + Reviews MI claim ... Explanation of Benefits (EOB) or Insurer Advice of Payments (AOP) and research curtailment reasons for potential rebuttal + Files Appeal or Supplemental Claims … more
- Methodist Health System (Dallas, TX)
- …:** **Days Of Week :** **Work Shift :** **Job Description :** **Insurance Risk Analyst ** **Mission and Vision.** Methodist Health System (MHS) is a $2 billion health ... are engaging in a search for an individual to fill the Insurance Risk Analyst position. The role will directly support the Corporate Risk Management and insurance… more
- Zelis (Plano, TX)
- …that shape who you are. Position Overview The Sr. Medicaid Reimbursement Regulatory Analyst will collaborate with the Zelis Regulatory Pricer Product team to further ... external issues in an accurate and timely fashion. What you'll do: + Research and decipher regulatory sources such as legislative rules, state registers, waiver… more
- CVS Health (Irving, TX)
- …every day. **Position Summary** As an Application and Development Support, Sr Analyst on the Program Modernization Automation and Development team, this individual ... and Lean Six Sigma leaders to achieve team objectives. They will research and develop highly technical solutions utilizing various applications and tools and… more
- Scottish Rite for Children (Dallas, TX)
- …We're committed to giving children back their childhood! Job Posting Title: Data Analyst Lead Location: Dallas - Hospital Additional Posting Details: Monday - Friday ... multiple sources including electronic medical records, patient experience surveys, claims , and administrative systems to discover meaningful analytical insights for… more
- Citigroup (Irving, TX)
- The Loan Doc & Proc Assoc Analyst is a developing professional role. This role identifies policy and applies specialty knowledge in monitoring and assessing ... + Possible interaction with other counterparties around positions and outstanding balances/ claims + Supports an expansive and/or diverse array of products (risk… more
- Molina Healthcare (Dallas, TX)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Develop ad-hoc reports using SQL programming, SQL… more