- 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
- 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
- Molina Healthcare (Dallas, TX)
- …**PREFERRED EXPERIENCE:** + 1-3 years claims analysis + 6+ years medical claims processing experience + Project management + Expert in Excel and PowerPoint ... **Job Description** **Job Summary** Serves as claims subject matter expert. Assist the business teams...subject matter expert. Assist the business teams with reviewing claims to ensure regulatory requirements are appropriately applied. Manages… more
- Deloitte (Fort Worth, TX)
- …who wants to work in a collaborative environment? As an experienced Epic Billing and Claims Senior Analyst you will have the ability to share new ideas and ... Health Care & Life Sciences, Digital Banking & Payments, Investment & Wealth Management , Insurance, Telecom, Media and Energy & Resources. Our OTT team brings… more
- Methodist Health System (Dallas, TX)
- …Risk Analyst will be required to use their Microsoft Office skills, claims management system, expense/billing and contract management systems to elevate ... overall responsibilities. At the direction of AVP Corporate Risk Management (CRM) the Insurance Risk Analyst may...systems. + Maintains calendar deadlines to assist in the management of claims , insurance renewals, and carrier… more
- Molina Healthcare (Fort Worth, TX)
- …based on analyses + Provide data driven analytics to Clinical COE, Finance, Claims , Medical Management , Network, and other departments to enable critical ... Power BI + Knowledge of healthcare operations (utilization management , disease management , HEDIS quality measures, claims processing, etc.) + Knowledge of… more
- Sedgwick (Fort Worth, TX)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Director Complex Claims **PRIMARY PURPOSE** **:** To be responsible for managing SIU investigations ... matters. + Mentors and provides guidance to the SIU complex fraud team, analyst and compliance teams. + Initiates and directs SIU compliance activities including… more
- Molina Healthcare (Fort Worth, TX)
- …of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management , Network, and other departments to enable critical ... + Knowledge of healthcare operations (utilization management , disease management , HEDIS quality measures, claims processing, etc.) + Knowledge of… more
- Molina Healthcare (Fort Worth, TX)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data… more
- PNC (Dallas, TX)
- …have an opportunity to contribute to the company's success. As a Loan Support Analyst Senior within PNC's Midland organization, you will be based in office within ... and also supports remote and hybrid work environments As a Loan Support Analyst Senior in PNC Midland's Insurance department you will be responsible for determining… more
- Molina Healthcare (Fort Worth, TX)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... **Required Experience** + 5-7 years increasingly complex database and data management responsibilities + 5-7 years of increasingly complex experience in quantifying,… more
- DriveTime (Dallas, TX)
- …which provides quality warranty and ancillary products, and a customer-friendly claims process. SilverRock offers a variety of ancillary products and administrative ... to vehicle theft and GPS tracking to dealership fleet management . Our ancillary product expertise is proven with over...contracts, products, and warranties, and over $300 million in claims . **That's Nice, But What's the Job?** **_This is… 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
- Molina Healthcare (Fort Worth, TX)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more
- AdventHealth (Burleson, TX)
- …Finance Analyst interacts with department directors, physicians, and hospital management in conjunction with the Finance Manager to provide relevant, accurate, ... data, and skillfully organizes and presents the analysis to management in written or oral format. Demonstrates the ability...of one year of experience in accounting related duties, claims and/or customer service . Experience with Epic Systems… more
- Lockheed Martin (Fort Worth, TX)
- …work at Lockheed Martin\! **Who You Are** As a Global Supply Chain Contracts Analyst , Staff you are an experienced professional with a legal, contracts or supply ... chain management background\. You have a comprehensive understanding of the...procurement law and the Uniform Commercial Code \(UCC\) * Claims , disputes, disclosures, or remedy experience * Experience with… 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 ... review, and analysis. + 1+ years of experience with project management . **Preferred Qualifications** + Previous work experience within the healthcare industry.… more
- Molina Healthcare (Fort Worth, TX)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality department with HEDIS… more
- Molina Healthcare (Fort Worth, 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** + Receives information from outside… more
- Molina Healthcare (Fort Worth, 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