- 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)
- **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
- Molina Healthcare (Dallas, TX)
- …to management , including recommendations for any identified finding; Supports management with presenting results and recommendations to Senior Leadership and ... to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee,… more
- Molina Healthcare (Dallas, 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 (Dallas, 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
- Elevance Health (Grand Prairie, TX)
- **Provider Contract Cost of Care Analyst Senior ** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... accommodation is granted as required by law. The **Provider Contract Cost of Care Analyst Senior ** is responsible for providing analytical support to the Cost of… more
- Molina Healthcare (Dallas, TX)
- …easy to understand. + Research and develop reports and analysis for senior management and effectively communicate results. **JOB QUALIFICATIONS** **Required ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will support Molina's Risk...analysis. Performs research and deep-dive analysis of complex healthcare claims data, CMS return files, and financial cost, revenue,… more
- Keurig Dr Pepper (Frisco, TX)
- …hours, including evenings, weekends, and holidays. Join Keurig Dr Pepper as a Senior Global Logistics Analyst , where you'll manage international import and ... while driving strategic initiatives. This role blends hands-on logistics management with analytical decision-making to ensure cost-effective, compliant, and… 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 ... **Required Experience** + 5-7 years increasingly complex database and data management responsibilities + 5-7 years of increasingly complex experience in quantifying,… more
- OneMain Financial (Fort Worth, TX)
- …skills. Able to effectively communicate with employees at all levels from senior management to junior-level employees. Ability to facilitate meetings or ... ADA Leave Analyst Reporting directly to the Health and Wellness...Wellness Benefits Manager, this position is responsible for the management of workplace accommodation and leave processes within the… more
- Motion Recruitment Partners (Irving, TX)
- …Irving, TX. Join over 20,000 employees at this global company specializing in technology-enabled claims and risk management solutions. You will be part of a ... Senior Database Administrator - Remote Irving, TX **Hybrid**...areas of workers compensation, liability, property, disability, and absence management . You will work alongside some of the smartest… more
- OneMain Financial (Fort Worth, TX)
- …skills. Able to effectively communicate with employees at all levels from senior management to junior-level employees. Ability to facilitate meetings or ... the Role** + Partners with team members, HR partners, management , and third-party administrators to ensure leave of absence...+ Partners with Workers Compensation vendor to process employee claims . + Serves as the subject matter expert for… more
- CVS Health (Irving, TX)
- …And we do it all with heart, each and every day. **Position Summary** The Senior Analyst - Business Analytics will be a detail-oriented individual with strong ... applications is required. Desired proficiencies and experience include: All Payer Claims Database (APCD) experience, Audit Command Language (ACL), or SQL; knowledge… more
- WTW (Dallas, TX)
- …clinical/health management program design, pharmacy solutions, disability/absence management strategies and claims audit services. Product-based solutions ... We provide solutions encompassing creative plan design, vendor evaluation and management , pricing and funding strategies, data analytics, valuation support, and… more