- Welltower, Inc. (Dallas, TX)
- …team. ABOUT THE ROLE The Risk Management Analyst provides key risk management services in the areas of insurance, claims management , and loss ... , Paralegal Studies or related field. 3-5 Years experience managing insurance claims required. Experience with risk management information systems (Riskonnect or… more
- Magellan Health, Inc. (Frisco, TX)
- …3+ years of experience working in Medicare Operations. General Job Information Title Senior Business Analyst - Encounter Operations Grade 26 Work Experience - ... healthcare, Medicaid or other health insurance industries. Experience in Healthcare claims operations and/or encounter submissions preferred. Expertise in database … 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
- USAA (Plano, TX)
- …candidate selected for this position will be joining the Service Team within the Claims Actuary and Analytic community, which is part of P&C Data Science. They be ... responsible for delivering insights to the Claims organization related to all things Service to better...The essence of work performed by the Decision Science Analyst involves gathering, manipulating and synthesizing data (eg, attributes,… more
- Molina Healthcare (Dallas, TX)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex claims business problems and issues using data from internal and external sources to provide insight to ... or reports to meet their specific needs. May participate in management reviews, including presenting and interpreting analysis results, summarizing conclusions, and… more
- CVS Health (Irving, TX)
- …implementing this newly defined process. With respect to analytical research, this Claims Analyst would work with service requesters to understand the ... CT., Irving, TX., Scottsdale, AZ., or Northbrook, IL **Position Summary** As a Senior Financial Analyst , Financial Operations, put your skills to use in… more
- Stryker (Dallas, TX)
- **What you will do:** As a Senior Legal Analyst you will be responsible for scheduling and matter management ; drafting and updating legal contracts, ... internal investigations; assisting with legal presentations; and improving internal processes. The Senior Legal Analyst must prepare accurate and timely reports… more
- Molina Healthcare (Dallas, TX)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management , Network, and other departments to enable critical… more
- Molina Healthcare (Dallas, TX)
- …strategic investment decisions + Research and develop reports and analyses for senior management and effectively and concisely communicate results and key ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for...Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment… more
- CVS Health (Irving, TX)
- …has an exciting opportunity to join our PBM Customer Reporting group as a Senior Reporting Analyst within our Compliance Pharmacy Payments. CVS Health strives to ... a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and...team is highly collaborative. You will report to the Senior Reporting Manager within the Compliance Pharmacy Payments team.… more
- CVS Health (Irving, TX)
- …And we do it all with heart, each and every day. CVS Health is seeking a Senior Analyst , Medical Economics to join our team! The Sr. Analyst participates on ... Initiatives). Responsibilities includes but not limited to: + Project Management accountabilities include project oversight including initiation, identification and… more
- Molina Healthcare (Dallas, TX)
- **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by translating ... into technical solutions. This role works closely with clinicians, care management teams, and business stakeholders to gather requirements and deliver actionable… more
- Brown-Forman (Dallas, TX)
- …visits to offices, plants, and warehouses, and consulting directly with area management . Your insights will be crucial in analyzing and addressing potential risks. ... recommendations into actionable guidance for plant operations and engineering management . You'll regularly audit plant practices to ensure full compliance,… more
- FREEMAN (Dallas, TX)
- …and regulatory filings. + Report potential compliance issues to the Benefits Compliance Senior Analyst . **Education & Experience** + Bachelor's degree in Human ... integrated full-service solutions leverage a 97-year legacy in event management as well as new technologies to deliver moments...new technologies to deliver moments that matter. **Summary** The Senior Benefits Analyst is responsible for the… more
- Bank of America (Plano, TX)
- …and deliver on organizational loss goals. Device and Non Monetary Fraud and Innovation Senior Analyst - This job is responsible for performing complex analyses of ... Fraud Analytics and Innovation Lead Analyst Newark, Delaware;Plano, Texas; Richmond, Virginia; New York, New York; Boston, Massachusetts; Chandler, Arizona;… 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 ... Health and Wellness Benefits Manager, this position is responsible for the management of workplace accommodation and leave processes within the guidelines of federal… more
- The Cigna Group (Plano, TX)
- …Understanding of managed care business processes, data, systems, and applications for claims payment, enrollment, benefit design, and utilization management + ... unit cost and competitive discount. You will partner with contracting, network management , and pricing business units to deliver contract analysis results in line… more
- Acosta Group (Lewisville, TX)
- …stakeholders, third-party administrators, brokers, and insurers to ensure effective claims management , litigation, risk financing, and compliance. ... Cyber, D&O). + This includes the areas of underwriting, claims management and safety/loss prevention ** Claims...and liability claims . Supervise the Sr. Risk Claims Analyst and ensure alignment with best… more