- 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
- Molina Healthcare (Dallas, TX)
- …for accurate and timely implementation and oversight of critical information on claims databases. Synchronizes data among operational and claims systems and ... experience and knowledge to research and resolve claim/encounter issues, pended claims and facilitate system update(s) as necessary. + Works with fluctuating… more
- Sedgwick (Dallas, TX)
- …Fortune Best Workplaces in Financial Services & Insurance Performance Assurance Analyst **PRIMARY PURPOSE** **:** Performs comprehensive reviews on personal and ... commercial lines claims of varying degree of severity (up to approximately...operational and technical audit requirements. + Coordinates with the Analyst Team in implementing Sedgwick business unit (SBU) and… more
- Molina Healthcare (Dallas, TX)
- …Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial ... and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed… more
- Sedgwick (Dallas, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance SAP GRC/Security Analyst SAP GRC/Security Analyst **PRIMARY PURPOSE OF THE ROLE** : To ... INCLUDE** + Ensures software scalability and data integrity throughout all claims -related applications. + Ensures software compatibility and alignment with overall… more
- Sedgwick (Dallas, TX)
- …combination of education and experience required to include three (3) years of claims management experience at an advanced technical level. Two (2) years' ... service with Company preferred. **Skills & Knowledge** + Thorough knowledge of claims management practices and procedures + Strong understanding of quality and… 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
- Prime Healthcare (Farmers Branch, TX)
- …Us! (https://careers-primehealthcare.icims.com/jobs/229371/senior-strategic-initiatives- analyst /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... join our corporate team! Responsibilities This role supports Revenue Cycle Management by analyzing data and identifying process improvement opportunities. The Senior… 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
- PNC (Dallas, TX)
- …have an opportunity to contribute to the company's success. As a Loan Support Analyst within PNC's Midland organization, you will be based within the PNC Midland ... and also supports remote and hybrid work environments. As a Loan Support Analyst in PNC Midland's Insurance department you will be responsible for determining… more
- Health Care Service Corporation (Richardson, TX)
- …**Job Summary** We are seeking a motivated and collaborative Systems Analyst to provide skilled leadership on complex assignments/projects. This position is ... technical specifications within limits of code environment; linking Business Analyst needs and Architect definition to technical solutions. Additionally, they… more
- Molina Healthcare (Dallas, TX)
- …Responsible for accurate and timely auditing of critical information on claims databases. Maintains critical auditing and outcome information. Synchronizes data ... among operational and claims systems and application of business rules as they...confirm outcomes meet the specific state/federal requirements. * Creates management reporting tools to enhance audit communication on configurations… 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 ... is granted as required by law. The **Provider Contract Cost of Care Analyst Senior** is responsible for providing analytical support to the Cost of Care… more
- OneMain Financial (Fort Worth, TX)
- ADA Leave Analyst Reporting directly to the Health and Wellness Benefits Manager, this position is responsible for the management of workplace accommodation and ... policies. You will provide best-in-class consultative support for HR partners, management and team members during the interactive accommodation and leave… more
- Molina Healthcare (Dallas, 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
- Molina Healthcare (Dallas, 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
- 7-Eleven (Irving, TX)
- Risk Analyst Apply Now (https://my7elevenhr.wd12.myworkdayjobs.com/Careers/job/SSC-Irving-TX/Risk- Analyst \_R25\_0000009032/apply) Save Job Job ID R25_0000009032 ... including any reporting, trending analytics, budgeting, accounting and the Risk Management Information System (RMIS). This role also supports the management… 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
- 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
- Molina Healthcare (Dallas, TX)
- **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Reporting team. Designs and develops reporting ... * Develops custom health plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates * Assists and collaborates with the national… more