- CVS Health (Irving, TX)
- …Experience Transmission (CET Files) on behalf of our Clients and their vendors. The Claims Data Reporting Analyst will have primary responsibility and ... it all with heart, each and every day. **Position Summary** PBM Financial Operations Data Reporting is responsible for the implementation and ongoing support of … more
- Public Storage (Plano, TX)
- …monthly updates on open claims + Develop guidelines and procedures for incident reporting and claims handling + Approve claims reserves, payments and ... , issues, questions and other related matters + Oversee reporting of claims and compliance with state...information and to draw conclusions + Ability to evaluate data for current trends and apply trends to loss… more
- Molina Healthcare (Dallas, TX)
- …of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems ... and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of… more
- USAA (Plano, TX)
- …ensure cohesive and continuous alignment to measures of success. Utilizes and oversees reporting , data , and analytics to measure process and project performance, ... seeking a dedicated Director Business Process Ownership - Communication Ecosystem - Claims Optimization. We offer a flexible work environment that requires an… more
- USAA (Plano, TX)
- …projects and services using proactive communication and engagement strategies. + Utilizes reporting , data , and analytics to measure process and project ... impactful. **The Opportunity** As a dedicated **Business Process Owner Senior for Claims Modernization** , you will plan, direct, and coordinate activities for… more
- USAA (Plano, TX)
- …ensure cohesive and continuous alignment to measures of success. Utilize and oversee reporting , data , and analytics to measure process and project performance, ... you apart:** + Experience in property, catastrophe, and/or multi-line Claims Operations and/or Optimization + Experience developing strategy, leading… more
- CVS Health (Richardson, TX)
- …focusing on accuracy, performance, scalability, and cost-effectiveness. + Validate data integrity and consistency across various API endpoints and integrations. ... the functionality and performance of the evaluation framework itself. + Implement automated reporting and analysis of test results. + Run automated tests against one… more
- USAA (Plano, TX)
- …industry change management methodology. + Extensive experience developing, maintaining, and reporting on large cost work effort(s) / program budgets. **What sets ... **Compensation:** USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive....the salary range based on your experience and market data of the position. The actual salary for this… more
- CVS Health (Irving, TX)
- …will work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information ... will continuously improve quality controls and accuracy of reported data , looking for ways to further automate reporting...AWS/ Azure. + Experience working with medical and/or pharmacy claims data . + Experience in healthcare industry,… more
- CVS Health (Irving, TX)
- …will work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information ... Health has an exciting opportunity to join our PBM Reporting group as a Data Engineer within...AWS/ Azure * Experience working with medical and/or pharmacy claims data * Experience in healthcare industry,… more
- GuideOne Insurance (Dallas, TX)
- …initiatives and AI adoption. * Architect and manage a scalable, multi-tenant data infrastructure to support analytics and reporting for multiple insurance ... As the Director of Data Platform and AI, you will lead the...development of intelligent AI capabilities that drive analytics, operational reporting , and automation across the organization. You'll be responsible… more
- Scottish Rite for Children (Dallas, TX)
- …preferred. + 6+ years of relevant healthcare industry experience working in analytics, reporting , business intelligence, or data management role required. + 6+ ... We're committed to giving children back their childhood! Job Posting Title: Data Analyst Lead Location: Dallas - Hospital Additional Posting Details: Monday -… more
- Scottish Rite for Children (Dallas, TX)
- …preferred. + 8+ years of relevant healthcare industry experience working in analytics, reporting , business intelligence, or data management role required. + 8+ ... We're committed to giving children back their childhood! Job Posting Title: Data Analytics Manager Location: Dallas - Shared Services Additional Posting Details:… more
- Google (Addison, TX)
- …or cross-team projects. + Knowledge of agreements, agreement law, and claims management processes and procedures. + Knowledge of construction costs drivers, ... Technical Infrastructure team to keep it running. From developing and maintaining our data centers to building the next generation of Google platforms, we make… more
- Acosta Group (Lewisville, TX)
- …exposures.Training & Communication: + Lead training initiatives for business units on claims reporting , return-to-work programs, and risk awareness. Serve as a ... handling, and compliance with internal policies and external regulations ** Data & Analytics:** + Analyze claims trends...external regulations ** Data & Analytics:** + Analyze claims trends and risk exposures to inform decision-making and… more
- Samsung SDS America (Plano, TX)
- …protect the company's interests while maintaining strong client relationships + Analyze claims data to determine validity, coverage, and liability, providing ... this position will provide legal advice for a resolution of logistics claims , including those arising out of warehouse operations and transportation, develop and… more
- Master Halco (Dallas, TX)
- …accurate reporting + Complete and file all workers' compensation claims and supporting documentation with internal and external stakeholders (eg, third-party ... and state reporting requirements + Track and monitor all open claims and coordinate communication between employees, healthcare providers, and claims … more
- Molina Healthcare (Dallas, TX)
- …Marketplace and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality ... such interventions. + Assist retrospective HEDIS rate tracking and supplemental data impact reporting . + Develop Medical Record Review project reporting to… more
- Public Storage (Plano, TX)
- …leader will partner and drive our Risk Management practice and insurance programs reporting to and in partnership with our Vice President of Risk Management. ... strategies developed in partnership with broker partners. + Manage internal exposure data to assist in the preparation of underwriting submissions + Maintain… more
- Molina Healthcare (Dallas, TX)
- …all claims and provider databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims ... business rules as they apply to each database. Validate data to be housed on provider databases and ensure...provider information is loaded accurately to allow for proper claims processing, outbound reporting and directory processes.… more