- 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
- Deloitte (Dallas, TX)
- …who wants to work in a collaborative environment? As an experienced Epic Resolute PB Claims Analyst you will have the ability to share new ideas and collaborate ... onsite client service delivery. Work you'll do/Responsibilities As a Project Delivery Senior Analyst (PDSA) at Deloitte, you will work within an engagement team and… more
- Deloitte (Dallas, TX)
- …work in a collaborative environment. As an experienced Epic Resolute Hospital Billing Analyst Project Delivery Specialist, you will have the ability to share new ... of communication with all end users and colleagues, and utilizing key change management principles + Lead meetings as needed, prioritize tasks, resolve conflicts and… more
- Sedgwick (Dallas, TX)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Bill Review Analyst | Professional Liability | Remote **PRIMARY PURPOSE** : The Bill Review ... Analyst plays a critical role in supporting the medical malpractice claims team by ensuring legal invoice accuracy, compliance, and defensibility. This position… more
- Sedgwick (Dallas, TX)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance SAP FICA Systems Analyst **PRIMARY PURPOSE OF THE ROLE:** To design and maintain robust, scalable ... INCLUDE** + Ensures software scalability and data integrity throughout all claims -related applications. + Ensures software compatibility and alignment with overall… more
- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** The Lead Analyst , Reimbursement is responsible for administering complex provider reimbursement methodologies timely and ... existing lines of business and expansion into new states. The Lead Analyst , Reimbursement will be primarily responsible for implementation, maintenance, and support… more
- Sedgwick (Dallas, TX)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Data Analyst Manager **PRIMARY PURPOSE OF THE ROLE:** To manage a staff of data ... and are naturally empathetic. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Project Management experience preferred + Manages a staff of data analysts including… more
- Sedgwick (Dallas, TX)
- …Workplaces in Financial Services & Insurance Workforce Analytics & Productivity Monitoring Analyst **PRIMARY PURPOSE OF THE ROLE:** To manage the implementation of ... or programs and provides written or verbal analysis to management . + Analyzes client and customer needs as required...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… 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)
- **Cost of Care/Provider Contracting Data Analyst ** **Location** : This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... is granted as required by law. The **Cost of Care/Provider Contracting Data Analyst ** is responsible for provides analytical support to the Cost of Care and/or… 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
- Molina Healthcare (Dallas, TX)
- …the Sr. Analyst , Data is responsible for data compilation, data management , data analysis, and reporting + Extracts and compiles various sources of information ... easily understood reports, analysis, and summary of findings for use by management + Assists in preparation of regularly produced reports to support executive… more
- Molina Healthcare (Dallas, 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
- Elevance Health (Grand Prairie, TX)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... Review medical record documentation in support of Evaluation and Management , CPT, HCPCS and ICD-10 code. + Reviews company...to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues… more
- Molina Healthcare (Dallas, TX)
- …processes, encounter processes, provider and contract configuration, provider information management , claims processing and other related functions. **Preferred ... Responsible for providing business process redesign, communication and change management for operations. Backend operationalization of policies, standardization of… more
- Molina Healthcare (Dallas, TX)
- …opportunities for cost savings. + Leads coordinated development and ongoing management /interpretation review process, committee structure and timing with key ... care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. + Strong understanding of… more
- Elevance Health (Grand Prairie, TX)
- …American healthcare delivery. The **Senior Health Economist (** Advanced Analytics Analyst Senior) measures financial performance of core Carelon products leveraging ... claims , authorization, and membership data to tell a detailed...Experiences:** + Actuarial sciences background highly preferred. + Utilization Management experience preferred. + Medical economics, provider finance, healthcare… more
- Molina Healthcare (Dallas, TX)
- …Collects, validates, analyzes, and organizes data into meaningful reports for management decision making as well as designing, developing, testing, and deploying ... time keeping, performance coaching, development, and career paths. + Daily management of Pharmacy Healthcare Analytics team. + Allocate new report/project requests… more