- Molina Healthcare (Dallas, TX)
- JOB DESCRIPTION **Job Summary** Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... inquiries and projects. * Interprets and presents in-depth analysis of claims research findings and results to leadership and respective operations teams. *… more
- Carrington (Plano, TX)
- …amazing team and work remote from home! The Loss Claim Recovery Analysis Analyst is responsible for performing financial reconciliation on all liquidated loans and ... to mitigate losses for both Carrington Mortgage Services and its clients. Research must be completed on incurred losses to determine responsibility, find bill… more
- Molina Healthcare (Dallas, TX)
- …tables through the user interface. + Apply previous experience and knowledge to research and resolve claim/encounter issues, pended claims and facilitate system ... for accurate and timely implementation and oversight of critical information on claims databases. Synchronizes data among operational and claims systems and… 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
- WTW (Dallas, TX)
- …**The Role** We are seeking an organized and detail-oriented Retirement Plan Compliance Analyst to join our team. As a compliance analyst you will ... **Other:** Keep abreast of laws and regulations impacting employee benefits, claims procedures, and notice requirements by using our legal database subscriptions… 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...review standards and methodology * Leads peer reviews * Research and review new audit tools and techniques and… more
- Molina Healthcare (Dallas, TX)
- … research , financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...basis using SQL, Excel, and other reporting software. * Research , develop, analyze and recommend cost savings opportunities in… more
- Molina Healthcare (Dallas, TX)
- … research , financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...basis using SQL, Excel, and other reporting software. + Research , develop, analyze and recommend cost savings opportunities in… more
- Elevance Health (Grand Prairie, TX)
- …Coordinates research and responds to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues and ... eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing… 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 ... and Identifying targeted Interventions and tracking outcome. Assist with research , development, and completion of special performance improvement projects.… more
- Molina Healthcare (Dallas, TX)
- …emerging technologies. **KNOWLEDGE/SKILLS/ABILITIES** + With limited supervision, the Sr. Analyst , Data is responsible for data compilation, data management, data ... trends + Works with internal, external and enterprise individuals as needed to research , develop, and document new standard reports or processes + Consolidates data… more
- Molina Healthcare (Dallas, TX)
- …Procedures, Standard Operating Procedures and other internal guidelines. + Review, research , analyze and evaluate information to assess compliancy between a process ... compliance related. + Coordinate, facilitate and document audit walkthroughs. + Research , collect or generate requested documentation. Provide timely and accurate… more
- Molina Healthcare (Dallas, TX)
- …Candidates must be located in California and work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and ... of assigned reports, document reporting processes and procedures. + Assist with research , development and completion of special projects as requested by various… 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...as statistics, computer science, cognitive science, economics, or operations research , a minimum of 3 years direct experience programming… more
- Baylor Scott & White Health (Dallas, TX)
- …analytics to support our organization. + We seek a stakeholder-facing statistical analyst that will be responsible for the extraction, analysis, and interpretation ... cost saving initiatives. + Partnering with their Manager and peers to research and investigate current and new utilization trends with meaningful statistical… more