- WelbeHealth (Austin, TX)
- …Health Plan Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and ... accurate pre-payment or denial of claims while meeting federal/state regulations, provider agreements terms, and/or company policies and procedures. **Essential Job… more
- USAA (San Antonio, TX)
- …through one or more of the following activities: processes death claims , administers reinsurance, account reconciliations, audit support and coordination, ... team in the Life Actuarial department as a Reinsurance Analyst II!** This is an exciting opportunity to play...play a vital role in supporting reinsurance processes, from claims processing and treaty administration to financial reporting and… more
- Houston Methodist (Bellaire, TX)
- At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate billing and coding compliance with Medicare and third-party ... potential risk areas and revenue potential. The Sr Compliance Coding Analyst position partners with stakeholders to provide feedback regarding documentation and… more
- Sedgwick (San Antonio, TX)
- …in Financial Services & Insurance Workforce Analytics & Productivity Monitoring Analyst **PRIMARY PURPOSE OF THE ROLE:** To manage Sedgwick's Workforce Analytics ... users, coordinate with software vendors for support and enhancements, and maintain audit readiness by ensuring compliance with data governance and privacy standards.… more
- Bank of America (Dallas, TX)
- …up and maintain thorough records in the land system to support ownership claims and audit readiness. + Work closely with internal departments-Finance, ... Senior Division Order / Land Title Analyst SAM Associate II Dallas, Texas **To proceed with your application, you must be at least 18 years of age.** Acknowledge… more
- WTW (Houston, 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 ... with ERISA regulations and other applicable federal laws. Adhere to audit protocol to ensure accuracy of documentation. **Document Production/Management:** Adhere to… more
- Highmark Health (Austin, TX)
- …and training materials specific to underwriting functions, ensuring clarity for audit and compliance. + Collaborate closely with underwriters to analyze existing ... 3 - 5 years of experience in a Business Analyst or Business Process Analyst role or...role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + Experience in… more
- Molina Healthcare (TX)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... develops reporting solutions to assist HEDIS audit , rate tracking, and Identifying targeted Interventions and tracking...and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality… 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
- SAS Shoemakers (San Antonio, TX)
- …highly motivated individual to join our Finance Department as an Inventory Analyst . This is an opportunity for an analytical individual that possesses ... inventory reporting schedules, trends and significant fluctuations in inventory. + Audit and report on the overall inventory operational processes (factory,… more
- RTX Corporation (Mckinney, TX)
- …a safer, more secure world. This position is for a Sr. Financial Analyst , FP&A, in the Raytheon Rates Organization. Responsibilities include creating, analyzing, and ... well as supporting forward pricing rate submissions and incurred cost claims . Additional duties include providing cross-functional training, performing ad hoc… more
- CVS Health (Richardson, TX)
- …every day. This is a hybrid position. **Position Summary** As a Rebate Formulary Analyst - Manufacturer Rebates you will perform a critical role in the analysis of ... Support Services as they work with clients in the development of formularies; Rebate audit team as questions arise on audits by manufacturers and clients. + Adhering… more
- Molina Healthcare (Houston, TX)
- …in Connecticut** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... in response to approved change requests; retain old and new report design for audit trail purposes. + Analyze data sets and trends for anomalies, outliers, trend… more
- Molina Healthcare (Dallas, TX)
- …care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. + Strong understanding of ... claim system configurations, payment policies, and audit processes. + Exceptional analytical, problem-solving, and documentation skills. + Ability to translate… more
- Highmark Health (Austin, TX)
- …with a general understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues and problems. A comprehensive ... include but not limited to, review/editing of content submissions and best practices, audit reports, etc. The incumbent is expected to make major contributions to… more