- Kelsey-Seybold Clinic (Houston, TX)
- …dollar claims and present summary to management. **Job Title: Medicare Claims Analyst ** **Location: Remote** **Department:** ** Claims ** **Job Type: Full ... **Responsibilities** Responsible for the adjudication of complex facility claims including hospital, durable medical equipment, home health services, skilled… more
- AIG (Dallas, TX)
- Senior Claims Management Analyst Join us as a Senior Claims Analyst to grow your experience in handling complex claims . Make your mark in Claims . ... of indemnity, medical and legal aspects of highest valued, complex claims . + Reviews and analyzes TPA claim financials to ensure payments are appropriate… more
- Baylor Scott & White Health (Dallas, TX)
- **JOB SUMMARY** The Claims Analyst is accountable for claims processing, research and adjudication to correctly apply benefit determination and pricing for ... reports / special projects to ensure prompt payment of claims . **KEY SUCCESS FACTORS** + Medical terminology,...payment of claims . **KEY SUCCESS FACTORS** + Medical terminology, CPT, HCPCS, ICD9, ICD10, and coding knowledge… more
- USAA (San Antonio, TX)
- …Relocation assistance is not available for this position. **As a dedicated Decision Science Analyst Senior, you will work closely with our P&C Claims business ... change. The essence of work performed by the Decision Science Analyst involves gathering, manipulating, and synthesizing data (eg, attributes, transactions,… more
- Norstella (Austin, TX)
- …by querying and analyzing a wide range of healthcare data sources, including claims , lab results, electronic medical records (EMR), and other real-world data. ... Data Analyst , Healthcare & Life Sciences Company: Citeline Location:...of data and intelligence on clinical trials, drug treatments, medical devices and what's new in the regulatory and… more
- Healthfirst (TX)
- …is Remote** **Duties & Responsibilities** : + Conducts independent assessments of current claims edits to ensure comprehensive and defensible claims editing is ... all Healthfirst product lines + Participate in special projects and advanced Claims Coding activities + Proactively identifies areas of opportunity with respect to… more
- Elevance Health (Grand Prairie, TX)
- **Provider Contract Analyst Senior** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one ... Mason, OH; St. Louis, MO, Grand Prairie, TX, Iselin, NJ. The **Provider Contract Analyst Senior** is responsible for providing analytical support to the Cost of Care… more
- Texas Health Action (Austin, TX)
- …about THA here: http://texashealthaction.org. Texas Health Action seeks an experienced Financial Analyst who will be supervised by the Finance Manager and take ... revenue cycle activities. Work closely with respective departments to address claims billing, provider credentialing, and financial compliance issues as needed. +… more
- Norstella (Austin, TX)
- Senior Analyst - Health Informatics Company: Norstella Location: Remote, United States Date Posted: Sep 11, 2024 Employment Type: Full Time Job ID: R-541 ... and India. **Job Description** We are seeking a Senior Analyst to join our team and support our data-driven...industry, drug development lifecycle and experience querying healthcare databases ( claims , labs, billing codes & EHRs). **Key Duties and… more
- Elevance Health (Grand Prairie, TX)
- …locations. The **Extended Value Analytics and Optimization team** is looking for a senior analyst who will lead medical cost trend deep dives to uncover ... **Provider Contract/Cost of Care Analyst Senior-Analytics** **Location:** This position will work a...Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing… more
- The Hartford (San Antonio, TX)
- …by applying them to meaningful work at The Hartford. The Senior Ability Analyst primarily investigates claims to make timely, accurate and customer focused ... Sr Ability Analyst - C409AN We're determined to make a...medical , and financial claim management. The Senior Ability Analyst supports our mission of helping our customers rebuild… more
- Sutherland Global Services (San Antonio, TX)
- …One Sutherland. Sutherland is looking for a talented, data-driven **Business Analyst ** - Guidewire ClaimCentre Data Integration with experience in mapping Guidewire ... claims center data model to insurers data stores on...we want to hear from you!! **As a Data/Business Analyst you will get to:** **Perform data analysis, collaborate… more
- Bank of America (Plano, TX)
- Consumer Product Strategy Analyst III - Digital Fraud Strategies Analyst Charlotte, North Carolina;Belfast, Maine; Plano, Texas; Richmond, Virginia; New York, ... LOB Job Description: As a Client Protection Fraud Strategy Analyst , you will capitalize on your technical abilities and...▪ Basic understanding of 1st and 3rd party fraud ( claims to charge-off timing, chargeback recovery rights, etc.) ▪… more
- Texas Health Resources (Arlington, TX)
- **Revenue Cycle Charge Capture Senior Analyst ** _Texas Health Resources is looking for a top skilled Revenue Cycle Charge Capture Senior Analyst . Is that you?_ ... as EPIC are required. Familiarity with ICD 10; CMS claims data; and interpretation of contracts preferred. **What You...of the Revenue Cycle Manager Charge Capture the Senior Analyst Charge Capture serves in a role tasked with… more
- Elevance Health (Grand Prairie, TX)
- **Provider Contract/Cost of Care Analyst Senior** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates must ... of one of Elevance's Pulse Point locations. The **Provider Contract/Cost of Care Analyst Senior** is responsible for providing analytical support to the Cost of Care… more
- Evolent Health (Austin, TX)
- …as we solve complex business problems. **Collaboration Opportunities:** The Senior Analyst , Client Analytics role will be serving key internal (Evolent Account ... + 2+ years of SAS, SQL Programming Experience with large amounts of healthcare claims and authorization data - **Required** + 2+ years of experience using Microsoft… more
- Prime Therapeutics (Austin, TX)
- …and effective solutions to complex business problems. + Experience with healthcare medical and pharmacy claims data manipulation and analysis. + Master's ... drives every decision we make. **Job Posting Title** Senior Health Informatics Analyst - Remote **Job Description Summary** Design, document, develop and roll out… more
- Bank of America (Plano, TX)
- Consumer Product Strategy Analyst III - Change Management Charlotte, North Carolina;Belfast, Maine; Plano, Texas; Richmond, Virginia; Newark, Delaware; Lincoln, ... Leaders/Executive Presentations. **Required Qualifications:** + 2 years experience in Fraud/ Claims , Support, or Leadership role + Intermediate working knowledge of… more
- Bank of America (Fort Worth, TX)
- Consumer Product Strategy Analyst III- Digital Fraud Strategies Charlotte, North Carolina;Belfast, Maine; Plano, Texas; Richmond, Virginia; Newark, Delaware; Fort ... of data required for performing analysis + Partner with claims , policy, strategy, and product teams to deliver data...company also prohibits discrimination on other bases such as medical condition, marital status or any other factor that… 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 in office within the PNC ... Midland footprint of Kansas City, Dallas, or Birmingham. As a Loan Support Analyst in PNC Midland's Insurance department you will be responsible for determining… more