- Molina Healthcare (Fort Worth, TX)
- …data and market knowledge. Creates specifications for reports and analysis based on business needs and required or available data elements. Collaborates with ... Associate's Degree or equivalent combination of education and experience ** Required Experience** + 3-5 Years of business ...experience ** Required Experience** + 3-5 Years of business analysis + 4+ years managed care experience +… more
- Wolters Kluwer (Dallas, TX)
- …Location:_** Riverwoods, IL (USA) **About the Role:** We are seeking a highly skilled Business Analyst to join the Mediregs team focusing on claims ... proficient in analyzing CMS rules as it relates to claims and processes. The candidate will be able to...contribute to software maintenance and final acceptance testing. The Business Analyst works closely with a cross-functional… more
- XPO, Inc. (North Richland Hills, TX)
- Associate Analyst , Claims - Hybrid Requisition Id: 376916 Business Unit: LTL Location: North Richland Hills, TX, US, 76180 **What you'll need to succeed as ... an Associate Analyst , Claims at XPO** Minimum qualifications: +...who receive a conditional offer of employment may be required to take and pass a pre-employment drug test.… more
- USAA (Plano, TX)
- …creativity, collaboration, and continuous learning in support of growing the Business Intelligence capability within the P&C Claims Analytics organization.** ... will have the opportunity to support all areas of Claims operations through partnership with decision science analysts and...influences. Crafts specifications for reports and analysis based on business needs and required or available data… more
- Acosta Group (Irving, TX)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be ... responsible for analyzing claims and making decisions about their validity. The position...position will be a communicator to internal and external business partners and a problem solver/agent for change to… more
- Molina Healthcare (Fort Worth, TX)
- …root cause and resolve outstanding issues. Creates reports and analysis based on business needs and required or available data elements. Collaborates with Health ... Required Education** Associate's Degree or equivalent combination of education and experience ** Required Experience** + 3-5 Years of business analysis + 4+… more
- Guidehouse (Lewisville, TX)
- **Job Family** **:** PFS General **Travel Required ** **:** None **Clearance Required ** **:** None **What You Will Do** **:** The **Billing Analyst ** is ... expected to perform specific billing processes, follow-up, account analysis as required . This position works with other departments to facilitate the meeting of both… more
- Elevance Health (Grand Prairie, TX)
- **Clinical Content Analyst ** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal candidates will live within 50 miles ... MO, Wallingford, CT, Grand Prairie, TX or Louisville, KY. The **Clinical Content Analyst ** will be responsible for driving the development and execution of the… more
- Molina Healthcare (Fort Worth, TX)
- …**Job Summary** A successful candidate will have a balance of business insight, critical thinking, strong communication and analytical skills. Possess the ... organizational and technical challenges. Performs research and analysis of healthcare claims data, pharmacy data, and external data to derive proper courses… more
- Elevance Health (Plano, TX)
- **Managed Care Analyst (Payor Contracting)** A proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing ... of our Plano, Texas PulsePoint location. The **Risk Management Analyst ** is responsible for supporting the department regarding all...control reports as needed. Reports and tracks all P&C claims . + Provides claims bordereau to brokers… more
- Molina Healthcare (Fort Worth, TX)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... business issues related to cost, utilization and revenue for...and manage information from large data sources. + Analyze claims and other data sources (eg authorization) to identify… more
- Sedgwick (Irving, TX)
- …years of related experience or equivalent combination of education and experience required . Experience in multi-line claims management processes and system ... requirements preferred. **Skills & Knowledge** + Knowledge of third-party administration and claims management business and technology + Oral and written… 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, ... and create mitigation strategies. **Responsibilities:** + Recommends ways to help the business achieve desired outcomes and make informed business decisions… more
- Molina Healthcare (Fort Worth, TX)
- …data and market knowledge. Creates specifications for reports and analysis based on business needs and required or available data elements. Collaborates with ... Education** Bachelor's Degree or equivalent combination of education and experience ** Required Experience** + 5-7 years of business or experience system… more
- Elevance Health (Grand Prairie, TX)
- ** Business Information Analyst Sr.** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates must live within ... miles of one of Elevance's Pulse Point locations. The ** Business Information Analyst Sr.** is responsible for...performance using summary statistical procedures. * Develops and analyzes business performance reports (eg for claims data,… more
- PNC (Dallas, TX)
- …have an opportunity to contribute to the company's success. As a Loan Support Analyst Senior within PNC's Midland organization, you will be based in office within ... Midland footprint of Kansas City, Dallas, or Birmingham. As a Loan Support Analyst Senior in PNC Midland's Insurance department you will be responsible for… more
- Bank of America (Fort Worth, TX)
- Account Takeover and Device Policy Analyst Charlotte, North Carolina;Belfast, Maine; Plano, Texas; Richmond, Virginia; Fort Worth, Texas; New York, New York; Boston, ... fraud risk and create mitigation strategies. As a Client Protection Fraud Policy Analyst , you will capitalize on your Fraud knowledge strategic thinking to solve … more
- CVS Health (Irving, TX)
- …multiple projects concurrently. **Education** + Bachelor's Degree or equivalent work experience required ** Business Overview** At CVS Health, we are joined in ... convenient and affordable. CVS Health is seeking a Sr. Analyst , Medical Economics to join our team! The Sr....identification and completion of key deliverables to ensure all business objectives are met + Responsible for the development… more
- Molina Healthcare (Fort Worth, TX)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...+ Must have experience in system configuration. + Monitor claims , create , generate and analyze reports using Excel… more
- Molina Healthcare (Fort Worth, TX)
- …Description** Who you are : + You have proven experience as a QA Analyst within an Agile environment. + Experienced testing on-premise and cloud based ETL/BI ... You can prioritize. + You have experience with QNXT, claims processing , healthcare insurance and SQL + You...QA role within our Agile team is a Senior Analyst position dedicated to ensuring the highest quality standards… more