- Molina Healthcare (Fort Worth, TX)
- …of critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...and knowledge to research and resolve claim/encounter issues, pended claims and facilitate system update(s) as necessary. + Works… more
- Sedgwick (Fort Worth, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance SAP FICA Systems Analyst **PRIMARY PURPOSE OF THE ROLE:** To design and maintain ... software architecture for one or more elements of CMS software systems ; to oversee programming, implementation and maintenance revisions of specified projects;… more
- Cognizant (Dallas, TX)
- …lead with purpose - always guided by our core values. Join us in shaping future of business . Could you be the one to make a difference? _This is a high impact role ... focus will be supporting traditional risk management functions such as claims management, insurance, renewal process, safety, contract review and assistance with… more
- Elevance Health (Grand Prairie, TX)
- …corrective action plan process. + Demonstrates ability to audit multiple lines of business , multiple functions, and multiple systems . + Analyzes and interprets ... **Performance Quality Analyst II** **Location:** This role requires associates to...Included are processes related to enrollment and billing and claims processing, as well as customer service written and… more
- Molina Healthcare (Fort Worth, TX)
- …not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role includes coordination with ... are aligned as well as work with operational leaders within the business to provide recommendations for process improvements and opportunities for cost savings.… more
- Bank of America (Plano, TX)
- Fraud Analytics and Innovation Lead Analyst - Fraud Strategy Jacksonville, Florida;Plano, Texas; Richmond, Virginia; Sun City West, Arizona; Boston, Massachusetts; ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Jacksonville/Fraud-Analytics-and-Innovation-Lead- Analyst Fraud-Strategy\_25042825-2) **Job Description:** At Bank of America, we… more
- Molina Healthcare (Fort Worth, TX)
- JOB DESCRIPTION Job Summary Provides senior level analyst support for medical economics analysis activities, including extracting, analyzing and synthesizing data ... * Extracts and compiles data and information from various systems to support executive decision-making. * Mines and manages...and manages information from large data sources. * Analyzes claims and other data sources to identify early signs… more
- Celestica (Richardson, TX)
- …& Qualifications** + 2 to 4 years of direct experience as a Data Analyst or Business Intelligence Analyst within a high-volume manufacturing, electronics, ... **Summary** Celestica is seeking a highly analytical and detail-oriented Product Data Analyst with 2-4 years of experience to specialize in the performance lifecycle… 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 ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...information into the claim payment system and other applicable systems . + Participates in defect resolution for assigned component… more
- Sedgwick (Fort Worth, TX)
- …in Financial Services & Insurance Workforce Analytics & Productivity Monitoring Analyst **PRIMARY PURPOSE OF THE ROLE:** To manage Sedgwick's Workforce Analytics ... product owner who works with the various lines of business to champion the use of the product, administer...enrollment and access management, and seamless integration with enterprise systems such as HRIS and identity management platforms. The… more
- Sedgwick (Fort Worth, 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 ... education for colleagues. **QUALIFICATIONS** Bachelor's degree with major in Business Administration, Statistics, or Quantitative Analysis from an accredited college… more
- Citigroup (Irving, TX)
- …issues with transparency. **Qualifications:** + 0-2 years of experience + Basic knowledge of Business Processes, Systems and Tools used in the Loan Process + ... The Loan Doc & Proc Assoc Analyst is a developing professional role. This role...to audience diversity. Limited but direct impact on the business through the quality of the tasks/services provided. Impact… more
- Molina Healthcare (Fort Worth, TX)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... develop payment strategies that give incentives to providers and healthcare systems that deliver better health, more affordably. Performs research, financial… more
- Molina Healthcare (Fort Worth, TX)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... develop payment strategies that give incentives to providers and healthcare systems that deliver better health, more affordably. Performs research, financial… more
- CVS Health (Richardson, TX)
- …role + Caremark Formulary and/or Rebate knowledge beneficial. + Experience with Caremark business systems , claims adjudication, formulary, drug, and client ... a hybrid position. **Position Summary** As a Rebate Formulary Analyst - Manufacturer Rebates you will perform a critical...light travel, if any, may be requested to support business activity. **Required Qualifications:** + 1+ year of professional… 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 to ... eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing… more
- Acosta Group (Lewisville, TX)
- …and guiding the client on how to **leverage** those insights for business **growth** . This includes delivering **actionable analysis** from both **internal and ... planning process.** **RESPONSIBILITIES** + Conduct a broad range of strategic business planning, including, but not limited to, category management, **space… more
- Omnicell (Fort Worth, TX)
- **Reconciliation Lead** The Lead Reconciliation Analyst leads the team that provides reconciliation services to FDS Amplicare customers and oversees the customer ... an in-depth understanding of the customer's needs and their business to provide them with the best use of...documentation. . Communicate any issues that may arise, including claims disputes. . Oversee development and communication of customer… more
- Baylor Scott & White Health (Dallas, TX)
- …current capacities. We have over 1 million lives across multiple blocks of business and industry-leading analytics to support our organization. + We seek a ... stakeholder-facing statistical analyst that will be responsible for the extraction, analysis,...a variety of sources, including electronic health records, and claims data (50%). + Provide observations and recommendations based… more