- 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
- Guardian Life (Plano, TX)
- Join the dynamic team at Guardian Life as a ** Business Intelligence Analyst III** and be part of a data-driven environment. This role focuses on improving risk ... changes and IT projects. + Provide design support for the development of business intelligence solutions for Dental and Disability Claims , collaborating closely… more
- Amazon (Dallas, TX)
- …of the largest carriers on the planet. Our team is hiring a Senior Financial Analyst , Amazon Transportation Claims and Insurance to play a key role supporting ... finance team closely partners to support this rapidly expanding business while building a portfolio of delivery stations, vans,...Amazon's corporate claims focusing on Middle Mile. This is a fast-paced,… 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)
- **Job Description** Job Summary Serves as claims subject matter expert. Assist the business teams with reviewing claims to ensure regulatory requirements are ... appropriately applied. Manages and leads major claims projects of considerable complexity and volume that may be initiated through provider inquiries or complaints,… 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...in research, review and audits for adjudication rates of claims + Must be able to work in cross… more
- The Cigna Group (Plano, TX)
- … business scenarios for vendor rebates, customer rebates, Chargebacks, Claims & Transaction, Pricing/Pricing Catalogs, Pharma Billing and Agreements to meet ... **Position Title:** SAP Vistex Analyst /Configurator: Pricing, Chargebacks, Rebates, Pharma Billing **Position Overview:** CuraScript SD a wholesale pharmaceutical… more
- Elevance Health (Grand Prairie, TX)
- ** Business Information Analyst Sr. - Cost of Care** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates ... miles of one of Elevance's Pulse Point locations. **The Business Information Analyst Sr. - Cost of...outcomes such as return-on-investment (ROI) and payback periods using claims and authorization data. * Lead and/or actively participate… 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
- 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)
- …requirements preferred. **Skills & Knowledge** + Knowledge of third-party administration and claims management business and technology + Oral and written ... their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our… more
- Molina Healthcare (Fort Worth, TX)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to ... influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and… 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
- Robert Half Management Resources (Mckinney, TX)
- …within the Risk and Compliance sector and will heavily involve cooperation with internal business units and vendors. The Risk Analyst will play a crucial role ... Description We are offering a short-term contract employment opportunity for a Risk Analyst in McKinney, Texas. This role is primarily situated… 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...Health Plans. + Must have experience with Benefits configuration, claims + The team is responsible for implementation and… more
- Bank of America (Plano, TX)
- Fraud Analytics and Innovation Senior Analyst Newark, Delaware;Plano, Texas; Richmond, Virginia; Fort Worth, Texas; New York, New York; Boston, Massachusetts; ... trends, and recommendations for improvement + Recommends ways to help the business achieve desired outcomes and make informed business decisions using… more
- Acosta Group (The Colony, TX)
- …and leads client's thinking in how to action/profit from those insights. The Analyst will be responsible for providing actionable analysis of internal and external ... planning process. **Responsibilities** + Conducts a broad range of strategic business planning including, but not limited to, category management, space management,… more
- Bank of America (Plano, TX)
- Fraud Analytics and Innovation Senior Analyst Newark, Delaware;Plano, Texas; Richmond, Virginia; Fort Worth, Texas; New York, New York; Boston, Massachusetts; ... and creating mitigation strategies. **Responsibilities:** + Recommends ways to help the business achieve desired outcomes and make informed business decisions… 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 ... well as be sensitive to audience diversity. Limited but direct impact on the business through the quality of the tasks/services provided. Impact of the job holder is… more
- Molina Healthcare (Fort Worth, TX)
- **Job Description** **Job Summary** The Sr Analyst , Risk Adjustment - Predicitve Analytics role supports Molina's Risk Adjustment Predictive Analytics team. Designs ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and related financial data like risk...overall markets and LOB. + Work in an agile business environment to derive meaningful information out of complex… more