- Molina Healthcare (Dallas, TX)
- …cause and resolve outstanding issues. Creates reports and analysis based on business needs and required or available data elements. Collaborates with Health Plans ... is a general role in which employees work with multiple types of business data. Will work cross functionally across multiple business areas.… 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 (Dallas, 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 (Dallas, 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
- Guidehouse (Lewisville, TX)
- …**Clearance Required** **:** None **What You Will Do** **:** The **Billing Analyst ** is expected to perform specific billing processes, follow-up, account analysis ... Lewisville, TX office and three days working from home._** The **Billing Analyst ** has an extensive knowledge of billing, accounts receivable follow-up, timely… more
- Molina Healthcare (Dallas, 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
- USAA (Plano, TX)
- …truly makes us special and impactful. **The Opportunity** We are seeking a dedicated Business Applications Analyst - Mid Level to join our PICASSO and Document ... chance to be part of modernizing P&C by helping create and maintain systematic business requirements and rules in support of P&C's policy communications sent to our… more
- CVS Health (Irving, TX)
- …health care more personal, convenient and affordable. **Position Summary** As a Senior Analyst , Benefits Test, you will be part of an extremely talented team within ... the members we provide service to. As a Senior Analyst , Benefits Test, you will be accountable for creating...also participate in root cause analysis discussions across multiple business units as required by Client Services leaders. You… more
- BrightSpring Health Services (Anna, TX)
- …Overview Goal oriented individual who consistently follows up on unpaid claims utilizing AlphaCollector and filing appeals when appropriate to obtain maximum ... various DSS/CSA Localities in Virginia, verifying to Purchase Orders/Invoices received.* Analyze claims for assigned payor sources and follow up on all outstanding … more
- Molina Healthcare (Dallas, 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
- Prime Healthcare (Farmers Branch, TX)
- …by analyzing data and identifying process improvement opportunities. The Senior Analyst will apply analytical and critical thinking to develop innovative solutions ... the Subject Matter Expert (SME) for Revenue Cycle operations, the Senior Analyst will lead strategic project implementations. Additionally, this position will act as… 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
- USAA (Plano, TX)
- …us special and impactful. **The Opportunity** As a dedicated **Workforce Management Analyst III** , you will be responsible for scheduling support activities for ... do:** + Perform work assignments and problem resolution to optimize contact or claims center staffing and ensures successful implementation of contact or claims … 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 (Dallas, 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
- Bank of America (Plano, 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
- 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
- Kemper (Dallas, TX)
- …that delivers on our promises._ **Position Summary:** Kemper Auto is seeking a Senior Market Analyst , to work out of our Kemper office in Alpharetta, GA. A member of ... be working to drive profit and growth by implementing business and pricing strategies for lines of business...processing requests, pricing and budget analysis, sales support and claims + Analyze the profitability of program based on… more
- Molina Healthcare (Dallas, 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