- 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 ... contribute to software maintenance and final acceptance testing. The Business Analyst works closely with a cross-functional...tools (eg, SQL, Excel, Tableau). + Recent experience with healthcare claims software (eg, Epic, Cerner, or… more
- Guidehouse (Lewisville, TX)
- …experience in lieu of Diploma / GED. + 1-3+ year's experience in within business , operations, customer service or healthcare fields. **What Would Be Nice to ... **Clearance Required** **:** None **What You Will Do** **:** The **Billing Analyst ** is expected to perform specific billing processes, follow-up, account analysis… more
- Molina Healthcare (Fort Worth, TX)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc. + Analysis and forecasting of trends in… 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
- 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...+ Must have experience in system configuration. + Monitor claims , create , generate and analyze reports using Excel… 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
- 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 ... database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits,… more
- Elevance Health (Grand Prairie, TX)
- …preferred. + Scaled Agile Framework Training strongly preferred. + 5+ years of claims editing experience with healthcare payers and/or claims editing ... **Clinical Content Analyst ** **Location:** This position will work a hybrid...CMS, CPT/AMA and other major payer policies based on healthcare correct coding and regulatory requirements. **How you will… more
- Molina Healthcare (Dallas, TX)
- …used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables ... departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods… 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
- 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
- CVS Health (Irving, TX)
- …health care more personal, convenient and affordable. CVS Health is seeking a Sr. Analyst , Medical Economics to join our team! The Sr. Analyst participates on ... including initiation, identification and completion of key deliverables to ensure all business objectives are met + Responsible for the development of provider fee… more
- Molina Healthcare (Fort Worth, TX)
- …or team leadership experience + 10 years' work experience preferable in claims processing environment and/or healthcare environment + Strong knowledge of ... meet data analysis and database development needs. + Reviews, evaluates, and improved business logic and data sources. + Resource to staff for mentoring, coaching,… more
- Elevance Health (Grand Prairie, TX)
- …Computer Science or related field of study and a minimum of 6 years systems analyst or business analyst experience; or any combination of education and ... **Preferred Skills, Capabilities, and Experiences:** + Master's degree in Business Administration, Computer Science, Healthcare Administration, or related… more
- Omnicell (Fort Worth, TX)
- …of robotics, smart devices, intelligent software, and expert services is helping healthcare facilities worldwide to improve business and clinical outcomes as ... will be reviewed and considered for upcoming opportunities._ **Reconciliation Analyst ** **What You Can Expect:** Career growth: Opportunity is...at Omnicell for people passionate about all aspects of healthcare . You can start in this role and move… more