- 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
- 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
- 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 (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
- 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 (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
- 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
- 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
- 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
- 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 (Fort Worth, 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
- 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
- Bank of America (Fort Worth, 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
- Molina Healthcare (Dallas, 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
- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** The Sr. Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality...overall markets and LOB. + Work in an agile business environment to derive meaningful information out of complex… more
- Lockheed Martin (Fort Worth, TX)
- …destination~ Join us\! **Who You Are** As a Global Supply Chain Staff Contracts Analyst , you are an experienced professional with a legal, contracts or supply chain ... mitigating risk, and partnering with others to obtain positive business results\. In this role, you will: * Manage,...procurement law and the Uniform Commercial Code \(UCC\) * Claims , disputes, disclosures, or remedy experience * Experience with… more
- Baylor Scott & White Health (Dallas, TX)
- **JOB SUMMARY** The Revenue Integrity Analyst 1 manages small projects and less complex service lines with some oversight, to ensure system-wide charge capture ... service line(s) with some oversight. Identifies problems by evaluating business requirements, examining data, negotiating organizational consensus, and synthesizing… more