- Molina Healthcare (Dallas, TX)
- …root cause and resolve outstanding issues. Creates reports and analysis based on business needs and required or available data elements. Collaborates with Health ... remediation plans and fixes, overall progress, and status of impacted claims **JOB QUALIFICATIONS** ** Required Education** Associate's Degree or equivalent… 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)
- **Job Family** **:** PFS General **Travel Required ** **:** None **Clearance Required ** **:** None **What You Will Do** **:** The **Billing Analyst ** is ... expected to perform specific billing processes, follow-up, account analysis as required . This position works with other departments to facilitate the meeting of both… 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 ... of modernizing P&C by helping create and maintain systematic business requirements and rules in support of P&C's policy...of Microsoft Office tools. + Successful completion of an analyst assessment may be required . **What sets… more
- CVS Health (Irving, TX)
- …team in resolving issues, driving expected results and meet project target dates as required by management. The Senior Analyst will also participate in root ... personal, convenient and affordable. **Position Summary** As a Senior Analyst , Benefits Test, you will be part of an...cause analysis discussions across multiple business units as required by Client Services… 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)
- …years of related experience or equivalent combination of education and experience required . Experience in multi-line claims management processes and system ... requirements preferred. **Skills & Knowledge** + Knowledge of third-party administration and claims management business and technology + Oral and written… more
- Prime Healthcare (Farmers Branch, TX)
- …across departments. + Provide training for Analyst positions and Jr. Analyst positions. Qualifications Required : + Minimum 3 Years of Healthcare Experience ... by analyzing data and identifying process improvement opportunities. The Senior Analyst will apply analytical and critical thinking to develop innovative solutions… 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
- Molina Healthcare (Dallas, TX)
- …data and market knowledge. Creates specifications for reports and analysis based on business needs and required or available data elements. Collaborates with ... Education** Bachelor's Degree or equivalent combination of education and experience ** Required Experience** + 5-7 years of business or experience system… 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
- 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
- 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
- Kemper (Dallas, TX)
- …lines of business . Provide State Management with the detailed analysis required to profitably grow the non-standard auto insurance products and meet the needs ... **Position Summary:** Kemper Auto is seeking a Senior Market Analyst , to work out of our Kemper office in...analysis experience preferred. + Insurance experience preferred but not required . + Experience/interest in statistical and business … 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
- 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