- AIG (Dallas, TX)
- Claims Management Analyst Join us as a Claims Analyst to grow your experience in handling complex claims . Make your mark in Claims . Our ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
- Molina Healthcare (Dallas, TX)
- …for accurate and timely implementation and oversight of critical information on claims databases. Synchronizes data among operational and claims systems and ... experience and knowledge to research and resolve claim/encounter issues, pended claims and facilitate system update(s) as necessary. + Works with fluctuating… more
- Molina Healthcare (Dallas, TX)
- JOB DESCRIPTION **Job Summary** Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... and applicable software programs proficiency. **Preferred Qualifications** * Health care claims analysis experience. * Project management experience. To all… more
- Deloitte (Dallas, TX)
- …work in a collaborative environment. As an experienced Epic Resolute Hospital Billing Analyst Project Delivery Specialist, you will have the ability to share new ... of communication with all end users and colleagues, and utilizing key change management principles + Lead meetings as needed, prioritize tasks, resolve conflicts and… more
- AIG (Dallas, TX)
- …will make the most of your technical expertise. Make your mark as a Forensic Analyst As a claims professional, you are respected for your deep accounting ... types to assist in the quantification and the measurement of commercial business insurance claims . + Work with a team and supervisors and be mentored during the… more
- Cognizant (Dallas, TX)
- …and Risk Management . The primary focus will be supporting traditional risk management functions such as claims management , insurance, renewal process, ... safety, contract review and assistance with special risk management projects._ **Insurance Risk Analyst :** 1.Assist corporate insurance manager with the… more
- Sedgwick (Dallas, TX)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance SAP FICA Systems Analyst **PRIMARY PURPOSE OF THE ROLE:** To design and maintain robust, scalable ... INCLUDE** + Ensures software scalability and data integrity throughout all claims -related applications. + Ensures software compatibility and alignment with overall… more
- Zurich NA (Addison, TX)
- TPA Operations Sr. Performance Analyst 125087 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes ... Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims...of key messages, reports and financial analyses to inform management teams of expected outcomes for specific initiatives. +… more
- Sedgwick (Dallas, TX)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Data Analyst Manager **PRIMARY PURPOSE OF THE ROLE:** To manage a staff of data ... and are naturally empathetic. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Project Management experience preferred + Manages a staff of data analysts including… more
- Bank of America (Plano, TX)
- Fraud Analytics and Innovation Lead Analyst - Fraud Strategy Jacksonville, Florida;Plano, Texas; Richmond, Virginia; Sun City West, Arizona; Boston, Massachusetts; ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Jacksonville/Fraud-Analytics-and-Innovation-Lead- Analyst Fraud-Strategy\_25042825-2) **Job Description:** At Bank of America, we… more
- Sedgwick (Dallas, TX)
- …in Financial Services & Insurance Workforce Analytics & Productivity Monitoring Analyst **PRIMARY PURPOSE OF THE ROLE:** To manage Sedgwick's Workforce Analytics ... software or programs and provides written or verbal analysis and recommendations to management . Analyzes client and customer needs as required and provides clear and… more
- Sedgwick (Dallas, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Data Analyst Sr **PRIMARY PURPOSE OF THE ROLE** : To create comprehensive reporting and ... reports; and analyzes results. + Assists in efficient and effective program management ; identifies poor work quality and cost effectiveness trends; and works with… more
- WTW (Dallas, TX)
- …**The Role** We are seeking an organized and detail-oriented Retirement Plan Compliance Analyst to join our team. As a compliance analyst you will ... Adhere to audit protocol to ensure accuracy of documentation. **Document Production/ Management :** Adhere to document production timelines to ensure efficiency and… more
- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more
- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more
- CVS Health (Richardson, TX)
- …every day. This is a hybrid position. **Position Summary** As a Rebate Formulary Analyst - Manufacturer Rebates you will perform a critical role in the analysis of ... and/or Rebate knowledge beneficial. + Experience with Caremark business systems, claims adjudication, formulary, drug, and client systems with an emphasis on… more
- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality department with HEDIS… more
- Molina Healthcare (Dallas, TX)
- …opportunities for cost savings. + Leads coordinated development and ongoing management /interpretation review process, committee structure and timing with key ... care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. + Strong understanding of… more
- TEKsystems (Plano, TX)
- …avoid any unnecessary delays. Key Responsibilities Billing Operations & Revenue Cycle Management + Ensure patient orders are properly tasked across multiple systems ... payor fee schedules and update price tables as needed. + Process insurance claims for Medicare, Medicaid, Commercial Insurance, and Private Pay accurately and on… more
- Sedgwick (Dallas, TX)
- …best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing ... to include one (1) year as an Account Coordinator, analyst , associate or three (3) years adjuster experience. **TAKING...a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change… more