- Public Consulting Group (Austin, TX)
- …Education + Recovery Services **Duties and Responsibilities** + Analyzes the development of claims assigned at each level of the adjudication process. + Outlines the ... sent with applications. + Monitors and gives direction to Claims Developer regarding specific tasks on claims ....to Claims Developer regarding specific tasks on claims . + Provides monthly reporting statistics. + Ensures adherence… more
- XPO, Inc. (North Richland Hills, TX)
- Associate Analyst , Claims - Hybrid Requisition Id: 376916 Business Unit: LTL Location: North Richland Hills, TX, US, 76180 **What you'll need to succeed as an ... Associate Analyst , Claims at XPO** Minimum qualifications: +...Excellent written and verbal communication skills Preferred qualifications: + 1 or more years of experience as a cargo… 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 ... solutions for mitigation with some oversight. + Examines accounts, claims , and clinical documentation for charge capture and billing...5% + Tuition Reimbursement + PTO accrual beginning Day 1 Note: Benefits may vary based upon position type… more
- Kelsey-Seybold Clinic (Houston, TX)
- **Responsibilities** Responsible for the supervision of Commercial claims adjudication. Essential job functions include ensure that quality and productivity ... develop training and in-service initiatives. Oversee all quality improvement initiatives for Claims unit. Oversee the Provider Service Unit to ensure that service… more
- Prime Therapeutics (Austin, TX)
- …our passion and drives every decision we make. **Job Posting Title** Pricing Analyst - Remote **Job Description** The Pricing Analyst maintains, provides ... with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness &… more
- Prime Therapeutics (Austin, TX)
- …passion and drives every decision we make. **Job Posting Title** Sr. Pricing Analyst - Pharmacy Network - Remote **Job Description** The Senior Pricing Analyst ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- CVS Health (Austin, TX)
- …to GPS to rework claims after validating as overpaid **Required Qualifications** * 1 years experience working with GPS and ECHS * Knowledge of ACAS claims ... This position will be responsible for utilizing previous ACAS claims experience along with provided guidance to review and...experience along with provided guidance to review and validate claims for overpayment. The ideal candidate will be able… more
- Prime Healthcare (Farmers Branch, TX)
- …With Us! (https://careers-primehealthcare.icims.com/jobs/191206/senior-strategic-initiatives- analyst /job?mode=apply&apply=yes&in\_iframe= 1 &hashed=-336024306) ... by analyzing data and identifying process improvement opportunities. The Senior Analyst will apply analytical and critical thinking to develop innovative solutions… more
- Capgemini (El Paso, TX)
- …+ Builds and maintains strong relationships with external customers **Required Skills:** + B2C4. 1 .3 Collect From Tier 3 Customer (Low Risk, Small) + B2C4. 1 .4 ... Collection + B2C4. 1 .5 Escalate unpaid amounts + B2C4. 1 .6 Perform Dunning + B2C4. 1 .7 Create and send statement + B2C4.2.2 Process Bankrupt/Insolvent Accounts… more
- Capgemini (El Paso, TX)
- …* Builds and maintains strong relationships with external customers * Processes used: * B2C4. 1 .3 Collect From Tier 3 Customer (Low Risk, Small) * B2C4. 1 .4 ... Collection * B2C4. 1 .5 Escalate unpaid amounts * B2C4. 1 .6 Perform Dunning * B2C4. 1 .7 Create and send statement * B2C4.2.2 Process Bankrupt/Insolvent Accounts… more
- Meta (Austin, TX)
- …hoc reports, create charts/graphs to summarize data). **Required Skills:** Life@ Benefits Analyst Responsibilities: 1 . Main point of contact for cross-functional ... by joining our Life@ Benefits Team as a Benefits Analyst .As a Benefits Analyst , you will play...and supporting Benefit Managers with benefits strategy initiatives, including: 1 ) Compliance and Program sprints, (401(k) audits and M&A… more
- CBRE (Houston, TX)
- Loan Servicing Insurance Analyst Job ID 203064 Posted 24-Jan-2025 Service line Advisory Segment Role type Full-time Areas of Interest Sales Support Location(s) ... United States of America **About the Role:** As a Loan Servicing Insurance Analyst , you will perform various tasks within the insurance team. Manage insurance… more
- CBRE (Houston, TX)
- Insurance Analyst Job ID 188823 Posted 14-Jan-2025 Service line Advisory Segment Role type Full-time Areas of Interest Capital Markets Location(s) Houston - Texas - ... United States of America **About The Role:** As an Insurance Analyst , you will perform various tasks within the insurance team. Manage insurance compliance reviews… more
- CBRE (Houston, TX)
- Insurance Analyst Job ID 188665 Posted 09-Oct-2024 Role type Full-time Areas of Interest Capital Markets Location(s) Houston - Texas - United States of America CBRE ... at CBRE. **About the Role: ** As an Insurance Analyst , you will perform various tasks within the insurance...Manage flood determination process, force placed insurance and insurance claims as required. **What You'll Do:** + Conduct analysis… 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 analyzing, reporting and developing recommendations on… more
- Bank of America (Fort Worth, 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
- Quanta Services (Houston, TX)
- …department. Apply Here (https://careers-quanta.icims.com/jobs/7427/risk-finance- analyst /job?mode=apply&apply=yes&in\_iframe= 1 &hashed=-336060817) Connect ... out how our people power modern life. About this Role The Risk Analyst supports various activities relating to risk management finance including performing financial… more
- CVS Health (Austin, TX)
- …managed care or population health - 2+ years of customer or patient-facing experience - 1 -2 years Enhanced knowledge of pharmacy and claims processing - Excellent ... organizational and analytical skills - Superior communication skills with patients and clinicians - Ability to prioritize daily to monthly deliverables - Computer Skills: Proficient in Microsoft Excel, Microsoft Teams, and Sharepoint **Preferred… more
- Prime Therapeutics (Austin, TX)
- …years of work experience. + Prior experience as a Business Intelligence Developer/ Analyst or Data Analyst supporting business intelligence, reporting, analytics ... that may be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, Telephony, Membership, etc.). + Consideration will be given… more