- Elevance Health (Plano, TX)
- …therapies through our specialty pharmacies, our infusion centers, and the home setting._ **Title:** Claims Coding Data Analyst - Paragon Healthcare ... Hybrid; 8-hour shift between 6:00am - 9:00pm (flexible), Monday - Friday. The ** Claims Coding Data Analyst ** **- Paragon Healthcare** is responsible for… more
- Healthfirst (TX)
- …for new and existing claims business rules including member benefits, claims editing, reference data and system functionality within the claims ... data to assess and resolve operational obstacles to claims configuration design optimization. + Perform root-cause analysis on...understand manner to other staff. As the SME, the Claims Configuration Analyst will need to effectively… more
- Healthfirst (TX)
- …to the development and configuration of new business, member benefits and products, claims editing, reference data and their enhancements including claims ... + Experience working with and leading cross-functional and level team members in claims configuration deliverables + Experience with data analysis and query… more
- Healthfirst (TX)
- …+ Perform training and quality assurance on mass claim adjudications and automated data load processes. + Query and manipulate claims configuration and claim ... + Perform training and quality assurance on mass claim adjudications and automated data load processes. + Query and manipulate claims configuration and claim… more
- Elevance Health (Grand Prairie, TX)
- …Takes edits from concept to specification and then through review, testing and finally data validation. + Develops claims editing logic and content that promotes ... **Clinical Content Analyst ** **Location:** This position will work a hybrid...claims editing software vendors, strongly preferred. + Billing, coding , revenue cycle, and claims editing software… more
- Molina Healthcare (TX)
- …from various systems to support executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to...evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical… more
- Lincoln Financial Group (Austin, TX)
- …73933 **Role at a Glance** Lincoln National Corporation seeks an Analyst , Application Development in Radnor, PA to consult/analyze and deliver assignments/projects ... for Group Protection IT Claims of application development responsibility. Act as a resource...or technical requirements and specifications. Prepare and/or generate test data and automated tests for functional and non-functional requirements.… more
- Prime Therapeutics (Austin, TX)
- …complex analysis on large sets of pharmacy, claims , medical, and/or financial data + Basic to intermediate SAS coding skills + Previous experience in ... Stars and Quality Analytics Analyst **Job Description** The Senior Health Data Analyst provides information, analyses, and consultation to internal 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; ... a variety of systems, such as Excel, SAS, SQL, Tableau, and other relational data bases, to provide analytical support on strategies, ensure goals are met, and… more
- Molina Healthcare (Fort Worth, TX)
- …of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...and converting these terms to configuration parameters. + Handles coding , updating and maintaining benefit plans, provider contracts, fee… more
- Highmark Health (Austin, TX)
- …+ Coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + Project leadership in a ... :** Highmark Health **Job Description :** **JOB SUMMARY** This job creates data -driven insights which identify actionable opportunities aligned to the Quadruple Aim… more
- CVS Health (Austin, TX)
- …setup essential for online viewing and processing related to Customer Service, Claims , Enrollment, Billing and Reporting in support of internal and external ... partners. + Ability to utilize Meritain's proprietary system for analytical coding of detailed customized plans rather than standard offerings. + Develops and… more