- Wolters Kluwer (Dallas, TX)
- …highly skilled Business Analyst to join the Mediregs team focusing on claims processing and the RCM process. The ideal candidate will have a strong understanding ... proficient in analyzing CMS rules as it relates to claims and processes. The candidate will be able to...participate in all stages of functional development: designing solutions, implementation , testing and documentation; as well as contribute to… more
- Rush Enterprises (New Braunfels, TX)
- The Risk and Insurance Analyst - Workers' Compensation Claims is responsible for managing WC claims with oversight of the Third Party Claims ... lost time claims , authorizing settlements, and maintaining accurate records. The Analyst serves as the primary point of contact for the day-to-day operations of… more
- Healthfirst (TX)
- …the development and configuration of new business, member benefits and products, claims editing, reference data and their enhancements including claims ... enhancements. + Follow the annual product development processes to manage major claims configuration projects, including claims business rule set up outlier… more
- USAA (Plano, TX)
- …for this position will have the opportunity to support all areas of Claims operations through partnership with decision science analysts and business stakeholders by ... learning in support of growing the Business Intelligence capability within the P&C Claims Analytics organization.** This role can work remotely in the continental US… more
- Kiewit (Houston, TX)
- …**Market:** OGC **Employment Type:** Full Time **Position Overview** The Sr. Commercial/Contracts Analyst is an integral member of the energy market execution team ... shared needs. **Responsibilities** The overall responsibility of the Sr. Commercial/Contracts Analyst entails, in general: Contract Review + Work with internal and… more
- Molina Healthcare (TX)
- …organizational and technical challenges. Performs research and analysis of healthcare claims data, pharmacy data, and external data to derive proper courses ... execution of some test plans. + Participates in the implementation and conversion of new and existing health plans....and existing health plans. + Completes analysis on retroactive claims reports + Pre and post validation of complex… more
- Molina Healthcare (Austin, TX)
- …Michigan are highly preferred. **Job Summary** Responsible for accurate and timely implementation and maintenance of critical information on claims databases. ... claims databases. Synchronizes data among operational and claims systems and application of business rules as they...execution of some test plans. + Participates in the implementation and conversion of new and existing health plans.… more
- CVS Health (Irving, TX)
- …health care more personal, convenient and affordable. CVS Health is seeking a Sr. Analyst , Medical Economics to join our team! The Sr. Analyst participates on ... development of provider fee schedules. + Responsible for the development and implementation of key medical economics business efforts eg medical cost initiatives,… more
- Molina Healthcare (TX)
- **JOB DESCRIPTION** **Job Summary** Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains ... Health Plans. + Must have experience with Benefits configuration, claims + The team is responsible for implementation... claims + The team is responsible for implementation and configuration of all new businesses. + Experience… more
- Molina Healthcare (TX)
- …DESCRIPTION** **Job Summary** **Job Summary** Responsible for accurate and timely implementation and maintenance of critical information on claims databases. ... claims databases. Synchronizes data among operational and claims systems and application of business rules as they...execution of some test plans. + Participates in the implementation and conversion of new and existing health plans.… more
- Whole Foods Market (Austin, TX)
- …for supporting Risk Management through independent analysis, documentation, and implementation of initiatives to identify, understand, and mitigate risk. Creates ... with WFM stated values. Responsibilities: + Provides risk and claims guidance in partnership with leadership on the full...not reported financials per current and historical workers compensation claims . + Performs ad hoc analyses and data mining… 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 ... + Possible interaction with other counterparties around positions and outstanding balances/ claims + Supports an expansive and/or diverse array of products (risk… more
- Quanta Services (Houston, TX)
- …opportunities between interns and upper management What You'll Do As a Risk Analyst intern, you will have the opportunity to gain practical experience and contribute ... including performing financial analysis of Quanta Services' insurance costs and claims . ESSENTIAL JOB SKILLS/DUTIES: + Assist with verification of insurance premiums… more
- Houston Methodist (Houston, TX)
- …Code of Federal Regulations (CFRs), state laws, professional practice guidelines, and claims denial report. The position will provide training on the coverage ... analysis process, perform operational process review and implementation , and ensure Quality Assurance (QA) with Standard Operating Procedures (SOPS). The Manager… more
- Molina Healthcare (San Antonio, TX)
- …stages of project development including research, design, programming, testing and implementation to ensures the released product meets the intended functional and ... operational processes including but not limited to Enrollment, UM, Claims & Care Management** **Preferred License, Certification, Association** Certified Business… more
- Elevance Health (Grand Prairie, TX)
- …executing on all activities related to providing support, configuration, design, testing and implementation for ratings or claims systems. **How you will make an ... **Senior Implementation Specialist** **Location:** This position will work a...of study and a minimum of 6 years systems analyst or business analyst experience; or any… more
- Prime Therapeutics (Austin, TX)
- …new product development. **Responsibilities** + Analyze or produce reports of varied claims data to assess Prime's products and/or programs; utilize analytics to ... solution design; develop strategic partnerships with various levels of leadership and analyst teams within the organization + Support enterprise adoption of Tableau… more
- TXNM Energy (Pecos, TX)
- …and material + Provides appropriate information, assistance, coordination, and implementation of various functions, including environmental requirements, auto and ... liability claims , legal matters, vegetation management, franchise agreements, pole attachment...pole attachment agreements, regulatory matters, audit, etc + Ensures implementation , management, and reinforcement of corporate safety initiatives and… more
- Prime Therapeutics (Austin, TX)
- …in the project management, programming, testing and documentation aspects of the analyst responsibilities to drive the highest level of performance and meet or ... reporting requirements and testing of new reporting development prior to implementation to Production. + Participates in initiatives or projects that support… more