- AIG (Dallas, TX)
- Senior Claims Management Analyst Join us as a Senior Claims Analyst to grow your experience in handling complex claims . Make your mark in ... to ensure accuracy of financial exposure. Identifies and makes reserve recommendations to management on claims evaluated greater than assigned authority. + Works… more
- 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
- Acosta Group (Dallas, TX)
- …performance. + Analyze claim trends and develop recommendations for improvement safety and claims management efforts. + Provide data input and maintain claims ... Analyst will assist the Director of Risk Management in the implementation of the corporation's property and...instructions. + Maintain a diary system and complete a claims analyst summary form timely and consistently.… more
- Healthfirst (TX)
- …claims configuration across products. + Identify ways to enhance performance management and operational reports related to new claims configuration processes. ... delivering claims configuration processes within an Operations or Product Management environment. + Experience gathering and communicating complex claims … more
- Rush Enterprises (New Braunfels, TX)
- …+ Minimum of 3-5 years' experience with property and casualty insurance claims management and insurance program administration is preferred Other Skills ... The Risk and Insurance Analyst - Workers' Compensation Claims is...medical coordination, lost time and return-to-work program, and litigation management . + Oversight of all activities of the Company's… more
- Healthfirst (TX)
- …product development processes to manage major claims configuration projects, including claims business rule set up outlier management . + Interpret specific ... of improvement in existing work processes, and provide guidance. + Establish claims configuration management policies, procedures and tools. Assist with… 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...package for clearing + Contacts Sales, clients, customers, and management team for information as needed. + Proactively managers… more
- Healthfirst (TX)
- …terms, prepare fee schedules and accurately document file changes into the claims processing system + Research and identify published updates to payment ... methodologies, fee schedules and claims editing policies from Medicare, Medicaid, and third-party sources. + Responsible for the overall success of implementations… more
- Molina Healthcare (TX)
- …**PREFERRED EXPERIENCE:** + 1-3 years claims analysis + 6+ years medical claims processing experience + Project management + Expert in Excel and PowerPoint ... **Job Description** **Job Summary** Serves as claims subject matter expert. Assist the business teams...subject matter expert. Assist the business teams with reviewing claims to ensure regulatory requirements are appropriately applied. Manages… more
- Molina Healthcare (TX)
- **JOB DESCRIPTION** **Job Summary** The Senior Business Analyst is responsible for supporting the claims processing teams by supplying regular, timely, and ... team member, this role leads efforts to ensure the claims teams and other departments have access to quality...Experience** + 3-5 years of formal training in Project Management + Experience working with complex, often highly technical… more
- Guidehouse (Lewisville, TX)
- …**Clearance Required** **:** None **What You Will Do** **:** The **Billing Analyst ** is expected to perform specific billing processes, follow-up, account analysis ... facility goals and objectives. Ability to find solutions to problems and keeping management informed of patterns regarding payments and or other issues with specific… more
- Public Storage (Plano, TX)
- …Risk Management Analyst will support the Sr. Director, Risk Management in all aspects of insurance claims process for corporate-wide property, workers' ... We currently have an exciting opportunity for a Risk Management Analyst , reporting to the Sr. Director...work experience. + 2+ years' experience supporting corporate risk management insurance programs and/or claims experience preferred.… more
- UIC Government Services and the Bowhead Family of Companies (San Antonio, TX)
- **Overview** MANAGEMENT PROGRAM ANALYST - DEPARTMENT OF ANESTHESIA (BAMC-2024-22036): Bowhead seeks aManagement Program Analyst to support the Department of ... a regular basis. + Serve as a planner and analyst , assisting the Chief, Information Management Division,...characteristics EOE/AA/M/F/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- Prime Therapeutics (Austin, TX)
- …complex work efforts + Desire and ability to educate and advance the business systems analyst practice within the Claims IT team and across the organization + ... passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst Sr **Job Description** The Business Systems Analyst (BSA) Senior IT… more
- Chenega Corporation (San Antonio, TX)
- …Review Analyst ** is responsible for conducting reviews of disability claims competed by Medical and Psychological consultants and assisting with the initial ... onboarding and training of medical and psychological consultants. The Analyst identifies deficiencies in case work, documents the findings, cites to relevant policy,… more
- AIG (Milano, TX)
- …insurance industry. Role Overview We are looking for a dedicated and detail-oriented EMEA Claims Analyst to join our EMEA team, based in Luxembourg. This role ... International TPA Analyst - EMEA About AIG American International Group,...is pivotal in leading the ongoing management and onboarding of local smaller Third-Party Administrators (TPAs)… more
- Cotton Holdings (Houston, TX)
- …to Cotton insurance standards. + ** Claims and Risk Analysis** : Support claims management and risk analysis projects to identify improvement opportunities. + ... driving meaningful change, and fostering success through innovative risk management strategies. As a **Risk Analyst ** ,...innovative risk management strategies. As a **Risk Analyst ** , you'll play a vital role in ensuring… more
- Prime Therapeutics (Austin, TX)
- …sets and complex queries to include 3 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related field + Must be ... every decision we make. **Job Posting Title** Senior Pricing Analyst **Job Description** The Senior Pricing Analyst ...revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other… more
- Providence (TX)
- **Description** **Senior Epic Applications Analyst : Resolute Professional Billing and Claims -** Positions at this level demonstrate full use and application of ... will:** + Uses in-depth information and analysis to provide management with advice and counsel on a variety of...4 years industry related experience + 7 years Build analyst experience in Epic and/or equivalent healthcare software (may… more
- Sumitomo Pharma (Austin, TX)
- …and to clean up historical utilization that is routinely submitted with Medicaid claims . In addition, the analyst will load Medicaid claim information into ... dynamic, highly motivated, and experienced individual for the position of ** Analyst , Medicaid Rebates.** This individual contributor role is responsible for… more