- 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
- 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)
- … configuration progress reports, proposals, requirements documentation and presentations to Senior Management as needed. + Additional duties as assigned. ... to manage major claims configuration projects, including claims business rule set up outlier management ....including claims business rule set up outlier management . + Interpret specific state and/or federal benefits, contracts… 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 ... accurate reports. As the senior level team member, this role leads efforts to ensure the claims teams and other departments have access to quality claims … more
- Prime Therapeutics (Austin, TX)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Senior Pricing Analyst **Job Description** The Senior Pricing Analyst ... to include 3 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related...focus **Reporting Structure** + Reports to Manager, Director, or Senior Director in the Network Management or… more
- Elevance Health (Grand Prairie, TX)
- **Provider Contract Analyst Senior ** **Location:** This position will work a hybrid model (remote and in office one to two days per week). Ideal candidates will ... OH, St. Louis, MO, Grand Prairie, TX or Iselin, NJ. The **Provider Contract Analyst Senior ** is responsible for providing analytical support to the Cost of… more
- Providence (TX)
- **Description** ** Senior Epic Applications Analyst : Resolute Professional Billing and Claims -** Positions at this level demonstrate full use and application ... 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
- UTMB Health (Galveston, TX)
- Senior Revenue Integrity Analyst - Revenue Integrity & Reimbursement **Galveston, Texas, United States** Business, Managerial & Finance UTMB Health Requisition # ... related experience required. **Preferred Qualifications:** Bachelor's degree and/or Financial Analyst experience. **Job Summary:** Develops and tracks meaningful metrics… more
- PNC (Dallas, TX)
- …and 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 ... PNC 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
- 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; ... coordination of the production of product performance reports and updates for senior management **Skills:** Business Analytics Business Intelligence Data Quality… more
- Evolent (Austin, TX)
- …a growth mindset as we solve complex business problems. **Collaboration Opportunities:** The Senior Analyst , Client Analytics role will be serving key internal ... + 2+ years of SAS, SQL Programming Experience with large amounts of healthcare claims and authorization data - **Required** + 2+ years of experience using Microsoft… more
- Sysco (Houston, TX)
- …Work from home on Thursday and Friday.** **Job Summary:** The Leave of Absence Senior Analyst is responsible for analyzing and enhancing case management ... and other leave policies. Ensure timely and accurate case management . Investigates claims of abuse or misuse. Maintain accurate and confidential records… more
- Whole Foods Market (Austin, TX)
- Job DescriptionResponsible for supporting Risk Management through independent analysis, documentation, and implementation of initiatives to identify, understand, and ... ensures effective scorecard development and maintenance, engages in risk-related project management , and develops written analyses. Works with leadership to drive… more
- HealthEdge Software Inc (Austin, TX)
- …in claims processing. The successful candidate will be responsible for taking a senior level role in analyzing claims data, as well as translating contract ... **Overview** **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key...are identified and addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The… more
- Kemper (Dallas, TX)
- …stakeholders that delivers on our promises._ **Position Summary:** Kemper Auto is seeking a Senior Market Analyst , to work out of our Kemper office in ... Alpharetta, GA. A member of the Product Management team, the incumbent will be working to drive...processing requests, pricing and budget analysis, sales support and claims + Analyze the profitability of program based on… 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 ... Initiatives). Responsibilities includes but not limited to: + Project Management accountabilities include project oversight including initiation, identification and… more
- Centene Corporation (Austin, TX)
- …+ Interprets and analyzes complex data from multiple sources including claims , provider, member, and encounters data. Proactively identifies and assesses the ... mapping. + Works on complex data integration from disparate sources. + Applies senior level expertise in quantitative analysis, data mining, and the presentation of… more
- Prime Therapeutics (Austin, TX)
- …Posting Title** IT Business Systems Analyst Sr **Job Description** The Business Systems Analyst (BSA) Senior IT is responsible for serving as a key role in ... plan and detailed estimate based on scope; drive scope management , prioritization and scope trade off discussions with project...and ability to educate and advance the business systems analyst practice within the Claims IT team… 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,...on TPA performance, audit outcomes, and governance metrics to senior management , offering insights and recommendations for… more
- Molina Healthcare (TX)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management , Network, and other departments to enable critical… more