- Healthfirst (TX)
- …products, claims editing, reference data and their enhancements including claims configuration improvements, compliance and systems enhancements. + Follow ... the annual product development processes to manage major claims configuration projects, including claims business rule set up outlier management. + Interpret… more
- Molina Healthcare (San Antonio, TX)
- …and conversion of new and existing health plans. + Must have experience on claims processing system, benefit configuration . + SQL knowledge is preferred. + ... accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes… more
- Intermountain Health (Austin, TX)
- **Job Description:** As a Business Systems Analyst , you will work closely with the business areas to identify and understand their needs and requirements. The major ... to major projects. Requirements may be specific to healthcare insurance products, claims , sales activities or other service-related processes; all in support of… more
- Providence (TX)
- **Description** ** Senior Epic Applications Analyst : Resolute Professional Billing and Claims -** Positions at this level demonstrate full use and application ... Understand and translate the business needs into system design alternatives, configuration and workflow validations. + Facilitates and coordinates the development… 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 role in building and implementing proprietary healthcare edits… more
- Elevance Health (Grand Prairie, TX)
- …providing support, configuration , design, testing and implementation for ratings or claims systems. **How you will make an impact:** + Develops, implements, and ... ** Senior Implementation Specialist** **Location:** This position will work...of study and a minimum of 6 years systems analyst or business analyst experience; or any… more