- 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
- Molina Healthcare (Dallas, TX)
- …for accurate and timely implementation and oversight of critical information on claims databases. Synchronizes data among operational and claims systems and ... experience and knowledge to research and resolve claim/encounter issues, pended claims and facilitate system update(s) as necessary. + Works with fluctuating… more
- Molina Healthcare (Dallas, TX)
- JOB DESCRIPTION **Job Summary** Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... and applicable software programs proficiency. **Preferred Qualifications** * Health care claims analysis experience. * Project management experience. To all… more
- Deloitte (Dallas, TX)
- …work in a collaborative environment. As an experienced Epic Resolute Hospital Billing Analyst Project Delivery Specialist, you will have the ability to share new ... of communication with all end users and colleagues, and utilizing key change management principles + Lead meetings as needed, prioritize tasks, resolve conflicts and… more
- AIG (Dallas, TX)
- …will make the most of your technical expertise. Make your mark as a Forensic Analyst As a claims professional, you are respected for your deep accounting ... types to assist in the quantification and the measurement of commercial business insurance claims . + Work with a team and supervisors and be mentored during the… more
- Cognizant (Dallas, TX)
- …and Risk Management . The primary focus will be supporting traditional risk management functions such as claims management , insurance, renewal process, ... safety, contract review and assistance with special risk management projects._ **Insurance Risk Analyst :** 1.Assist corporate insurance manager with the… more
- 7-Eleven (Irving, TX)
- Corporate Insurance and Risk Management Analyst Apply Now (https://my7elevenhr.wd12.myworkdayjobs.com/Careers/job/SSC-Irving-TX/Risk- Analyst ... including any reporting, trending analytics, budgeting, accounting and the Risk Management Information System (RMIS). This role also supports the management… more
- Sedgwick (Dallas, TX)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance SAP FICA Systems Analyst **PRIMARY PURPOSE OF THE ROLE:** To design and maintain robust, scalable ... INCLUDE** + Ensures software scalability and data integrity throughout all claims -related applications. + Ensures software compatibility and alignment with overall… more
- Sedgwick (Dallas, TX)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Data Analyst Manager **PRIMARY PURPOSE OF THE ROLE:** To manage a staff of data ... and are naturally empathetic. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Project Management experience preferred + Manages a staff of data analysts including… more
- Sedgwick (Dallas, TX)
- …in Financial Services & Insurance Workforce Analytics & Productivity Monitoring Analyst **PRIMARY PURPOSE OF THE ROLE:** To manage Sedgwick's Workforce Analytics ... software or programs and provides written or verbal analysis and recommendations to management . Analyzes client and customer needs as required and provides clear and… more
- Elevance Health (Grand Prairie, TX)
- **Cost of Care/Provider Contracting Data Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... is granted as required by law. The **Cost of Care/Provider Contracting Data Analyst Senior** is responsible for providing analytical support to the Cost of Care… more
- Elevance Health (Grand Prairie, TX)
- **Cost of Care/Provider Contracting Data Analyst ** **Location** : This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... is granted as required by law. The **Cost of Care/Provider Contracting Data Analyst ** is responsible for provides analytical support to the Cost of Care and/or… more
- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more
- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… 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
- Elevance Health (Grand Prairie, TX)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... Review medical record documentation in support of Evaluation and Management , CPT, HCPCS and ICD-10 code. + Reviews company...to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues… more
- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality department with HEDIS… more
- Molina Healthcare (Dallas, TX)
- …opportunities for cost savings. + Leads coordinated development and ongoing management /interpretation review process, committee structure and timing with key ... care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. + Strong understanding of… more
- Sedgwick (Dallas, TX)
- …best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing ... to include one (1) year as an Account Coordinator, analyst , associate or three (3) years adjuster experience. **TAKING...a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change… more
- Elevance Health (Grand Prairie, TX)
- …American healthcare delivery. The **Senior Health Economist (** Advanced Analytics Analyst Senior) measures financial performance of core Carelon products leveraging ... claims , authorization, and membership data to tell a detailed...Experiences:** + Actuarial sciences background highly preferred. + Utilization Management experience preferred. + Medical economics, provider finance, healthcare… more