- 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
- 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
- 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 ... of healthcare reimbursement systems, RCM (Revenue Cycle Management ) software and systems, and be proficient in analyzing...proficient in analyzing CMS rules as it relates to claims and processes. The candidate will be able to… more
- Amazon (Dallas, TX)
- …of the largest carriers on the planet. Our team is hiring a Senior Financial Analyst , Amazon Transportation Claims and Insurance to play a key role supporting ... Amazon's corporate claims focusing on Middle Mile. This is a fast-paced,...strong analytical and financial modeling skills, excel in stakeholder management , and demonstrate expertise in conducting thorough, insightful analyses… more
- Guardian Life (Plano, TX)
- Join the dynamic team at Guardian Life as a **Business Intelligence Analyst III** and be part of a data-driven environment. This role focuses on improving risk ... management and operational efficiency in our Dental and Disability Claims Operations. Collaborate with BI Consultants, end users, and IT teams to convert data… more
- Molina Healthcare (Dallas, TX)
- **Job Description** Job Summary Serves as claims subject matter expert. Assist the business teams with reviewing claims to ensure regulatory requirements are ... appropriately applied. Manages and leads major claims projects of considerable complexity and volume that may...combination of education and experience PREFERRED EXPERIENCE: . Project management . Expert in Excel and PowerPoint . Familiarity… more
- Molina Healthcare (Dallas, TX)
- …**KNOWLEDGE/SKILLS/ABILITIES** + Provides research and analytics associated with medical claims processing requirements (1500 and UB04), provider and benefit ... analysis and uses analytical skills to identify root cause and assist with problem management as it relates to claim processing + Experience using Microsoft Excel +… more
- Molina Healthcare (Dallas, TX)
- …of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management , Network, and other departments to enable critical ... + Knowledge of healthcare operations (utilization management , disease management , HEDIS quality measures, claims processing, etc.) + Knowledge of… more
- BrightSpring Health Services (Anna, TX)
- …Overview Goal oriented individual who consistently follows up on unpaid claims utilizing AlphaCollector and filing appeals when appropriate to obtain maximum ... various DSS/CSA Localities in Virginia, verifying to Purchase Orders/Invoices received.* Analyze claims for assigned payor sources and follow up on all outstanding … more
- The Cigna Group (Plano, TX)
- **Position Title:** SAP Vistex Analyst /Configurator: Pricing, Chargebacks, Rebates, Pharma Billing **Position Overview:** CuraScript SD a wholesale pharmaceutical ... Company. CuraScript SD is seeking an experienced and highly motivated SAP Vistex analyst /configurator to join its technology team. This role will be supporting the… more
- PNC (Dallas, TX)
- …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 within ... 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
- Robert Half Management Resources (Mckinney, TX)
- Description We are offering a short-term contract employment opportunity for a Risk Analyst in McKinney, Texas. This role is primarily situated within the Risk and ... cooperation with internal business units and vendors. The Risk Analyst will play a crucial role in enhancing transparency...and third parties. Responsibilities: * Support the Vendor Risk Management program to identify and manage potential risks *… more
- Bank of America (Plano, TX)
- Fraud Analytics and Innovation Senior Analyst Newark, Delaware;Plano, Texas; Richmond, Virginia; Fort Worth, Texas; New York, New York; Boston, Massachusetts; ... the production of product performance reports and updates for senior management **_This position is not eligible for sponsorship._** **Required Qualifications:** +… more
- Acosta Group (The Colony, TX)
- …and leads client's thinking in how to action/profit from those insights. The Analyst will be responsible for providing actionable analysis of internal and external ... range of strategic business planning including, but not limited to, category management , space management , product evaluation, promotion planning and evaluation,… more
- Robert Half Accountemps (Dallas, TX)
- Description We are inviting applications for a Logistics Analyst role in the commodities industry, based in Dallas, Texas, 75240, United States. Our workplace offers ... operations. * Utilize skills in commodity trading, supply chain management , and inventory management to contribute to...Understanding of freight charges * Ability to manage freight claims * Experience with freight companies * Knowledge of… more
- Molina Healthcare (Dallas, TX)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... ensure all end-to-end business requirements have been documented. + Creates management reporting tools to enhance communication on configurations updates and… more
- Bank of America (Plano, TX)
- Fraud Analytics and Innovation Senior Analyst Newark, Delaware;Plano, Texas; Richmond, Virginia; Fort Worth, Texas; New York, New York; Boston, Massachusetts; ... of the production of product performance reports and updates for senior management **LOB Specific Information** **:** This job is responsible for performing more… more
- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** The Sr Analyst , Risk Adjustment - Predicitve Analytics role supports Molina's Risk Adjustment Predictive Analytics team. Designs ... of businesses. + Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and related financial data like risk score, revenue and cost.… more
- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** The Sr. 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)
- **Job Description** **Job Summary** Supports ongoing Claims and Enrollment operations in the management of smaller scale, less complex vendor activities. ... to provide solutions to the decision-makers supporting the vendor and the vendor management team. Reviews the service level agreements with the vendors to Identify… more