- Molina Healthcare (Austin, TX)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex claims business problems and issues using data from internal and external sources to provide insight to ... analysis, task and workflow analysis. + Interpret customer business needs in the claims space and translate them into application and operational requirements… more
- Prime Therapeutics (Austin, TX)
- …to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across the organization + ... drives every decision we make. **Job Posting Title** IT Business Systems Analyst Sr - Medicaid Pharmacy...define, and document the requirements for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business… more
- USAA (Plano, TX)
- …all things Service to better serve USAA's members. They will closely collaborate with Claims leaders and business partners to deliver on Claims commitments ... position will be joining the Service Team within the Claims Actuary and Analytic community, which is part of...and deliverables** . Provide decision support for business areas across the enterprise. Staff in this area… more
- DXC Technology (Houston, TX)
- …office-while enhancing customer experiences. We are seeking a **detail-oriented and customer-focused Annuity Analyst - Death Claims ** to support one of our key ... innovation across their IT ecosystems. We offer solutions across business process outsourcing, insurance, analytics and engineering, applications, security, cloud,… more
- TEKsystems (Dallas, TX)
- …of the servicer and/or client * Files respective investor/insurer initial and final claims based on the respective guidelines for allowable limits * Reviews MI claim ... and research curtailment reasons for potential rebuttal * Files Appeal or Supplemental Claims ensuring all allowable advances and interest are recovered from the MI… more
- Molina Healthcare (Austin, TX)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits,… more
- Aramco Services Company (Houston, TX)
- OVERVIEW: The Demurrage & Claims Analyst is a critical member within Aramco Trading Company. As a member of the Claims team, you will have direct ... , interim port claims , and various ancillary claims . The Claims Analyst will... exposures. + Understand the cost benefit of disputed claims relative to the business requirements and… more
- Elevance Health (Grand Prairie, TX)
- ** Business Information Analyst Senior - Medicaid Encounters Data** The ** Business Information Analyst Senior** is responsible for analyzing and ... and other regulatory reporting requirements. + Develop and analyze business performance reports (eg, for claims data,...and analyze business performance reports (eg, for claims data, provider data, utilization data) and provides notations… more
- Highmark Health (Austin, TX)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
- Molina Healthcare (San Antonio, TX)
- **Job Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan ... business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...+ At least 6 years of experience as a Business Analyst or Program Manager in a… more