- Molina Healthcare (TX)
- **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims ... and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in… more
- Rush Enterprises (New Braunfels, TX)
- …Oversee all activities of the Company's TPAs for Workers' Compensation and internal business partners. + Analyze complex workers' compensation claims data and ... The Senior Risk and Insurance Analyst - Workers' Compensation serves as the central...time and return-to-work program. + Provide strategic guidance on claims progression, settlement strategy, settlement negotiation and authorization, subrogation,… more
- Toyota (Plano, TX)
- …insurance program claims activities (ie, collection of claim detail information from business unit for claims notification, claims to report to ... within the Compliance & Audit seeks a passionate and highly motivated **Insurance Risk Analyst ** . Reporting to the Senior Risk Manager, the person in this role will… more
- Baylor Scott & White Health (Temple, TX)
- …related to healthcare claims . This role involves working closely with developers, business analysts, and EDI teams to ensure that claims data meets internal ... **Job Description :** We are seeking a detail-oriented and experienced **System Analyst 2** to join our team. The ideal candidate will be responsible for testing,… more
- NTT America, Inc. (Houston, TX)
- …for Pricing (Provider Contract) as per the requirement and according to defined business rules of new claims processing platform. + Evaluation of Configuration ... + Support activities to update configuration within the core claims processing system, typically within the areas of Provider...(UAT) and implement the modifications as suggested by the business owners and/or analyst + Creating manual… more
- ManpowerGroup (Irving, TX)
- …client, a leader in the telecommunications industry, is seeking a Telecom Damage Recovery Analyst to join their team. As a Telecom Damage Recovery Analyst , you ... will align successfully in the organization. **Job Title:** Telecom Damage Recovery Analyst **Location:** Irving, TX Hybrid Model **What's the Job?** + Coordinate… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate billing and coding compliance with Medicare and third-party ... potential risk areas and revenue potential. The Sr Compliance Coding Analyst position partners with stakeholders to provide feedback regarding documentation and… more
- Sedgwick (Dallas, TX)
- …Fortune Best Workplaces in Financial Services & Insurance SAP FICO Systems Analyst **PRIMARY PURPOSE** : To design and maintain robust, scalable software ... + Ensures software scalability and data integrity throughout all claims -related applications. + Ensures software compatibility and alignment with overall… more
- Molina Healthcare (San Antonio, TX)
- …and/or detects violation of applicable laws and regulations, which will protect the Business from liability and potential risk. Ensures that the Business ... to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee,… more
- Prime Therapeutics (Austin, TX)
- …our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Senior - Remote **Job Description** The Senior Pricing Analyst participates ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more