- 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 (Dallas, 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
- 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 ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...+ Extensive experience on researching, presenting and documenting is required , + Experience with Medicare, Medicaid and Marketplace is… 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
- Highmark Health (Austin, TX)
- …a lead role on project teams, based upon experience and need. + Provide required business and/or subject matter expertise for both project and production related ... High school diploma/GED **Preferred** + Bachelor's degree in Information Systems or Business Administration/Management **EXPERIENCE** ** Required ** + 5 - 7 years… more
- Elevance Health (Grand Prairie, TX)
- ** Business Information Analyst Senior - Medicaid Encounters Data** The ** Business Information Analyst Senior** is responsible for analyzing and ... considered for employment, unless an accommodation is granted as required by law. _PLEASE NOTE: This position is not...and other regulatory reporting requirements. + Develop and analyze business performance reports (eg, for claims data,… 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
- 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)
- …Document and update the Risk and Insurance Information System (RMIS) system as individual claims required . + Perform regular audits of individual claim files and ... The Senior Risk and Insurance Analyst - Workers' Compensation serves as the central...of the Company's TPAs for Workers' Compensation and internal business partners. + Analyze complex workers' compensation claims… 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 ... (UAT) and implement the modifications as suggested by the business owners and/or analyst + Creating manual...DATA office or client site, in-office attendance may be required for meetings or events, depending on business… more