- Molina Healthcare (Fort Worth, TX)
- …Qualifications** **REQUIRED QUALIFICATIONS:** + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or ... Provides lead level support as a highly capable business analyst who serves as a key strategic partner in...operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to… more
- Molina Healthcare (Dallas, TX)
- …Qualifications** **REQUIRED QUALIFICATIONS:** + At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or ... **Job Description** **Job Summary** The Health Plan Operations, Payment Integrity Program Manager is an individual contributor role designed for a highly capable… more
- Molina Healthcare (Fort Worth, TX)
- …Qualifications** **REQUIRED QUALIFICATIONS:** + At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or ... for all PI solutions. + Leads efforts to improve claim payment accuracy, claim referrals, adjustment analysis...a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +… 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 ... teams in ensuring the accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing. This role will focus on identifying, reviewing, and… more
- Elevance Health (Houston, TX)
- …invoices. + Performs claim and trend analysis, validation and recovery of claims payment errors. **Minimum Requirements:** + Requires a BA/BS and a minimum of ... **Recovery Audit Analyst I** **Location:** _Hybrid1:_ This role requires associates...is responsible for auditing and facilitating the recovery of claims overpayments as identified by our business partners. Responsible… more
- Evolent (Austin, TX)
- …Stay for the culture. **What You'll Be Doing:** Job Description ** Analyst , Integration Quality** Integration testing in the healthcare ecosystem requires complete ... exercised to ensure source to target integrity. The IQ Analyst (IQA) performs analysis, reporting, and technical testing across...The IQA reports to a associate director or a manager . One or many IQAs may be engaged in… more
- Performance Food Group (Westlake, TX)
- **126961BR** **Job Title:** Accounts Receivable (AR) Analyst , Corporate **Location:** CM Corporate Westlake, TX (2550) **Job Description:** **We Deliver the Goods:** ... and career goals. **Position Purpose:** As the Accounts Receivable Analyst , you will play a critical part in supporting...pays and deductions to client portal system as a claim for requesting payment + Remind customers about upcoming… more
- Elevance Health (Houston, TX)
- **Coding Analyst Senior** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... quality of life through home-care and community based services. The **Coding Analyst Senior** is responsible for reviewing, auditing, and coding medical records for… more
- Brown-Forman (Dallas, TX)
- … claim settlement activities, including both insured and self-insured claims , ensuring accurate records and facilitating efficient resolution processes. + _Drive ... Continuous Improvement:_ Actively seek opportunities to enhance efficiency and effectiveness within the property insurance programs, developing and administering insurance analytics to provide deeper insights and optimize decision-making. **What You Bring to… more
- HCA Healthcare (Mckinney, TX)
- …late charges to accounts. Communicates any charge related issues to Charge Master Manager / Analyst . SUPERVISOR: Practice Manager /Billing Manager DUTIES ... Summary and Qualifications** Billing Specialist PHY GENERAL SUMMARY OF DUTIES: Processes claims electronically to insurance carriers. Mails claims to carriers… more