- Molina Healthcare (TX)
- …and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience ... **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims … more
- The Hartford (San Antonio, TX)
- …Disability and Absence Management Disability Team. The Short-Term Absence Management Disability Analyst quickly investigates claims to determine if the insured ... Ability Analyst - C410ANSr Ability Analyst -...an unexpected event or illness happens while following corporate claim standards, policies and procedures, and statutory, regulatory and… more
- Sedgwick (Dallas, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance SAP FICO Systems Analyst **PRIMARY PURPOSE** : To design and maintain robust, scalable ... needed in implementation of large client programs involving numerous interfaces or system modifications. + Manages analyst /programmers as needed. + Reviews… more
- Rush Enterprises (New Braunfels, TX)
- …and litigation management. + Document and update the Risk and Insurance Information System (RMIS) system as individual claims required. + Perform ... The Senior Risk and Insurance Analyst - Workers' Compensation serves as the central...individual claim files and review workers' compensation claims . + Efficiently manage caseload ratios by balancing open… 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
- Prime Therapeutics (Austin, TX)
- … - ScriptMed - Remote **Job Description** The IT Business Systems Analyst is responsible for solving moderately complex system problems and for utilizing ... is successfully met prior to sign-off; identify and document system enhancement scope for assigned project + Provide work...of security implications of domain + Experience in Prime claims systems + Proficiency in Visio, Microsoft… more
- Baylor Scott & White Health (Austin, TX)
- …enterprise claim platform, providing subject matter expertise on the system configuration and usability components + Develop best practices and standard ... families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are:… more
- Zelis (Plano, TX)
- …writing SQL queries + A good understanding of public and private healthcare payment systems , medical claims , standard claim coding, claim editing, ... and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by… more
- CVS Health (Austin, TX)
- …with heart, each and every day. **Position Summary** The Dispute Repricing Analyst will be responsible for the accurate analysis and resolution of provider ... related to Network contracts and agreements. + Research identified issues; submit claim adjustment requests and determine the root cause of disputes. + Serve… more
- International (San Antonio, TX)
- …sustainable transport solutions. International is looking for an Sr. MES SCADA Analyst to support our Digital Transformation Journey. Supervisory Control and Data ... Acquisition (SCADA) systems help monitor and control operations and industrial processes...on delivering high-quality solutions* Relies on evidence to back claims and maintains high standards* Thinks independently, makes clear… more