- Molina Healthcare (TX)
- …for vendor invoices and tracks ongoing invoice activity + Facilitates onshore/offshore vendor system access for technology platforms and HR systems + Submits ... **Job Description** **Job Summary** Supports ongoing Claims and Enrollment operations in the management of smaller scale, less complex vendor activities. Provides… more
- Molina Healthcare (TX)
- …developing requirements for major projects of considerable complexity, prepares system design specifications, conducts research to resolve customer initiated issues ... related to core systems processing, and coordinates and manages project teams in...and manages project teams in the development of large multi- system , multi-platform projects. This position is responsible for implementing… more
- Medical Center Hospital (Odessa, TX)
- …programs (hospital existing patient accounting system , electronic health record system , and billing systems ), including word processing and spreadsheets. ... and manage patient accounts. Subm i ts cla i ms and follows up with i nsurance carriers on unpaid or rejected claims . Assists with grant billing and follow up. more
- Bureau of Naval Personnel (Post, TX)
- …and insights that support financial management and strategic planning, utilizing systems such as Navy Enterprise Resource Planning (2) Developing, implementing, and ... when selecting individuals under this specific hiring authority. However, if you claim veteran's preference, you will be required to submit supporting documentation… more
- The Cigna Group (Plano, TX)
- …Excel and/or SAS/SQL + Understanding of managed care business processes, data, systems , and applications for claims payment, enrollment, benefit design, and ... through every stage of life. We guide our customers through the health care system , empowering them with the information and insight they need to make the best… more
- OneMain Financial (Fort Worth, TX)
- …operating model, recommending solutions to help create structure, role definition and system enhancements. + Process State Disability Claims as necessary. + ... with execution of new state leave programs. + Updates internal HR systems accurately to ensure appropriate recordkeeping. + Maintain up-to-date knowledge of relevant… more
- Highmark Health (Austin, TX)
- …progressive scope and complexity + 2 years of Coding languages, analytical software, systems , tools and processes using claims , clinical, enrollment and provider ... data + 1 year of Project leadership in a complex, matrixed environment (payer and/or provider preferred) + 1 year of Providing analytical consultation to clinical, administrative, operational and financial stakeholders **Preferred** + None **SKILLS** +… more
- Methodist Health System (Dallas, TX)
- …Job: The ability to work all facets of an accounts receivable management system including but not limited to billing, claim corrections, reconciliation, payment ... depending upon assigned role may be responsible for reviewing claim information to ensure accuracy and provide feedback to...Diploma with (4) four years as an Account Receivable analyst in a Hospital setting. * Professional Certification through… more
- Molina Healthcare (Dallas, TX)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... coordination, and ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership** +… more
- Molina Healthcare (Fort Worth, TX)
- …and financial outcomes for all PI solutions. + Leads efforts to improve claim payment accuracy, claim referrals, adjustment analysis and financial performance ... a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more