- Acosta Group (Lewisville, TX)
- …to perform the essential duties. Responsibilities With Regard to Workers' Compensation Claims : You are responsible for reporting any employment related injury you ... incur to your direct supervisor as soon as possible following an incident resulting in an injury. **QUALIFICATIONS** **Additional Requirements:** + **Education/Experience:** 2 years' experience in analyzing and interpreting data and delivering actionable… more
- Highmark Health (Austin, TX)
- …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** + Demonstrated record of data-driven discovery,… more
- WTW (Dallas, TX)
- …management program design, pharmacy solutions, disability/absence management strategies and claims audit services. Product-based solutions such as our pharmacy ... purchasing coalition round out our broad-based suite of offerings. **Explore an opportunity:** WTW's Recent College Graduate Program (RCGP) is a centrally run, 12-month program for recent college graduates. The program offers a centralized team to support… more
- CVS Health (Austin, TX)
- …-3-5 years of data interpretation and analysis experience. -Experience with internal claims data and healthcare coding. -Must be able to travel to provide ... testimony if needed. -Advanced experience with Excel. **Preferred Qualifications** Certified Professional Coder Knowledge of CVS/Aetna's policies and procedures **Education** Bachelor's degree or equivalent work experience **Anticipated Weekly Hours** 40… more
- The Cigna Group (Plano, TX)
- …of managed care business processes, data, systems, and applications for claims payment, enrollment, benefit design, and utilization management + Strong analytical ... and problem-solving skills with a proven track record of success + Ability to independently perform data analysis while managing multiple projects and meeting strict deadlines + Strong ability to validate and interpret results + Ability to influence and drive… more
- Molina Healthcare (TX)
- …+ SQL expertise + Excel expertise + Medicare, Medicaid, Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting ... and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made… more
- Molina Healthcare (San Antonio, TX)
- …Perform research and analysis of complex healthcare utilization and performance date, claims data, pharmacy data, and lab data regarding utilization and cost ... containment information. + Evaluate, write, and present healthcare utilization and cost containment reports and makes recommendations based on relevant findings. + Oversee development, organization, and ongoing maintenance of data representing a wide range of… more
- Medical Center Hospital (Odessa, TX)
- …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. ... Works with multiple computer software programs (hospital existing patient accounting system, electronic health record system, and billing systems), including word processing and spreadsheets. Collect and enter cla imi nformation. Post i nsurance and pat i ent… more
- OneMain Financial (Fort Worth, TX)
- …structure, role definition and system enhancements. + Process State Disability Claims as necessary. + Participates/drives special projects or assignments as needed. ... **Requirements** + 3-5 years of experience in US disability/leave administration and ADA accommodation or previous experience in an HR generalist or employee relations role. + HS Diploma or GED Equivalent + Previous management or lead experience a plus. + Deep… more
- Air Education and Training Command (Lackland AFB, TX)
- …an education requirement. You MUST provide transcripts to support your educational claims . Education must be accredited by an accrediting institution recognized by ... the US Department of Education. http://www2.ed.gov/admins/finaid/accred/index.htmlPlease submit copies of all transcripts, to include transferred hours-official copies are not required at time of application. If selected, you will be required to provide… more