- AIG (Dallas, TX)
- …client-specific exposures and align with underwriting intent. + Work with Underwriting, Claims and Legal in drafting new policy forms and endorsements. + Support ... the Global Property Wording Manager in maintaining and updating manuscript policy checklists to ensure that policy reviews match AIG's underwriting intent. + Develop training to help underwriters better understand the importance of policy wording. + Contribute… more
- Kemper (Dallas, TX)
- …of the NICB Basic and/or Analytics Academies are desirable. + Certified Insurance Fraud Analyst (CIFA), Fraud Claims Law Specialist (FCLS) or Fraud Claims ... College Degree or equivalent work experience * Three years of insurance claims experience or related fraud analytics background. **Position Requirements:** + Strong… 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)
- …Analysis** + Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of ... healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations...At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
- Omnicell (Fort Worth, TX)
- **Reconciliation Lead** The Lead Reconciliation Analyst leads the team that provides reconciliation services to FDS Amplicare customers and oversees the customer ... forms and documentation. . Communicate any issues that may arise, including claims disputes. . Oversee development and communication of customer reports. . Partner… more
- HCA Healthcare (Mckinney, TX)
- …Summary and Qualifications** Billing Specialist PHY GENERAL SUMMARY OF DUTIES: Processes claims electronically to insurance carriers. Mails claims to carriers ... to accounts. Communicates any charge related issues to Charge Master Manager/ Analyst . SUPERVISOR: Practice Manager/Billing Manager DUTIES INCLUDE BUT NOT LIMITED TO:… more
- HCA Healthcare (Austin, TX)
- …for both the department and for assigned projects + Perform data analyst functions that generate knowledge via data mining, visualization, or other analytics. ... new analytical capabilities. + Constructing and manipulating large electronic claims datasets, knowledge in domain modeling, relational database design, programming… more
- Prime Therapeutics (Austin, TX)
- …years of work experience. + Prior experience as a Business Intelligence Developer/ Analyst or Data Analyst supporting business intelligence, reporting, analytics ... that may be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, Telephony, Membership, etc.). + Consideration will be given… more
- Highmark Health (Austin, TX)
- …work closely with the section's Accountant, Accounting Coordinators, Associate Analyst , providing, guidance, feedback, training, motivation, and support. This team ... for non-payment, Completing write-offs as appropriate, Coordinating AR issues affecting claims or inquiry processing with Membership and Billing personnel.Lead or… more
- Omnicell (Fort Worth, TX)
- …resume will be reviewed and considered for upcoming opportunities._ **Reconciliation Analyst ** **What You Can Expect:** Career growth: Opportunity is limitless at ... 76137 **Day in the Life:** As a Lead Reconciliation Analyst , you'll serve as the primary liaison for independent...such as phone, email, and software to ensure accurate claims reconciliation. + Utilize problem-solving and critical thinking skills… more