• Senior Quality Analyst , Claims…

    Providence (TX)
    …Directors and Officers, Employment Practices, Fiduciary, Property, Cyber, Managed Care, and Auto Claims . The Senior Quality Analyst assists the Claims ... and regulations pertaining to self-insured health care organizations. The Senior Quality Analyst is also responsible for maintaining a claims quality assurance… more
    Providence (08/01/25)
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  • Healthcare Claims Data Analyst

    Zelis (TX)
    …you are. Position Overview We are seeking a detail-oriented and technically skilled analyst to support healthcare claims repricing and data validation efforts. ... In this role, you will be responsible for analyzing claims processed through our modeling systems, validating pricing accuracy...FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations… more
    Zelis (08/19/25)
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  • Annuity Analyst - Insurance Claims

    DXC Technology (Houston, TX)
    …office-while enhancing customer experiences. We are seeking a **detail-oriented and customer-focused Annuity Analyst - Death Claims ** to support one of our key ... accounts. In this role, you will process annuity death claims with accuracy, empathy, and efficiency. You'll work closely...**Work Environment** + **Hybrid model:** This role is currently remote but will transition to a hybrid arrangement based… more
    DXC Technology (08/20/25)
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  • Default Claims Analyst

    TEKsystems (Dallas, TX)
    …of the servicer and/or client * Files respective investor/insurer initial and final claims based on the respective guidelines for allowable limits * Reviews MI claim ... reasons for potential rebuttal * Files Appeal or Supplemental Claims ensuring all allowable advances and interest are recovered...or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to… more
    TEKsystems (08/21/25)
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  • Lead Analyst , Configuration Oversight…

    Molina Healthcare (TX)
    **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims ... and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in… more
    Molina Healthcare (07/24/25)
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  • Pricing Analyst Senior - Remote

    Prime Therapeutics (Austin, TX)
    …It fuels our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Senior - Remote **Job Description** The Senior Pricing Analyst ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
    Prime Therapeutics (08/13/25)
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  • Pricing Analyst Sr - Strong SQL/GCP…

    Prime Therapeutics (Austin, TX)
    …It fuels our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Sr - Strong SQL/GCP - Remote **Job Description** The Senior Pricing ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
    Prime Therapeutics (08/01/25)
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  • Senior Compliance Coding Analyst - Audit…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate billing and coding compliance with Medicare and third-party ... potential risk areas and revenue potential. The Sr Compliance Coding Analyst position partners with stakeholders to provide feedback regarding documentation and… more
    Houston Methodist (05/30/25)
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  • Sr. Compliance Analyst - Remote

    Prime Therapeutics (Austin, TX)
    …passion and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior ... Compliance Analyst assists in the implementation of Prime's compliance programs,...stakeholders to research and resolve regulatory inquiries/complaints related to claims , contracting and pharmacy reimbursement. Works directly with business… more
    Prime Therapeutics (08/14/25)
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  • Senior Analyst , Medical Economics…

    Molina Healthcare (Fort Worth, TX)
    **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other… more
    Molina Healthcare (07/10/25)
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