• Senior Stop Loss Claims Analyst…

    Highmark Health (Austin, TX)
    …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
    Highmark Health (09/20/25)
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  • Analyst , Configuration Oversight…

    Molina Healthcare (Fort Worth, TX)
    …to accurate and timely implementation and maintenance of critical information on all claims and provider databases, validate data housed on databases and ensure ... oversight to ensure that the contracts are configured correctly in QNXT. The claims are reviewed to ensure that the configured services are correct. Maintain the… more
    Molina Healthcare (09/17/25)
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  • Quality Analyst with Healthcare…

    Cognizant (Austin, TX)
    About the role As a **Quality Analyst with Healthcare - Claims & Membership experience** . You will make an impact by designing and executing end-to-end test ... strategies that ensure the quality and reliability of healthcare claims and membership applications. You will be a valued.... Perform Automation testing of backend services, APIs, and data flows. . Validate API endpoints using Swagger and… more
    Cognizant (09/24/25)
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  • Reg E Claims Operations Support…

    Citigroup (San Antonio, TX)
    The Assoc Ops Sup Analyst is an entry level position responsible for providing operations support services, including but not limited to; record/documentation ... with the Operations - Core Team. Additionally, the Assoc Ops Sup Analyst serves as the liaison between operations staff, relationship managers, project managers,… more
    Citigroup (09/30/25)
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  • Senior Data Analyst…

    US LawShield (Houston, TX)
    …more than 2 million people in their self-defense journey. US LawShield is seeking a Senior Data Analyst to join our data and analytics team. This role will ... platforms. + Conduct in-depth analyses of member engagement, retention, claims , and operational performance to identify trends, risks, and...Economics. + 5+ years of professional experience as a data analyst , with a demonstrated track record… more
    US LawShield (10/01/25)
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  • Lead Analyst , Payment Integrity - REMOTE

    Molina Healthcare (San Antonio, TX)
    …coordination, and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational ... Provides lead level support as a highly capable business analyst who serves as a key strategic partner in...the role. + Validates findings and tests assumptions through data , but leads with contextual knowledge of claims… more
    Molina Healthcare (09/28/25)
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  • ACA/Medicare Risk Adjustment Analyst Sr.

    Baylor Scott & White Health (Austin, TX)
    …+ Performs analysis and reporting activities related to risk score calculation, claims /encounters data submission, chart review programs and audits, and related ... + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight...performance metrics. + Analyzes claims and supplemental data to identify reporting… more
    Baylor Scott & White Health (10/03/25)
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  • Data Analyst IV

    Centene Corporation (Austin, TX)
    …advanced analytical support for business operations in all or some of the following areas: claims , provider data , member data , clinical data , HEDIS, ... US. Preferred candidate has strong background in SQL, Healthcare Data and/or Power BI. _** **Position Purpose:** Responsible for...and/or Power BI. _** **Position Purpose:** Responsible for analytic data needs of the business unit. Handle complex … more
    Centene Corporation (10/02/25)
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  • Data Analyst II - SQL

    Centene Corporation (Austin, TX)
    …developers to improve systems and database designs. + Interprets and analyzes data from multiple sources including claims , provider, member, and encounters ... on workplace flexibility. **Position Purpose:** Integrates, conforms, profiles and maps data , and provides quality assurance oversight ( data error detection… more
    Centene Corporation (09/20/25)
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  • SAP GRC/Security Analyst

    Sedgwick (Dallas, TX)
    …empathetic. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Ensures software scalability and data integrity throughout all claims -related applications. + Ensures ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance SAP GRC/Security Analyst SAP GRC/Security Analyst **PRIMARY PURPOSE OF THE ROLE** : To… more
    Sedgwick (09/30/25)
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