- Molina Healthcare (TX)
- **Job Description** **Job Summary** Supports ongoing Claims and Enrollment operations in the management of smaller scale, less complex vendor activities. Provides ... the vendor to analyze business and vendor performance problems and issues using data from internal and external sources to provide solutions to the decision-makers… more
- Brown-Forman (Dallas, TX)
- …(MFL) and earthquake Probable Maximum Loss (PML) estimate calculations, providing robust data to inform our risk transfer strategies. + _Global Compliance and ... insurance claim settlement activities, including both insured and self-insured claims , ensuring accurate records and facilitating efficient resolution processes. +… more
- Highmark Health (Austin, TX)
- …+ 5 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years of project ... Highmark Health **Job Description :** **JOB SUMMARY** This job creates data -driven insights which identify actionable opportunities and/or create analytics and… more
- OneMain Financial (Fort Worth, TX)
- …other leave of absence programs. + Compiles and analyzes leave and accommodation data to identify trends, key metrics, gaps in processes or compliance concerns and ... recommend/execute upon solutions. + Conducts periodic reporting, performs data audits, reconciles pay discrepancies and adjusts absence data - all while ensuring… more
- Molina Healthcare (TX)
- …DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. ... Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis… more
- Molina Healthcare (San Antonio, TX)
- …+ Perform research and analysis of complex healthcare utilization and performance date, claims data , pharmacy data , and lab data ... on relevant findings. + Oversee development, organization, and ongoing maintenance of data representing a wide range of healthcare information. + Develop and direct… more
- NTT DATA North America (Plano, TX)
- …competitive advantages when executed as part of an overall sourcing strategy. NTT DATA currently seeks a ** Claims Processing Associate** to join our team ... -Work independently to research, review and act on the claims -Prioritize work and adjudicate claims as...project + Collaborate with Automation Engineers, Machine Learning Engineers, Data Analysts and Business Intelligence Analyst to… more
- HCA Healthcare (Austin, TX)
- …and process documentation for both the department and for assigned projects + Perform data analyst functions that generate knowledge via data mining, ... including, electronic health records, Medicare claims , or other health care claims data sets preferred. + SAS, R, SPSS or Tableau experience is strongly… more
- Molina Healthcare (Austin, TX)
- …core function of the role. + Validates findings and test assumptions through data , but lead with contextual knowledge of claims processing, provider contracts, ... Analysis** + Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of… 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 ... with completion of required documentation to establish third-party payer data transmittal. . Communicate necessary customer actions, including deposit verifications,… more