- Rush Enterprises (New Braunfels, TX)
- …Partner with HR, safety, and legal teams to implement effective injury prevention and claims management initiatives. + Act as the subject matter expert on ... The Senior Risk and Insurance Analyst - Workers' Compensation serves as the central...time and return-to-work program. + Provide strategic guidance on claims progression, settlement strategy, settlement negotiation and authorization, subrogation,… more
- Molina Healthcare (Fort Worth, TX)
- …Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial ... and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed… more
- 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
- Insight Global (Plano, TX)
- …Plano, TX location. This position will be part of the MX Mobile Service Parts Order Management team, where the analyst will play a key role in supporting order ... Job Description Insight Global is seeking a Supply Chain Analyst to join one of our clients at their...management and customer satisfaction. This candidate will be responsible… more
- Baylor Scott & White Health (Temple, TX)
- **Job Description :** We are seeking a detail-oriented and experienced **System Analyst 2** to join our team. The ideal candidate will be responsible for testing, ... validating, and ensuring the accuracy of EDI transactions related to healthcare claims . This role involves working closely with developers, business analysts, and… more
- Sedgwick (Dallas, TX)
- …Fortune Best Workplaces in Financial Services & Insurance SAP FICO Systems Analyst **PRIMARY PURPOSE** : To design and maintain robust, scalable software ... + Ensures software scalability and data integrity throughout all claims -related applications. + Ensures software compatibility and alignment with overall… more
- Prime Therapeutics (Austin, TX)
- …pricing or financial analysis to include 1 year of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related field + Must be ... our passion and drives every decision we make. **Job Posting Title** Pricing Analyst - Remote **Job Description** The Pricing Analyst maintains, provides… more
- Highmark Health (Austin, TX)
- …resolution of issues related to benefit interpretations, customer service inquiries, claims adjudication, benefits issues, membership and billing activity, etc. This ... working relationships with key internal areas, such as Customer Service Operations ( Claims , Dental Benefits, Customer Service, Membership & Billing), Provider Data … more
- Prime Therapeutics (Austin, TX)
- …or financial analysis to include 3 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related field + Previous ... our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Senior - Remote **Job Description** The Senior Pricing Analyst participates… more
- Prime Therapeutics (Austin, TX)
- …or financial analysis to include 3 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related field. + Previous ... drives every decision we make. **Job Posting Title** Pricing Analyst Sr - Strong SQL/GCP - Remote **Job Description**...revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other… more