- Highmark Health (Austin, TX)
- …met. Individual contributor roles as needed. **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities including, but not limited to: involved in hiring ... termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.Plan, organize, staff, direct and control the… 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 ... documentation. . Communicate any issues that may arise, including claims disputes. . Oversee development and communication of customer.... Resolve customer complaints if possible or escalate to management . . Keep cases updated in NetSuite in a… more
- Prime Therapeutics (Austin, TX)
- …systems, particularly those that may be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, Telephony, Membership, etc.). + ... **Additional Qualifications** + A bachelor's degree in business intelligence, management information systems, mathematics, statistics, analytics, computer and information… more
- UIC Government Services and the Bowhead Family of Companies (San Antonio, TX)
- …DHA operations. **Responsibilities** Positions available may include: + Graphic Designer + Management Analyst + Application Engineer + Application Programmer + ... Facilities (MTFs) IT (Information Technology) division supports the continued management and administration of DHA systems, applications, networks, cybersecurity,… more
- Ryder System (Frisco, TX)
- …to build relationships and follow up effectively. + Experience with OS&D processes or claims management in a logistics setting. + Exposure to working with CPG ... We are seeking a highly organized and service-oriented Transportation Analyst to join our onsite team, focused on managing...+ Track and follow up on open returns and claims ; escalate issues when appropriate. + Maintain detailed records… 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 ... this role and move to sales, marketing, professional services, management , IT, and more. Learning and development: Keep your...76137 **Day in the Life:** As a Lead Reconciliation Analyst , you'll serve as the primary liaison for independent… more
- HUB International (Argyle, TX)
- …a global insurance broker providing a broad array of property, casualty, risk management , life and health, employee benefits, investment and wealth management ... Provides benchmarking reports to client (annually, quarterly or monthly) + Manages claims and coverage issue resolution for clients' employees when elevated from HR.… more
- HUB International (Fort Worth, TX)
- …a global insurance broker providing a broad array of property, casualty, risk management , life and health, employee benefits, investment and wealth management ... Provides benchmarking reports to client (annually, quarterly or monthly) + Manages claims and coverage issue resolution for clients' employees when elevated from HR.… more