- USAA (Plano, TX)
- …candidate selected for this position will be joining the Service Team within the Claims Actuary and Analytic community, which is part of P&C Data Science. They be ... responsible for delivering insights to the Claims organization related to all things Service to better...The essence of work performed by the Decision Science Analyst involves gathering, manipulating and synthesizing data (eg, attributes,… 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 ... guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen....operations + Must have strong understanding of QNXT claims processes + Must be able to identify and… more
- Highmark Health (Austin, TX)
- …MUST BE A US CITIZEN This position serves as a key liaison between Claims Operations , Customer Service, Regulatory Affairs, IT, Legal and other departments, ... federal, and industry regulatory changes and assess their potential impact on Claims Operations , Customer Service and other operational areas processes and… more
- US LawShield (Houston, TX)
- …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 be pivotal in ... similar platforms. + Conduct in-depth analyses of member engagement, retention, claims , and operational performance to identify trends, risks, and opportunities. +… more
- Molina Healthcare (Fort Worth, TX)
- … operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms (eg, PMPM, ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- CVS Health (Irving, TX)
- …to join our PBM Customer Reporting group as a Senior Reporting Analyst within our Compliance Pharmacy Payments. CVS Health strives to continuously innovate ... work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information… more
- Prime Therapeutics (Austin, TX)
- …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, may lead some initiatives within their designated areas, and partners with key internal… more
- International (San Antonio, TX)
- …sustainable transport solutions. International is looking for an Sr. MES SCADA Analyst to support our Digital Transformation Journey. Supervisory Control and Data ... Acquisition (SCADA) systems help monitor and control operations and industrial processes within an integrated IT architecture. This role will be hands-on in… more
- Evolent (Austin, TX)
- …audiences. + Synthesize complex analyses into succinct presentations. + Lead customer interactions fostering trust, expertise and cooperation. + Extract, ... manage, and analyze claims and operational data using industry-standard metrics. + Process and validate raw unadjudicated claims data. **Qualifications Required… more
- Brown-Forman (Dallas, TX)
- …and a drive to make a global impact? Join Brown-Forman and take the lead in optimizing our insurance programs. This isn't just about managing policies; it's about ... risks, ensuring compliance, and delivering actionable insights that protect our global operations and assets. This role is in the office Monday-Thursday, with remote… more