• Senior Analyst, Medical Economics (Vbc) - Remote

    Molina Healthcare (TX)
    …of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare financial terms ... executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other… more
    Molina Healthcare (08/31/25)
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  • Sr Engineer, Applications- PowerBI

    Molina Healthcare (Dallas, TX)
    …deliver analytics and reporting solutions that help track, measure, and optimize automated claims processing solutions. The role will leverage tools like Power ... reporting to track solution effectiveness and surface potential issues + Creating claims impact reporting to assess automation potential, issues or financial impact… more
    Molina Healthcare (08/27/25)
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  • Manager, Medical Economics (Medicaid) - REMOTE

    Molina Healthcare (Dallas, TX)
    …of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare financial terms ... executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other… more
    Molina Healthcare (08/27/25)
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  • Provider Appeals & Grievances Specialist (remote)

    Cognizant (Austin, TX)
    …policies. **Qualifications/Skills Needed:** 1-2 years of Appeals and Grievance 1 yr. medical claims processing experience (Must be with a healthcare plan, not on ... behalf of provider or provider's office) Medicaid insurance customer service or claims processing Medicaid/Medicare Insurance Customer Service with managed care… more
    Cognizant (10/07/25)
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  • Licensed Health Insurance Representative

    Mass Markets (TX)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... and retention. + Respond to customer inquiries regarding coverage, benefits, claims , and other insurance-related questions. + Maintain accurate and up-to-date… more
    Mass Markets (10/04/25)
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  • Inbound Helpdesk Representative

    Mass Markets (Killeen, TX)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... departments as needed + Accurately document customer interactions and process claims + Follow all client-specific procedures, scripts, and compliance requirements +… more
    Mass Markets (10/03/25)
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  • Entry-Level Technical Support Agent (Full-Time)

    Mass Markets (Killeen, TX)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... to resolve issues when needed + Accurately document and process customer claims in appropriate systems + Utilize knowledge base and training to accurately… more
    Mass Markets (10/03/25)
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  • Home Delivery Agent

    Mass Markets (Killeen, TX)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... personalized solutions. + Use internal systems to manage accounts and process claims accurately. + Follow established scripts, policies, and procedures to ensure… more
    Mass Markets (10/01/25)
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  • Contact Center Representative I (Entry-Level)

    Mass Markets (Killeen, TX)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... other departments as needed + Accurately document customer interactions and process claims + Engage in solution-focused conversations to identify the best options… more
    Mass Markets (09/25/25)
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  • Contact Center Representative II (Experienced)

    Mass Markets (Killeen, TX)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... other departments as needed + Accurately document customer interactions and process claims + Conduct needs-based conversations to identify the best solutions for… more
    Mass Markets (09/25/25)
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