• Claims Resolution Analyst

    Acosta Group (Lewisville, TX)
    …a problem solver/agent for change to provide continuous improvements. **RESPONSIBILITIES** + ** Claims Processing and Resolution:** Handle and process escalated ... **DESCRIPTION** As a Claims Resolution Analyst , you will be...key responsibilities will include:This position will be responsible for processing and handling any claims that are… more
    Acosta Group (05/31/25)
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  • Analyst , Claims Research

    Molina Healthcare (Fort Worth, TX)
    …claims projects + Assists with reducing re-work by identifying and remediating claims processing issues + Locate and interpret regulatory and contractual ... standard principles and applicable state specific policies and regulations to identify claims processing errors + Applies claims processing and technical… more
    Molina Healthcare (05/16/25)
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  • Sr Claims Systems Data Analyst…

    Molina Healthcare (TX)
    …functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received ... on claims to identify billing issues that will impact claims processing and payment. Monitor new solutions implemented to identify defects in the solution or… more
    Molina Healthcare (05/18/25)
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  • Claims Resolution Analyst

    Acosta Group (Lewisville, TX)
    **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also ... be responsible for analyzing claims and making decisions about their validity. The position...change to provide continuous improvements. **RESPONSIBILITIES** + Process escalated claims , assesses the reason for the escalation, and provides… more
    Acosta Group (05/05/25)
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  • Loan Document & Processing Analyst 2

    Citigroup (Irving, TX)
    The Loan Doc & Proc Assoc Analyst is a developing professional role. This role identifies policy and applies specialty knowledge in monitoring and assessing ... of tasks related to the loan process. + Activities will include independently processing and closing loans within a complex loan operations environment. + Involves… more
    Citigroup (05/17/25)
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  • Quality Analyst

    Highmark Health (Austin, TX)
    …on SOX remediation and Regulatory and legal guidelines. In addition, the Analyst will identify potential areas of processing vulnerability through procedure ... ESSENTIAL RESPONSIBILITIES: 1. Ensure the consistent, accurate, efficient, and appropriate processing of adjustments and/or duplicate claims through an audit… more
    Highmark Health (05/24/25)
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  • Recovery & Resolution Analyst

    Prime Therapeutics (Austin, TX)
    …combined pharmacy and PBM experience to include:##1 year of work experience in claims processing in an operations, audit or quality assurance environment##1 year ... decision we make. **Job Posting Title** Recovery & Resolution Analyst **Job Description** The Recovery & Resolution Analyst...understanding of the point of sale and on-line pharmacy claims processing environment + Excellent oral, written… more
    Prime Therapeutics (04/18/25)
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  • Claims Investigator

    Allied Solutions (Plano, TX)
    …Loss, GAP, CPI and others as assigned. This position will involve the initial processing and investigation of 20-40 claims per day. This position ensures that ... coverage to certain claim types prior to the assignment to a Claims Adjuster or Analyst . The key responsibilities of this job are both administrative and… more
    Allied Solutions (04/13/25)
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  • Sr. Market Pricing Analyst - REMOTE

    Prime Therapeutics (Austin, TX)
    …analysis to include 3 years of experience in Pharmacy Benefit Management (PBM), claims processing , healthcare, and/or related field + Previous experience using ... passion and drives every decision we make. **Job Posting Title** Sr. Market Pricing Analyst - REMOTE **Job Description** The Senior Market Pricing Analyst serves… more
    Prime Therapeutics (05/22/25)
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  • Operations Lead Analyst , Specialty…

    The Cigna Group (Austin, TX)
    **Job Summary:** The Operations Lead Analyst is an organized, analytical thinker who is responsible for the focus of supporting medical specialty pharmacy ... tracking. We are seeking a talented Medical Savings Lead Analyst who has the profile of a collaborative professional...for ongoing activities or objectives. May assist in business processing , service levels and reporting. **Excited to grow your… more
    The Cigna Group (05/28/25)
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