- Providence (TX)
- …Directors and Officers, Employment Practices, Fiduciary, Property, Cyber, Managed Care, and Auto Claims . The Senior Quality Analyst assists the Claims ... self-insured health care organizations. The Senior Quality Analyst is also responsible for maintaining a claims... Analyst is also responsible for maintaining a claims quality assurance program, management of projects… more
- 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
- Evolent (Austin, TX)
- …mission. Stay for the culture. **What You'll Be Doing:** Job Description ** Analyst , Integration Quality ** Integration testing in the healthcare ecosystem ... testing is exercised to ensure source to target integrity. The IQ Analyst (IQA) performs analysis, reporting, and technical testing across multiple domains. Active… 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
- Toyota (Plano, TX)
- …brands, Toyota is growing and leading the future of mobility through innovative, high- quality solutions designed to enhance lives and delight those we serve. We're ... within the Compliance & Audit seeks a passionate and highly motivated **Insurance Risk Analyst ** . Reporting to the Senior Risk Manager, the person in this role will… more
- Houston Methodist (Houston, TX)
- …risk and identify and capture potential revenue opportunities. This position performs quality assurance, detailed claims analysis and medical record reviews of ... At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate billing...Conducts risk-based and baseline reviews of complex and escalated claims or records in a timely manner, evaluates corrective… 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
- Keurig Dr Pepper (Frisco, TX)
- **Job Overview:** The Procurement Analyst is responsible for providing analytical, project management, and tactical executions support to create a reliable and ... network with an overall lower cost structure and improved efficiency. The Analyst works cross-functionally and supports efforts to integrate category strategies with… more
- Prime Therapeutics (Austin, TX)
- …our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Senior - Remote **Job Description** The Senior Pricing Analyst participates ... revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- Prime Therapeutics (Austin, TX)
- …fuels our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Sr - Strong SQL/GCP - Remote **Job Description** The Senior Pricing ... Analyst participates in the assessment of value generated by...revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other… more