- Molina Healthcare (Fort Worth, TX)
- …organizational and technical challenges. Performs research and analysis of healthcare claims data, pharmacy data, and external data to derive proper courses ... of Healthcare industry standards, concepts, terminology and common practices * Claims and SQL knowledge a plus **JOB QUALIFICATIONS** **Required Education**… more
- Providence (TX)
- …Directors and Officers, Employment Practices, Fiduciary, Property, Cyber, Managed Care, and Auto Claims . The Senior Quality Analyst assists the Claims ... and regulations pertaining to self-insured health care organizations. The Senior Quality Analyst is also responsible for maintaining a claims quality assurance… more
- Amazon (Austin, TX)
- …of leading the world in innovative technologies and services. This Business Analyst role will help business leaders make sense of complicated insurance data ... and claim data using Excel, SQL, Access, Tableau, and other data management systems . * Monitor existent metrics, identify and develop new metrics, and analyze them… more
- Molina Healthcare (Fort Worth, TX)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee schedules, and other business requirements.… more
- Sedgwick (Dallas, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance SAP FICO Systems Analyst **PRIMARY PURPOSE** : To design and maintain robust, scalable ... software architecture for one or more elements of CMS software systems ; to oversee programming, implementation and maintenance revisions of specified projects; and… more
- Highmark Health (Austin, TX)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
- Prime Therapeutics (Austin, TX)
- …fuels our passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - ScriptMed - Remote **Job Description** The IT Business ... Systems Analyst is responsible for solving moderately...of security implications of domain + Experience in Prime claims systems + Proficiency in Visio, Microsoft… more
- Methodist Health System (Dallas, TX)
- …Risk Analyst will be required to use their Microsoft Office skills, claims management system, expense/billing and contract management systems to elevate the ... :** **Days Of Week :** **Work Shift :** **Job Description :** **Insurance Risk Analyst ** **Mission and Vision.** Methodist Health System (MHS) is a $2 billion health… more
- The Hartford (San Antonio, TX)
- …Disability and Absence Management Disability Team. The Short-Term Absence Management Disability Analyst quickly investigates claims to determine if the insured ... Ability Analyst - C410ANSr Ability Analyst -...create a positive team environment that achieves Group Benefit Claims Diversity and Inclusion initiatives and objectives. QUALIFICATIONS: +… more
- Chenega Corporation (San Antonio, TX)
- …Review Analyst ** is responsible for conducting reviews of disability claims competed by Medical and Psychological consultants and assisting with the initial ... onboarding and training of medical and psychological consultants. The Analyst identifies deficiencies in case work, documents the findings, cites to relevant policy,… more
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