- 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 review new audit tools and techniques and provide recommendations to management + Validates accuracy of new complex configuration processes/solutions +… more
- Cognizant (Plano, TX)
- …match claim processing. . e) Ability to advise Client on decision making for right configuration by working with Business team . f ) Familiarity with Medicaid and ... Together, we're improving everyday life. **Job Title: Sr** NetworX Confiq Analyst **Location:** **Remote** **Role and Responsibilities:** . Ability to analyze,… more
- Molina Healthcare (Dallas, TX)
- …analysis to resolve complex business and technical issues. Ensures system configuration aligns with business rules, regulatory requirements, and operational needs. ... (SME) on QNXT system capabilities, leveraging system knowledge to evaluate configuration options and recommend optimal solutions + Conducts in-depth research and… more
- Molina Healthcare (San Antonio, TX)
- …**KNOWLEDGE/SKILLS/ABILITIES** + Analyze and interpret data to determine appropriate configuration changes. + Accurately interprets specific state and/or federal ... well as additional business requirements and converting these terms to configuration parameters. + Handles coding, updating and maintaining benefit plans, provider… more
- Molina Healthcare (Fort Worth, TX)
- …of stakeholders as it pertains to provider contracting, network management , credentialing, benefits, prior authorizations, fee schedules, and other business ... for this position:** * Analyze and interpret data to determine appropriate configuration . * Comprehensive understanding of contracts reviews to detect any gaps in… more
- Molina Healthcare (Houston, TX)
- …requirements of customers as it pertains to contracting, network management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Audits loaded provider records for ... quality and financial accuracy and provides documented feedback. + Assists in configuration issues and loading of provider information, as needed. + Assists in… more
- Molina Healthcare (Austin, TX)
- …requirements of customers as it pertains to contracting, network management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Receives information from outside ... benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/ F /D/V Pay Range: $21.16 - $42.2 / HOURLY *Actual compensation may vary… more
- Kemper (Dallas, TX)
- …business needs, identify the best solutions, lead complex change management activities, and support application configuration . **Position Responsibilities:** ... Kemper is seeking an experienced Senior Guidewire BillingCenter Business Systems Analyst . Work with a team focused on collaboration with developers, testing… more
- Molina Healthcare (San Antonio, TX)
- **Job Description** **Job Summary** The Lead Analyst , Reimbursement is responsible for administering complex provider reimbursement methodologies timely and ... existing lines of business and expansion into new states. The Lead Analyst , Reimbursement will be primarily responsible for implementation, maintenance, and support… more
- Robert Half Technology (San Antonio, TX)
- …Job Requirements: Requirements Client Side Scripting, Business Requirement Document, Configuration Management , API Development, Salesforce Development, SAP, SAP ... day to day systems issues by diagnosing the problem and modifying configuration , working with developers, or logging incidents with SAP Support. Provide… more