• Specialist, Configuration Oversight…

    Molina Healthcare (Houston, TX)
    …equivalent combination of education and experience **PREFERRED EXPERIENCE:** 3+ years Healthcare Claims Adjudication **PHYSICAL DEMANDS:** Working environment is ... clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains… more
    Molina Healthcare (08/16/25)
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  • Process Improvement Lead, Healthcare…

    Humana (Austin, TX)
    …This is your opportunity to lead cross-functional initiatives, apply your expertise in healthcare claims , and shape the future of operational excellence in a ... healthcare industry + 2+ years of demonstrated expertise in end-to-end healthcare claims operations, including claim ingestion, processing, system navigation,… more
    Humana (08/29/25)
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  • Claims Examiner

    NTT DATA North America (Plano, TX)
    …methodology/ fee schedule **Required Skills/Experience** + 1+ years hands-on experience in Healthcare Claims Processing + 2+ years using a computer with ... an overall sourcing strategy. NTT DATA currently seeks a ** Claims Processing Associate** to join our team for a...-Work independently to research, review and act on the claims -Prioritize work and adjudicate claims as… more
    NTT DATA North America (08/29/25)
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  • Claims Examiner

    NTT DATA North America (Plano, TX)
    …using applicable methodology/ fee schedule **Requirements:** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2+ year(s) using a computer with ... forward-thinking organization, apply now. We are currently seeking a Claims Examiner to join our team in Plano, Texas...NTT DATA is seeking to hire a **Remote Temp Claims Processing Associate** to work for our end client… more
    NTT DATA North America (08/29/25)
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  • Medical Claims Examiner - Remote US

    NTT DATA North America (Dallas, TX)
    …methodology/ fee schedule/ Required Skills for this role include: + 2 years of healthcare claims processing (full cycle: Pay, Pend, Deny) + 2 years using ... NTT DATA is currently seeking 20 Remote Claims Examiners to join our team. (Amisys or...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
    NTT DATA North America (08/08/25)
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  • Medical Claims Adjudication - remote

    Cognizant (Austin, TX)
    …for payments, utilization review/quality assurance procedures. + Excellent problem-solving skill in healthcare claims adjudication. + Ability to work at a ... and able to multi-task successfully? If so, please apply today! The Claims Processor, you will ensure accurate and timely adjudication of professional and… more
    Cognizant (08/01/25)
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  • Remote Medical Claims Examiner

    NTT America, Inc. (Plano, TX)
    …fee schedule **Job Requirements and Skills:** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2+ year(s) using a computer with Windows ... apply now. We are currently seeking a Remote Medical Claims Examiner to join our team in Plano, Texas...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
    NTT America, Inc. (08/15/25)
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  • Medical Claims Processor - Remote

    NTT DATA North America (Plano, TX)
    …applicable methodology/ fee schedule **Requirements:** + 1-3 year(s) hands-on experience in ** Healthcare Claims Processing** + 2+ year(s) using a computer with ... here. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
    NTT DATA North America (07/22/25)
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  • Claims Adjuster

    Kelly Services (Dallas, TX)
    …will be responsible for investigating, evaluating, and resolving a variety of healthcare -related claims . This role requires strong analytical skills, a working ... **Job Title:** Claims Adjuster - Texas **Job Type:** Full-Time **Location:**...- Texas **Job Type:** Full-Time **Location:** Dallas, TX **Industry:** Healthcare / Insurance **Position Summary** We are seeking an… more
    Kelly Services (08/30/25)
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  • Senior Analyst, Healthcare Analytics - Risk…

    Molina Healthcare (Fort Worth, TX)
    …advanced skills in data analysis. Performs research and deep-dive analysis of complex healthcare claims data, CMS return files, and financial cost, revenue, and ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst, Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities… more
    Molina Healthcare (08/14/25)
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