• Provider Data Management Processor - Remote

    NTT DATA North America (Dallas, TX)
    …+ High school Diploma or equivalent. + 3+ years of experience in a Healthcare processing (Provider Data Management preferred, Claims , Credentialing, or other ... Preferred Skills/Experience: + Experience in Provider Data Management, Provider Credentialing, Medical Claims + 3+ years of experience using a computer with Windows… more
    NTT DATA North America (08/23/25)
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  • Lead Analyst, Technical Configuration Information…

    Molina Healthcare (Dallas, TX)
    …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... life cycle + Gains a deep understanding of Molina claims life cycle and all processes that affect ...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
    Molina Healthcare (08/27/25)
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  • Specialist, Provider Network Administration (EST…

    Molina Healthcare (Houston, TX)
    …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... care experience + Experience in one or more of the following: Claims , Provider Services, Provider Network Operations, Hospital or Physician Billing, or similar.… more
    Molina Healthcare (08/14/25)
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  • Director, Operational Oversight (Medicare/Duals)…

    Molina Healthcare (Fort Worth, TX)
    …you keep complaint data synchronized across appeals & grievances, enrollment, claims , pharmacy, and quality functions. You surface systemic issues, steer partners ... Mastery * Track record coordinating cross-functional action plans with Enrollment, Claims , Pharmacy, Network, and Member Services * Hands-on experience maintaining… more
    Molina Healthcare (07/13/25)
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  • Medical Collections Specialist

    HCA Healthcare (Houston, TX)
    …join an organization that invests in you as a Medical Collections Specialist? At HCA Healthcare , you come first. HCA Healthcare has committed up to $300 million ... members over the course of three years. **Benefits** HCA Healthcare , offers a total rewards package that supports the...work to correct them + You will monitor insurance claims and contact insurance companies to resolve claims more
    HCA Healthcare (08/31/25)
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  • Data Analyst II Healthcare Analytics

    Centene Corporation (Austin, TX)
    …outcomes. + Interpret and analyze data from multiple sources including healthcare provider, member/patient, and third-party data + Support execution of large-scale ... economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience.… more
    Centene Corporation (08/27/25)
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  • Sr. Director, RWD Analytics and Innovation…

    Norstella (Austin, TX)
    Sr. Director, RWD Analytics and Innovation ( Healthcare & Life Sciences) Company: Norstella Location: Remote, United States Date Posted: Jul 30, 2025 Employment Type: ... integrating diverse data sources, including laboratory data, electronic medical records (EMR), claims data, and social determinants of health (SDoH) data, to drive… more
    Norstella (07/09/25)
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  • Sr Engineer, Applications- PowerBI

    Molina Healthcare (Dallas, TX)
    …analytics and reporting solutions that help track, measure, and optimize automated claims processing solutions. The role will leverage tools like Power BI, Azure ... reporting to track solution effectiveness and surface potential issues + Creating claims impact reporting to assess automation potential, issues or financial impact… more
    Molina Healthcare (08/27/25)
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  • Medicare Product Development Manager, Vendor…

    Molina Healthcare (Fort Worth, TX)
    …responsible for the holistic management of the external vendor relationships for Claims and Enrollment activities (along with other Core Ops areas of ... maintains an effective, consistent Vendor Management function + Supervise Molina Healthcare vendor management staff + Ensures departmental and individual performance… more
    Molina Healthcare (07/25/25)
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  • Medical Records Director

    Dallas Behavioral Healthcare Hospital (Desoto, TX)
    …and accreditation standards. + Monitor and update policies to align with evolving regulations. Claims & Revenue Cycle Support + Review claims data to ensure ... coding and documentation meet payer requirements. + Resolve denied claims through research and collaboration with providers and payers. + Utilize specialized… more
    Dallas Behavioral Healthcare Hospital (09/02/25)
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