- Molina Healthcare (Fort Worth, TX)
- …accurate and timely implementation and maintenance of critical information on claims databases. 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,… 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
- USAA (San Antonio, TX)
- …change. The essence of work performed by the Decision Science Analyst involves gathering, manipulating and synthesizing data (eg, attributes, transactions, ... materials to optimally present to colleagues for peer review and senior/ lead analysts. + Incorporates visualization techniques to support the relevant points… 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
- Bank of America (Plano, TX)
- Fraud Analytics and Innovation Lead Analyst Newark, Delaware;Plano, Texas; Richmond, Virginia; New York, New York; Boston, Massachusetts; Chandler, Arizona; ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Newark/Fraud-Analytics-and-Innovation- Lead - Analyst \_25028063) **Job Description:** At Bank of America,… more
- Scottish Rite for Children (Dallas, TX)
- …We're committed to giving children back their childhood! Job Posting Title: Data Analyst Lead Location: Dallas - Hospital Additional Posting Details: Monday - ... multiple sources including electronic medical records, patient experience surveys, claims , and administrative systems to discover meaningful analytical insights for… more
- Elevance Health (Grand Prairie, TX)
- **Performance Quality Analyst I - CarelonRx PBM** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... lens, to deliver member-centered, lasting pharmacy care. The **Performance Quality Analyst I** is responsible for driving service quality excellence by evaluating… more
- Elevance Health (Grand Prairie, TX)
- **Performance Quality Analyst I - CarelonRx PBM** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... lens, to deliver member-centered, lasting pharmacy care. The **Performance Quality Analyst I** is responsible for driving service quality excellence by evaluating… 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...or enhanced financial pricing strategies. This position will also lead highly complex financial pricing analyses and provide consultation… 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