- Molina Healthcare (Dallas, TX)
- …of the role. + Validate findings and test assumptions through data, but lead with contextual knowledge of claims processing, provider contracts, and operational ... and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed… more
- Molina Healthcare (Fort Worth, TX)
- …of the role. + Validates findings and test assumptions through data, but lead with contextual knowledge of claims processing, provider contracts, and operational ... a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
- Highmark Health (Austin, TX)
- …issues affecting claims or inquiry processing with Membership and Billing personnel. Lead or participate in higher level AR tasks and projects, typically related ... and programs as necessary; may have budgetary responsibility and authority. + Lead daily Receivables Management operations. This is a "hands-on" position, requiring… more
- Prime Therapeutics (Austin, TX)
- …tools, such as self-service capabilities and standard report packages. May lead efforts to create curriculum to improve user adoption. + Ensures ... years of work experience. + Prior experience as a Business Intelligence Developer/ Analyst or Data Analyst supporting business intelligence, reporting, analytics… more
- HUB International (Argyle, TX)
- …Provides benchmarking reports to client (annually, quarterly or monthly) + Manages claims and coverage issue resolution for clients' employees when elevated from HR. ... when requested + Provide mentorship with Account Administrator/Assistant Plan Analyst were applicable + Coordinates client contact changes with Producer/Account… more