- Highmark Health (Austin, TX)
- …efficient working relationships with key internal areas, such as Customer Service Operations ( Claims , Dental Benefits, Customer Service, Membership & Billing), ... resolution of issues related to benefit interpretations, customer service inquiries, claims adjudication, benefits issues, membership and billing activity, etc. This… more
- Humana (Austin, TX)
- …They will work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations , claims operations , and other business teams involved in the ... and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral… more
- Molina Healthcare (San Antonio, TX)
- **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by translating ... advanced SQL queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and maintain efficient ETL pipelines… more
- Brown-Forman (Dallas, TX)
- …risks, ensuring compliance, and delivering actionable insights that protect our global operations and assets. This role is in the office Monday-Thursday, with remote ... role in identifying emerging loss exposures by monitoring changes in company operations , conducting site visits to offices, plants, and warehouses, and consulting… more
- Molina Healthcare (TX)
- …with multiple types of business data. May be internal operations -focused or external client-focused. **KNOWLEDGE/SKILLS/ABILITIES** + Provides analytical, problem ... and training materials as needed. **JOB QUALIFICATIONS** **Required Education** Associate 's Degree or equivalent combination of education and experience **Required… more
- NTT America, Inc. (Plano, TX)
- …when executed as part of an overall sourcing strategy. NTT DATA currently seeks a ** Claims Processing Associate ** to join our team for a remote position. **Role ... have focused on impacting the core of your business operations with industry-leading outsourcing services and automation. With our...-Work independently to research, review and act on the claims -Prioritize work and adjudicate claims as… more
- Omnicell (Fort Worth, TX)
- **Reconciliation Lead** The Lead Reconciliation Analyst leads the team that provides reconciliation services to FDS Amplicare customers and oversees the customer ... forms and documentation. . Communicate any issues that may arise, including claims disputes. . Oversee development and communication of customer reports. . Partner… more
- Highmark Health (Austin, TX)
- …incumbent to work closely with the section's Accountant, Accounting Coordinators, Associate Analyst , providing, guidance, feedback, training, motivation, and ... (BPIR), Eloquence and Collection of Documents (COD). Oversee day to day department operations . Manage AI Business Analyst staff and AI Coordinators. Responsible… more