- SAIC (TX)
- **Description** SAIC has an opening for an experienced Mainframe Analyst who will be required to respond to end-user requests for assistance. Expertise in mainframe ... tools. + Understanding the financial procurement process. + Knowledge of Medical claims processing. + Provide excellent customer service experience. + Experience in… more
- Amazon (Austin, TX)
- Description The Senior Product Safety and Quality Analyst is responsible for vetting the safety and quality of new and existing WFM products by investigating ... WFM Legal team on regulatory requirements o Reviewing applicable product claims /statements and determining claim validation criteria o Developing and negotiating… more
- Cardinal Health (Austin, TX)
- …Sales Tools/Productivity Improvement contributes to Cardinal Health_** Sales Administration/ Operations is responsible for supporting the sales organization and ... data from multiple sources (eg, Salesforce, Trella Insights, Definitive Healthcare, claims feeds, internal CRM/ERP) to deliver clear, actionable insights that… more
- Highmark Health (Austin, TX)
- …Utilize robust, data-driven insights from complex healthcare datasets (eg, claims , clinical, utilization, pharmaceutical) to inform policy development, identify ... liaison between the Medical Policy department, other internal departments (eg, Operations , Provider Relations, Clinical Programs), and external vendors to ensure… more
- Molina Healthcare (Dallas, TX)
- …and implementation of changes that impact the product. + Engages with operations leadership and Plan Support functions to review compliance-based issues for benefit ... care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. + Strong understanding of… more
- Acosta Group (Lewisville, TX)
- …creating and maintaining weekly/monthly reporting vehicles. + Enhance business operations through the development of consultative insights and presentations directed ... to perform the essential duties. Responsibilities With Regard to Workers' Compensation Claims : You are responsible for reporting any employment related injury you… more
- Highmark Health (Austin, TX)
- …with a general understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues and problems. A comprehensive ... identification and resolution activities, maintains program/system documentation and prepares/maintains operations documentation for assigned applications. + Utilize or lead… more
- Lowe's (Desoto, TX)
- …+ High School Diploma or GED. + 4 years of experience as a data analyst , operations support, or in a clerical role. **Preferred Qualifications** + 3 years ... Distribution Centers (BDC). Your day involves reviewing calls, emails, and claims , providing status updates, processing special orders, and monitoring load plans… more
- Elevance Health (Grand Prairie, TX)
- …American healthcare delivery. The **Senior Health Economist (** Advanced Analytics Analyst Senior) measures financial performance of core Carelon products leveraging ... claims , authorization, and membership data to tell a detailed...such as statistics, computer science, cognitive science, economics, or operations research, a minimum of 3 years direct experience… more
- Public Consulting Group (Austin, TX)
- …Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies ... Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + Cost… more