- JPMorgan Chase (Plano, TX)
- …to ensure consistent messaging and alignment with stakeholders across the payments organization. Required Qualifications, Skills and Capabilities: + 5+ years of ... relevant work experience + Proven experience in a business analyst role + Experienced in sales or sales effectiveness efforts + Strong problem-solving skills and… more
- Molina Healthcare (Fort Worth, TX)
- …deep understanding of Molina claims life cycle and all processes that affect claims payment * Develops and maintain standards and best practices for the team * ... Mentors junior auditors * Participates in or leads project meetings * Understands QNXT, AutoQ, and MCG functionality and schema * Writes Requirements for BRDs/FRDs and Reports without needing mentoring * Suggests schema/solution. Works with technical resource… more
- Molina Healthcare (Houston, TX)
- …and focus will be related to the Texas Medicaid Directed Payment Program (DPP). **KNOWLEDGE/SKILLS/ABILITIES** + Analyze and interpret data to determine ... appropriate configuration changes. + Accurately interprets specific state and/or federal benefits, contracts as well as additional business requirements and converting these terms to configuration parameters. + Coordinate/Facilitate coding, updates related to… more
- Molina Healthcare (San Antonio, TX)
- …and improve quality. + Assists in planning and coordination of the claim payment system upgrades and releases, including development and execution of some test ... plans. + Participates in the implementation and conversion of new and existing health plans. **JOB QUALIFICATIONS** **Required Education** + Bachelor's Degree in business administration, healthcare management, or a related field; or equivalent combination of… more
- BMO Financial Group (Irving, TX)
- …data sources from internal sources and external vendors (eg lending system, payment system, external credit rating system) to fulfill analytical needs. + Works ... with internal and external stakeholders to understand the capabilities of risk models and core risk systems to ensure effectiveness of risk decision strategies. + Builds effective relationships with internal/external stakeholders. + Ensures alignment between… more
- Cardinal Health (Austin, TX)
- …collection of outstanding accounts receivable. This includes dispute research, developing payment plans with customers, and building relationships of trust with ... customers and internal business partners. **_Responsibilities_** + Work directly with Service Leader for designated accounts for a single point of contact approach. + Pulling together reporting of open accounts receivable for each account. + Work… more
- Aston Carter (Irving, TX)
- …insurance certificates, bonds, and other documentation. + Coordinate the issuance of payment , performance, and supply bonds as required. + Request and review ... insurance certificates to ensure compliance with contractual obligations. + Conduct semi-annual reviews of bonds to assess job completion status. + Build and maintain strong relationships with internal stakeholders across departments. Required Skills &… more
- SCI Shared Resources, LLC (Houston, TX)
- …integrating technical and functional. **Vendor Relationship** + Audits and processes for payment invoices for each provider of benefit services. + Develops and ... maintains relationships with vendors, insurance carriers, third-party administrators who provide direct benefits customer support to SCI's associates and managers. + Assists in the creation and reviews business process requirements documents related to… more
- Truist (Frisco, TX)
- …limited to, collection of insurance certificates (ACORD form) and/or policies, payment of premiums, monitoring expirations, etc. + Recommend enhancements to ... insurance related processes that reduce risk and increase efficiencies + Monitor and ensure the data contained in the loan servicing system, as well as investor and GSE (Government Sponsored Enterprise) websites, is updated to reflect the current status… more
- Molina Healthcare (Austin, TX)
- …+ Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document assumptions. + Analyze results to identify early ... signs of trends or other issues related to risk scores. + Design and maintain risk score models. + Generate and distribute routine reports to support risk adjustment calculations, pricing, and financial reporting. + Extract and compile information from various… more