• Senior Internal Business Systems…

    Highmark Health (Austin, TX)
    …MUST BE A US CITIZEN This position serves as a key liaison between Claims Operations , Customer Service, Regulatory Affairs, IT, Legal and other departments, ... federal, and industry regulatory changes and assess their potential impact on Claims Operations , Customer Service and other operational areas processes and… more
    Highmark Health (07/11/25)
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  • Senior Analyst , Healthcare…

    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
    Molina Healthcare (07/30/25)
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  • Senior Corporate Insurance and Risk…

    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
    Brown-Forman (06/17/25)
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  • Risk Adjustment Audit Operations

    Molina Healthcare (Houston, TX)
    **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the RADV (Risk Adjustment Data Validation) team, assisting in the execution of ... medical record collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data, regulatory processes, and… more
    Molina Healthcare (08/08/25)
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  • Sr Benefits Analyst

    FREEMAN (Dallas, TX)
    …and regulatory filings. + Report potential compliance issues to the Benefits Compliance Senior Analyst . **Education & Experience** + Bachelor's degree in Human ... new technologies to deliver moments that matter. **Summary** The Senior Benefits Analyst is responsible for the...due to qualifying life events. + Resolve escalated vendor claims issues and ensure timely resolution. + Provide employee… more
    FREEMAN (07/18/25)
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  • Medicaid Provider Hospital Reimbursement…

    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 ... community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be… more
    Humana (07/29/25)
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  • Revenue Cycle Analyst

    Catholic Health Initiatives (Houston, TX)
    …requirements. Reports are produced for Revenue Cycle functions such claims submission, insurance follow‐up, cash management, credits/refunds, charge/payment posting, ... process improvements; 3) serving as principle liaison between business operations leaders and Information Technology (IT), facilitating technology/tools enhancements… more
    Catholic Health Initiatives (07/13/25)
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  • Claims PA2

    Capgemini (El Paso, TX)
    …realize their business ambitions through an array of services from strategy to operations . Capgemini is driven by the conviction that the business value of ... client. Performs tasks in line with the written procedures or assigned by senior staff under supervision. Deepening knowledge in one process or more. General… more
    Capgemini (07/13/25)
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  • Growth Marketing Business Analytics Lead

    PNC (Houston, TX)
    …for the business. We are investing in a newly formed Small Business Marketing Analyst role and are seeking an innovative thought leader to build the foundation of ... portfolio strategy design & branding, product value propositions and claims development, integrated go-to-market strategy and planning and launches, in-market… more
    PNC (07/25/25)
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