- AIG (Dallas, TX)
- Senior Claims Management Analyst Join us as a Senior Claims Analyst to grow your experience in handling complex claims . Make your mark in ... Claims . Our Claims teams are the proven problem solvers of choice...support individuals, businesses, and communities, helping them to manage risk , respond to times of uncertainty and discover new… more
- USAA (Plano, TX)
- …candidate selected for this position will be joining the Service Team within the Claims Actuary and Analytic community, which is part of P&C Data Science. They be ... responsible for delivering insights to the Claims organization related to all things Service to better...The essence of work performed by the Decision Science Analyst involves gathering, manipulating and synthesizing data (eg, attributes,… more
- Molina Healthcare (Dallas, TX)
- …Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment… more
- Molina Healthcare (San Antonio, TX)
- **Job Description** **Job Summary** The Senior Analyst will serve a key role on the RADV ( Risk Adjustment Data Validation) team, contributing to the ... Databricks, not all required elements are neatly organized or centralized. The analyst will be expected to investigate and connect disparate data sources, with… more
- Molina Healthcare (TX)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops ... Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists...plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and… more
- Brown-Forman (Dallas, TX)
- …from Hiring Manager_ **Meaningful Work From Day One** Are you a seasoned insurance or risk professional with a knack for analytics and a drive to make a global ... submissions, ensuring accuracy and alignment with company objectives. + _Advanced Risk Quantification:_ Take ownership of preparing and reviewing critical Maximum… more
- Rush Enterprises (New Braunfels, TX)
- The Senior Risk and Insurance Analyst - Workers' Compensation serves as the central point of contact for the day-to-day administration of the Workers' ... time and return-to-work program. + Provide strategic guidance on claims progression, settlement strategy, settlement negotiation and authorization, subrogation, and… more
- Houston Methodist (Houston, TX)
- …+ Conducts risk -based and baseline reviews of complex and escalated claims or records in a timely manner, evaluates corrective actions and processes applicable ... At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate billing...serving as subject matter expert, performing complex and high risk -based and baseline compliance reviews and identifying potential … more
- Molina Healthcare (Fort Worth, TX)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... creating tools to monitor trend drivers and provide recommendations to senior leaders for affordability opportunities. Responsible for conducting complex analyses of… more
- CVS Health (Irving, TX)
- …has an exciting opportunity to join our PBM Customer Reporting group as a Senior Reporting Analyst within our Compliance Pharmacy Payments. CVS Health strives to ... a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and...team is highly collaborative. You will report to the Senior Reporting Manager within the Compliance Pharmacy Payments team.… more