- Highmark Health (Austin, TX)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... and adjudicates claims up to pre-determined dollar threshold. Completes pended claim letters for incomplete, invalid, or missing claim information to TPAs,… more
- RTX Corporation (Mckinney, TX)
- …problems that create a safer, more secure world. This position is for a Sr . Financial Analyst , FP&A, in the Raytheon Rates Organization. Responsibilities include ... well as supporting forward pricing rate submissions and incurred cost claims . Additional duties include providing cross-functional training, performing ad hoc… more
- Evolent (Austin, TX)
- …to positively contribute to Evolent's broader mission. **Collaboration Opportunities:** The Senior Analyst , Performance Suite Analytics utilizes and develops ... in the Performance Suite where Evolent does not pay claims . + Support the design of data transfer protocols...audit and payment integrity methods and techniques to ensure claims were paid according to policy + Coordinate with… more
- Health Care Service Corporation (Richardson, TX)
- …**Job Summary** We are seeking a motivated and collaborative Systems Analyst to provide skilled leadership on complex assignments/projects. This position is ... technical specifications within limits of code environment; linking Business Analyst needs and Architect definition to technical solutions. Additionally, they… more
- Cardinal Health (Austin, TX)
- …data from multiple sources (eg, Salesforce, Trella Insights, Definitive Healthcare, claims feeds, internal CRM/ERP) to deliver clear, actionable insights that ... gaps + Ensure HIPAA/privacy safeguards and appropriate minimum necessary use of PHI/ claims . + Define and operationalize Reach (# of targeted HCPs/accounts touched)… more
- UTMB Health (Galveston, TX)
- Senior EHR Clin Apps Analyst (Epic Professional Claims ), Remote - ITS-Clin Revenue Cycle **Galveston, Texas, United States** **New** Information Technology ... are listed in order from least experienced to most experienced: EHR Clinical Application Analyst EHR Clinical Application Analyst , Senior This position EHR… more
- Cognizant (Austin, TX)
- ** Sr . Facets Dental Configuration Specialist** **Location: Remote** **Employment Type: Full-Time** **Job ID: 00067013861** **About the role** As a Technical ... Analyst - Dental Configuration, you will make an impact...optimizing benefit, pricing, and configuration solutions that directly enhance claim processing accuracy and auto‑adjudication rates. You will be… more
- The Hartford (San Antonio, TX)
- …talents new purpose by applying them to meaningful work at The Hartford. The Senior Ability Analyst primarily investigates claims to make timely, accurate ... Sr Ability Analyst - C409ANAbility Specialist...Term Disability benefit determinations using vocational, medical, and financial claim management. The Senior Ability Analyst… more
- HCA Healthcare (Houston, TX)
- …UT, VA). Do you want to join an organization that invests in you as an Senior Underpayment Analyst ? At Parallon, you come first. HCA Healthcare has committed up ... (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid...make a difference. We are looking for a dedicated Senior Underpayment Analyst like you to be… more
- Houston Methodist (Bellaire, TX)
- At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate billing and coding compliance with Medicare and ... compliance reviews and identifying potential risk areas and revenue potential. The Sr Compliance Coding Analyst position partners with stakeholders to provide… more
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