- Norstella (Austin, TX)
- Sr . Medical Analyst Company: MMIT Location:...faster and support patients in need. We are seeking a Senior Medical Analyst to join our ... to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records (EHRs). You… 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' ... Oversee and manage complex workers compensation claim process, including reporting, medical coordination, lost time and return-to-work program. + Provide strategic… more
- Zelis (Plano, TX)
- …+ A good understanding of public and private healthcare payment systems, medical claims , standard claim coding, claim editing, contracting, preferred-provider ... and the personal interests that shape who you are. Position Overview The Sr . Medicaid Reimbursement Regulatory Analyst will collaborate with the Zelis Regulatory… more
- 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
- Providence (TX)
- …Directors and Officers, Employment Practices, Fiduciary, Property, Cyber, Managed Care, and Auto Claims . The Senior Quality Analyst assists the Claims ... self-insured health care organizations. The Senior Quality Analyst is also responsible for maintaining a claims...Insurance terminology + Legal concepts + Liens + Electronic claims databases + Medical terminology **Skills required… more
- Evolent (Austin, TX)
- …team at Evolent. This individual will be primarily focused on distilling medical economics insights from product strategy analyses and translating them to complex ... fostering trust, expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate… more
- 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 ... of indemnity, medical and legal aspects of highest valued, complex claims . + Reviews and analyzes TPA claim financials to ensure payments are appropriate… more
- Molina Healthcare (Austin, TX)
- …the business to provide recommendations on opportunities for process improvements, medical cost savings or revenue enhancements. + Create Business Requirements ... technical teams + Appeals & Grievance, healthcare services, or claims background **Preferred License, Certification, Association** Certified Business Analysis… more
- Providence (TX)
- …best people, we must empower them._** **Providence is calling a Senior Business Analyst - Risk, Liability & Claims who will:** + Be responsible for providing ... and front-line caregivers. + 2 years of experience working with healthcare claims and/or Electronic Medical Record billing data. **Preferred qualifications:** +… 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