- Molina Healthcare (Fort Worth, TX)
- …validate data housed on databases and ensure adherence to business and system requirements of stakeholders as it pertains to provider contracting, network ... updating and maintaining benefit plans, provider contracts, fee schedules and various system tables through the user interface to ensure current contract and/or… more
- Molina Healthcare (Dallas, TX)
- …information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each database. ... to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network management and… more
- Molina Healthcare (Dallas, TX)
- …of critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. ... housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting,...to benefit plans, provider contracts, fee schedules and various system tables through the user interface. + Apply previous… more
- Molina Healthcare (San Antonio, TX)
- …critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. ... data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations,… more
- SCI Shared Resources, LLC (Houston, TX)
- …services SCI's by 3rd party providers. + Analyzing and identifying trends with system interface issues to determine "root cause" and provide solutions to correct the ... issue. **Benefits Compliance** + Reviews weekly, monthly or annual reports and system interfaces to ensure enrollments are processed according to plan documents and… more
- Prime Healthcare (Farmers Branch, TX)
- Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 ... million patient visits annually. It is one of the nation's leading health systems with nearly 57,000 employees and physicians. Eighteen of the Prime Healthcare… more
- Citigroup (Irving, TX)
- …business operations. - Knowledge of security practices in distributed systems , including encryption, authentication, authorization, and secure communication. - ... Utilize advanced knowledge of system flow and develop standards for coding, testing, debugging,...- Exceptional skills in monitoring, logging, and debugging distributed systems to ensure reliability and performance. - Expertise in… more
- Deloitte (Dallas, TX)
- …requirements. + Collaborate throughout the technology delivery lifecycle. + Conduct system testing and facilitate user testing. + Perform business readiness ... + Analyze feedback and develop related action plans. + Decommission legacy systems . The team Deloitte Tax LLP's Tax Transformation Office is responsible for… more
- Centene Corporation (Austin, TX)
- …manner that is comprehensible to developers / project team + Creates systems and business process models, specifications, diagrams, and charts to provide direction ... processes; quantify potential efficiency opportunities and track accordingly + Maintains system protocols by writing and updating procedures + Provides references… more
- Evolent (Austin, TX)
- …specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would ... seek to connect the pieces of fragmented health care system and ensure people get the same level of...and utilization management is preferred + Understanding of data systems and the critical thinking skills to solve new… more
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