- Molina Healthcare (Fort Worth, TX)
- JOB DESCRIPTION **Job Summary** Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... inquiries and projects. * Interprets and presents in-depth analysis of claims research findings and results to leadership and respective operations teams. *… more
- Molina Healthcare (Fort Worth, TX)
- …tables through the user interface. + Apply previous experience and knowledge to research and resolve claim/encounter issues, pended claims and facilitate system ... for accurate and timely implementation and oversight of critical information on claims databases. Synchronizes data among operational and claims systems and… more
- WTW (Dallas, TX)
- …**The Role** We are seeking an organized and detail-oriented Retirement Plan Compliance Analyst to join our team. As a compliance analyst you will ... **Other:** Keep abreast of laws and regulations impacting employee benefits, claims procedures, and notice requirements by using our legal database subscriptions… more
- Elevance Health (Grand Prairie, TX)
- …Coordinates research and responds to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues and ... eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing… more
- Molina Healthcare (Fort Worth, TX)
- … research , financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...basis using SQL, Excel, and other reporting software. * Research , develop, analyze and recommend cost savings opportunities in… more
- Molina Healthcare (Fort Worth, TX)
- … research , financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...basis using SQL, Excel, and other reporting software. + Research , develop, analyze and recommend cost savings opportunities in… more
- Molina Healthcare (Fort Worth, TX)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and Identifying targeted Interventions and tracking outcome. Assist with research , development, and completion of special performance improvement projects.… more
- Citigroup (Irving, TX)
- The Loan Doc & Proc Assoc Analyst is a developing professional role. This role identifies policy and applies specialty knowledge in monitoring and assessing ... + Possible interaction with other counterparties around positions and outstanding balances/ claims + Supports an expansive and/or diverse array of products (risk… more
- CVS Health (Richardson, TX)
- …every day. This is a hybrid position. **Position Summary** As a Rebate Formulary Analyst - Manufacturer Rebates you will perform a critical role in the analysis of ... and collaborating on day-day tasks such as: + Conducting specific formulary research to support Rebate forecasting and underwriting teams during the manufacturing… more
- Omnicell (Fort Worth, TX)
- …for assigned stores. . Perform root cause analysis on reoccurring issues; perform claims research . . Maintain absolute confidentiality and compliance with HIPAA ... **Reconciliation Lead** The Lead Reconciliation Analyst leads the team that provides reconciliation services...documentation. . Communicate any issues that may arise, including claims disputes. . Oversee development and communication of customer… more