• Complaint and Appeals Analyst…

    CVS Health (Austin, TX)
    …each and every day. **Position Summary** Research and process grievances and appeals for Dual eligible members and providers. Perform outreach to obtain additional ... information. Interact with Medical Directors and Nurses as well as Leadership. **Required Qualifications** + 1 year of experience processing health insurance grievance and appeal cases. **Preferred Qualifications** + 6+ years of experience Medicare and… more
    CVS Health (05/16/25)
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  • Analyst ,Complaint & Appeals

    CVS Health (Austin, TX)
    …day. **Position Summary** Serves as a subject matter expert in complaints and appeals , providing independent coaching and guidance to ensure strict adherence to all ... **Required Qualifications** + Prior experience as a Complaint and Appeal Analyst . + Claim research knowledge or claim processing experience. + Demonstrated… more
    CVS Health (05/16/25)
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  • Sr Analyst , Operational Analytics

    Evolent (Austin, TX)
    …the mission. Stay for the culture. **What You'll Be Doing:** **Senior Analyst , Operational Analytics** The Operational Performance Analytics team, a part of ... Evolent's Analytics department, is seeking a Senior Analyst to collaborate cross-departmentally to help our organization gain efficiencies and drive decision-making… more
    Evolent (04/18/25)
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  • Technical Services Analyst

    Reynolds & Reynolds (College Station, TX)
    …Networking, and VoIP technology fields? As a Reynolds Technical Services Analyst , you will develop dynamic troubleshooting, problem solving, and customer service ... processes. Training You will receive comprehensive on-the-job training that appeals to various learning styles. The training program includes instructor-led… more
    Reynolds & Reynolds (05/08/25)
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  • Accounting & Reporting Analyst (Hybrid)

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Accounting and Reporting Analyst position is responsible for identifying and compiling information for various governmental reports, ... Houston Methodist (HM) hospital and assists in cost report amendments, audit, appeals and reopening process. + Independently prepares federal and state tax returns… more
    Houston Methodist (02/22/25)
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  • Sr Tax Analyst

    FREEMAN (Dallas, TX)
    …existing and new product offerings. + Assist with managing sales/use tax audits and appeals . + Process and analyze business data to support sales and use tax audits ... and process improvement. + Assist with the integration of newly acquired companies' sales/use tax activities. + Provide excellent customer service by responding to business unit and external customer inquiries on sales and use tax matters including application… more
    FREEMAN (05/07/25)
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  • Account Receivable - Analyst Collector

    BrightSpring Health Services (Anna, TX)
    …consistently follows up on unpaid claims utilizing AlphaCollector and filing appeals when appropriate to obtain maximum reimbursement. Responsibilities * Process ... manual billing for various DSS/CSA Localities in Virginia, verifying to Purchase Orders/Invoices received.* Analyze claims for assigned payor sources and follow up on all outstanding claims.* Good phone skills are essential, as this person will have to call… more
    BrightSpring Health Services (03/17/25)
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  • Multi service PA 1

    Capgemini (El Paso, TX)
    …software systems to create Prescription cases and determine coverage, determination and appeals process + Good written and verbal communication skills + The ability ... to display soft skills while moving the call forward + Meeting or exceeding government mandated timelines + Complying with turnaround time, productivity, and quality standards + Conveying resolution to beneficiary or provider via direct communication and… more
    Capgemini (04/29/25)
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  • Multi - Service PA1 - Service Centre Specialist

    Capgemini (El Paso, TX)
    …software systems to create Prescription cases and determine coverage, determination and appeals process *Good written and verbal communication skills *The ability to ... display soft skills while moving the call forward *Meeting or exceeding government mandated timelines *Complying with turnaround time, productivity, and quality standards *Conveying resolution to beneficiary or provider via direct communication and… more
    Capgemini (04/13/25)
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