- WelbeHealth (Austin, TX)
- ** Claims Audit Analyst ** At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option (PACE) to the most ... Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and accurate… more
- Molina Healthcare (San Antonio, TX)
- …and the Affordable Care Act (ACA). + Medical Coding certification. + Strong Medical Claims Audit knowledge To all current Molina employees: If you are interested ... to support systems solutions development and maintenance for Medical Claim Audit . This role includes coordination with stakeholders and subject matter experts… more
- Molina Healthcare (TX)
- …Responsible for accurate and timely auditing of critical information on claims databases. Maintains critical auditing and outcome information. Synchronizes data ... among operational and claims systems and application of business rules as they...and in accordance with unit standards. **Knowledge/Skills/Abilities** * Trains audit staff on configuration functionality, enhancements and updates. *… more
- JPMorgan Chase (Plano, TX)
- …make you more agile and versatile in reaching your career potential. As a Business Analyst I- Inbound Claims Support, in Total Consumer Operations you will be ... overall success of the firm. The Fraud Prevention and Claims , Disputes (FCPS) Inbound Call Center team supports the...and provide support for all scheduled project implementations and Audit and Central Operations Reporting (CORE) support + Perform… more
- Molina Healthcare (San Antonio, TX)
- …Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial ... and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate billing and coding compliance with Medicare and third-party ... potential risk areas and revenue potential. The Sr Compliance Coding Analyst position partners with stakeholders to provide feedback regarding documentation and… more
- Sedgwick (Fort Worth, TX)
- …Workplaces in Financial Services & Insurance Workforce Analytics & Productivity Monitoring Analyst **PRIMARY PURPOSE OF THE ROLE:** To manage the implementation of ... users, coordinate with software vendors for support and enhancements, and maintain audit readiness by ensuring compliance with data governance and privacy standards.… 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 ... with ERISA regulations and other applicable federal laws. Adhere to audit protocol to ensure accuracy of documentation. **Document Production/Management:** Adhere to… more
- Molina Healthcare (Austin, TX)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... develops reporting solutions to assist HEDIS audit , rate tracking, and Identifying targeted Interventions and tracking...and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality… more
- SAS Shoemakers (San Antonio, TX)
- …highly motivated individual to join our Finance Department as an Inventory Analyst . This is an opportunity for an analytical individual that possesses ... inventory reporting schedules, trends and significant fluctuations in inventory. + Audit and report on the overall inventory operational processes (factory,… more