- Zelis (TX)
- …We are seeking a detail-oriented and technically skilled analyst to support healthcare claims repricing and data validation efforts. In this role, ... data -driven insights. Success in this role requires deep familiarity with healthcare claims data , strong SQL proficiency, and a solid understanding of… more
- Molina Healthcare (TX)
- …solution or configuration during warranty period. **KNOWLEDGE/SKILLS/ABILITIES** + Knowledge of healthcare claims and claim processing from receipt through ... functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received… more
- Molina Healthcare (Fort Worth, TX)
- …+ Locate and interpret regulatory and contractual requirements + Tailors existing reports or available data to meet the needs of the claims project + Evaluates ... **Job Description** **Job Summary** Serves as claims subject matter expert. Assist the business teams...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Providence (TX)
- …insurance codes, regulations, and our department's policies and procedures + Secure monthly claims data reports and provide quality assurance recommendations to ... claims files for quality assurance purposes + Experience working with claims data analytics + Experience in project management + Experience creating… more
- Molina Healthcare (Austin, TX)
- …of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Carrington (Plano, TX)
- …amazing team and work remote from home! The Loss Claim Recovery Analysis Analyst is responsible for performing financial reconciliation on all liquidated loans and ... external investors providing opportunity for investor rebuttals. Accountable for analyzing multiple data elements in order to apply the proper decision rationale and… more
- Centene Corporation (Austin, TX)
- …related field or equivalent experience. 4-6 years of business process or data analysis experience, preferably in healthcare . Project management experience ... healthcare (ie documenting business process, gathering requirements) or claims payment/analysis experience. Experience in benefits, pricing, contracting or … more
- Molina Healthcare (TX)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data regarding network ... utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on… more
- Scottish Rite for Children (Dallas, TX)
- …priority! We're committed to giving children back their childhood! Job Posting Title: Data Analyst Lead Location: Dallas - Hospital Additional Posting Details: ... Monday - Friday 8:30am - 4:30pm Job Description: Duties/Responsibilities + Query healthcare data from multiple sources including electronic medical records,… more
- Methodist Health System (Dallas, TX)
- …:** **Days Of Week :** **Work Shift :** **Job Description :** **Insurance Risk Analyst ** **Mission and Vision.** Methodist Health System (MHS) is a $2 billion health ... is to improve and save lives through compassionate, quality healthcare . We strive to be the trusted choice for...search for an individual to fill the Insurance Risk Analyst position. The role will directly support the Corporate… more