Senior Claims Quality & Analytics Auditor
Parkland Health and Hospital System (PHHS)
Parkland Health and Hospital System seeks a skilled claims data analyst to review and adjudicate professional claims for Parkland unfunded patients. You will analyze data, generate reports, and present insights to leadership to support accurate record-keeping and reimbursement decisions. The role requires 5 years in a medical claims environment, knowledge of ICD-10/CPT, and experience with EPIC and SQL reporting. Strong analytical skills and attention to detail are essential for success. #J-18808-Ljbffr Parkland Health and Hospital System (PHHS)
- As the Senior Director of Data & Analytics Engineering, you will serve as a senior technology leader responsible for defining and executing the enterprise... ...in the investigation of any complaint or discrimination claim.The "Know Your Rights" Poster is included here:Know Your...SeniorClaims
- Parkland Health is seeking a skilled claims data analyst to review, analyze, and adjudicate professional claims, appeals, corrected claims, and refunds for Parkland-covered patients. You will perform QA on TPA-processed claims, generate eligibility reports from EPIC, and...SeniorClaims
- Parkland Community Health Plan, Inc. seeks a Claims Quality Auditor to review, analyze, and adjudicate professional claims, appeals, corrected claims, and refunds for Parkland-covered patients. You will ensure accuracy, compliance with business rules, and provide actionable...Claims
- Parkland Health seeks an experienced claims specialist to investigate, analyze, and resolve complex claims and payment disputes. You will review provider disputes, member grievances, and payment discrepancies to ensure accurate adjudication. Collaborate with cross-functional...SeniorClaims
- ...| Location Flexible (U.S.) Senior Risk & Data Analyst — you will... ...is an opportunity to showcase analytical expertise, business acumen,... ...Conduct deep‑dive analyses on claims trends, inflation impacts (parts... ...data structures, data quality, and system capabilities AI...SeniorClaimsFull timeH1bWork visaFlexible hours
$125k - $160k
...consumers. Position Summary: The Senior Market Access Specialist - Data and Analytics, plays a critical role in... ...fragmented pharma datasets (payer claims, wholesaler EDI, copay, PAP, and... ...external data vendors to resolve quality issues and improve data freshness...SeniorClaimsRemote jobContract workWork experience placementShift work$46.99k - $102k
...accountable and prioritize safety and quality in everything we do. Join us and be... ...looking for a creative and skilled Senior Analyst, Business Analytics, to join our team at Signify. We’re... ...through analyzing data including HCCs, Claims (ICD10, CPT, POS, etc), and HEDIS...SeniorClaimsHourly payFull timeTemporary workLocal area- A leading IT recruitment consultancy in Texas is seeking an individual experienced in claims processing and analytics within the healthcare insurance sector. The ideal candidate will be responsible for managing the lifecycle of claims as they are submitted and processed...Claims
- ...leading defense litigation firm in Dallas is seeking a Senior Attorney for its National Litigation & Claims Management position. This hybrid role emphasizes... ...within the logistics sector, requiring strong analytical and communication skills. Candidates should hold a...SeniorClaims
- RLI Insurance Company in Dallas is looking for an experienced claims professional to manage Personal Umbrella Liability claims. You will... ...has at least 6 years of liability claims experience and strong analytical and communication skills. RLI offers competitive compensation,...SeniorClaims
$54.92k - $107.1k
...research and analysis of complex healthcare claims data, pharmacy data, and lab data... ...create the data foundation for further analytics and the development of key insights. •... ...timelines for reports and projects. • Ensures quality of output by submitting work product for...SeniorClaimsWork experience placement- ## Claims Quality AuditorApplylocations: 8435 Stemmons Bldg.time type: Full timeposted on: Posted... ...emerging trends and track them using analytics and critical thinking methods.* Must... ...denial reasons. Coordinates with the Nurse Auditor for clinical consultations or account...ClaimsContract workWork at office
- AIG is seeking a Claims Analyst in Dallas, Texas to handle complex claims. The ideal candidate will analyze policy coverage, communicate... ...high exposure claims. Candidates should possess strong analytical and communication skills, as well as 3+ years of relevant claims...SeniorClaims
$120k - $150k
A top-tier global insurance carrier is seeking a Claims Manager - Commercial Auto Lines to oversee high-exposure claims in Dallas. This... ...in managing commercial auto claims, strong negotiation and analytical skills, and the ability to handle large caseloads. Competitive...SeniorClaims- ...toxic tort, latent injury, sexual misconduct and environmental claims in the Strategic Resolution Group. You will manage moderate to... ...Bachelor’s degree and 2+ years in claim handling or related fields, with strong analytical #J-18808-Ljbffr The Travelers Indemnity CompanySeniorClaims
- ...filed patent applications on a regular basis, including reviewing claim charts and evaluating patent validity in order to plan and... ...internal and external stakeholders. Strong business judgment, analytical acumen, and negotiation skills. Time management skills. Communication...SeniorClaims
- ...Holdings is seeking a highly motivated Senior Associate Counsel to support the General... ...initiativesSupport monitoring of routine litigation and claims matters across the enterpriseSkills and... ...drafting, negotiation, and analytical skills with sound business...SeniorClaimsFull timeLocal area
- ...Dallas, TX is seeking a Hospital Billing Specialist to review claims, resolve outstanding balances, and secure timely payments from... ...collections. The role demands proficiency with medical software, strong analytical skills, attention to detail, and the ability to handle stressed...SeniorClaims
- ...located in Richardson, Texas, is seeking a Sr. Technical Specialist to manage complex claims including environmental and toxic tort cases. The ideal candidate will have strong analytical and communication skills and at least 5 years of relevant experience. You will be...SeniorClaims
$112.61k - $172.21k
Who You Are:The Senior Analyst, Insurance and Risk Management will serve as a key contributor... ...stakeholders on insurance requirements, claims processes, and risk mitigation... ...interpersonal skills. Able to demonstrate strong analytical capabilities and technical knowledge....SeniorClaims- ...Insurance Companies is seeking a hands-on Senior Data Engineer to build trusted data... ...products and deliver insights for underwriting, claims, product, distribution, and operations.... ...translate questions into curated datasets, analytic models, and clear narratives. You will...SeniorClaims
- Travelers is seeking an experienced claims professional based in Richardson, Texas, to manage complex liability and environmental claims... ...management, and financial analysis, all requiring strong analytical skills and a deep understanding of regulatory environments. The...SeniorClaims
- ...colleaguesAbility to synthesize complex issues, engage senior leaders, and drive consensusExposure to managing... ..., e.g. descriptive statistics, predictive analytics and machine learningStrong analytical skills in claims, productivity, access, and volume data to identify...SeniorClaimsApprenticeshipEasy work
- ...and timely issuance and servicing of high‑quality policies.Key ResponsibilitiesUnderwrite... ...results, while maintaining awareness of claims activity and providing underwriting... ...with a focus on profitabilityExcellent analytical, communication, and interpersonal skillsBachelor...SeniorClaimsFull timeTemporary work
- ...managers (PBM), and other benefits vendors. Monitor healthcare claims utilization and recommend cost-containment strategies. Oversee... ...administering HRIS/payroll systems, preferably Paycom. Excellent analytical, communication, project management, and organizational skills....SeniorClaims
- Parkland Community Health Plan is seeking a Senior Collector to review claims and secure accurate, timely payments from third-party payors. The role... ...and medical software proficiency, strong numerical and analytical skills, and excellent verbal and written communication....SeniorClaims
- ...experienced consultant with a deep background in economic damage claims, financial analysis, and expert report preparation. The role... ...of 15 years' experience alongside strong project management and analytical skills. Candidates must be proficient in Microsoft Excel and Word...SeniorClaimsFull time
- Job Overview A law firm seeks a senior attorney with extensive insurance coverage litigation... ...and litigate first and third‑party claims across various coverage lines. Duties Manage... ...practice law in Texas. Skills Excellent analytical and problem‑solving abilities. Strong...SeniorClaimsWork at office
- ...Senior Vice President, Benefits About the Company Global risk management firm helping clients navigate complex risks with... ...program solutions specialty wholesale strategic risk analytics claims advocacy bermuda market access intermediaries group...SeniorClaims
- ...manufacturing functions and assure the best cost, quality, reliability, time-to-market, and... ...VirtuosoExcellent problem-solving and analytical skillsA self-motivated, hard-working... ...verify the authenticity of any communication claiming to be from Micron by checking the...SeniorClaimsFull timeLocal areaImmediate start
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Claims Quality & Analytics Auditor. Be the first to apply!
- quality specialist Dallas, TX
- quality improvement specialist Dallas, TX
- quality system auditor Dallas, TX
- quality assurance auditor Dallas, TX
- quality management specialist Dallas, TX
- quality associate Dallas, TX
- quality control associate Dallas, TX
- warehouse quality control associate Dallas, TX
- quality review specialist Dallas, TX
- quality systems specialist Dallas, TX

