Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Provider Pricing & Claims Configuration Analyst

Community First Health Plans

A health care organization in San Antonio is seeking a Provider Pricing Configuration Analyst to ensure claims payment accuracy through the management of provider contracts and fee schedules. The role involves problem analysis and acting as a liaison between departments. The ideal candidate will hold a Bachelor's degree in computer science or healthcare and possess SQL experience. Effective communication and analytical skills are essential for success in this position. #J-18808-Ljbffr Community First Health Plans

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Provider Pricing & Claims Configuration Analyst in San Antonio, TX vacancy
  •  ...Description Job Description We are looking for an experienced Claims Analyst for our Claims department with Community First Health...  ...in complex claim issue resolution. Work cooperatively with Configuration in testing of contracts used in business operations and... 
    Suggested

    University Health

    San Antonio, TX
    more than 2 months ago
  • $74.4k - $99.6k

     ...Job Title Summit provides independent insurance agents and their clients with market-leading workers' comp insurance and elite customer...  ...Analyzes risk data to make informed decisions on coverage, pricing, and terms. Collaborates with actuaries, agents, brokers, and... 
    Suggested
    Full time
    Part time
    Seasonal work
    Work at office
    Remote work

    Great American Insurance Company

    San Antonio, TX
    5 days ago
  •  ...underwriting authority. Evaluates accounts for risk selection and pricing purposes. Analyzes exposure, company and region risk...  ...systems, and services. Visits agencies to discuss accounts and provide agents with updates at EMC. Collaborates with marketing representatives... 
    Suggested
    Work at office
    Local area

    EMC Insurance

    San Antonio, TX
    2 days ago
  •  ...primary role will be to underwrite and actively pursue new business pricing, servicing the needs of our brokerage partners on an account by...  .... In addition, you'll coaches and mentor staff on your team, providing support to junior underwriters. Agency Management:... 
    Suggested
    Temporary work
    Flexible hours

    The Hartford

    San Antonio, TX
    6 days ago
  • $100k

     ...Claims Analyst Arrive Logistics is a leading transportation and technology company in North America with plans to grow significantly...  ...remarkable team and what we're building together. We're committed to providing employees with a meaningful work experience and have... 
    Suggested
    Work experience placement
    Casual work

    Arrive Logistics

    San Antonio, TX
    1 day ago
  • $69.2k - $148.2k

     ...a team known throughout the industry for providing our customers with just the right amount...  ...force behind our best in class underwriting, claim and risk engineering capabilities. **...  ...underwriting expertise in the risk selection, pricing, administration and account management of... 
    Temporary work
    Work at office
    Remote work
    3 days per week

    The Hartford

    San Antonio, TX
    4 days ago
  •  ...acceptability of individual risks and determine terms, conditions, and pricing to achieve company profit objectives. You'll work with agents/...  ...will also serve in an informal leadership role in the branch, providing guidance to less experienced underwriters. Underwrite new... 
    Full time
    Work at office
    Local area
    Remote work

    Berkley Southwest (a Berkley Company)

    San Antonio, TX
    1 day ago
  • Overview Claims Order Management Specialist - Entry Level at MillenniumSoft Inc. Location...  ...Claims department is responsible for providing post order support to resolve disputes submitted...  ...closely with BD’s National Contracts, Pricing, Sales Support, GDC and Transportation... 
    Contract work
    Day shift

    MillenniumSoft Inc

    San Antonio, TX
    19 hours ago
  •  ...company is looking for a Senior Consultant specializing in Guidewire Policy Center and Claim Center. The role involves configuring systems, collaborating with clients, and providing training and support. Ideal candidates have proficiency in Guidewire platforms, strong... 
    Contract work

    Noblesoft Technologies

    San Antonio, TX
    3 days ago
  • $75 per hour

     ...PURPOSE Appraisal Assignment Execution Review claim files assigned to appraisal to understand...  ...discussions to narrow scope and pricing differences when possible. Participate in...  ...of appraisal-eligible valuation matters. Provide clear rationale supporting the company’s... 
    For contractors
    Work at office
    Local area

    Sedgwick

    San Antonio, TX
    3 days ago
  • $100k

     ...Compensation: Commission only based on successful recovery of claims Schedule: Flexible full-time caseload with preferred Monday...  ...Phoenix Loss Control (PLC) is a US-based business services provider in the cable, telecom, and utilities sector. PLC’s core service... 
    Full time
    Contract work
    Live in
    Work at office
    Remote work
    Monday to Friday
    Flexible hours

    Phoenix Loss control

    San Antonio, TX
    11 days ago
  • $60k - $70k

     ...total loss evaluations. Negotiate agreed price with shop decision maker and set time-bound...  ...of all supplement requests. Proactively provide customers with information regarding...  ...vehicle’s cost of repair estimate and explain claims/repair process. Maintain accurate vehicle... 
    Work at office
    Local area
    Flexible hours

    Sedgwick

    San Antonio, TX
    7 days ago
  •  ...specific basis for declining application. Monitor and report noncompliance with loan covenants. Maintain client relationships and provide superior customer service. Assist with technical underwriting issues and questions. Review loan documentation and vendor... 

    TradeJobsWorkforce

    San Antonio, TX
    1 day ago
  • $100k - $125k

    Who We AreJoin a team that puts its People First! First American's Direct division provides comprehensive title insurance protection and professional settlement services for real estate purchases, refinances and equity loans. Since 1889, First American (NYSE: FAF) has... 

    First American

    San Antonio, TX
    19 hours ago
  •  ...Participate in cohort-based, instructor-led training sessions and case studies Learn core underwriting concepts, risk evaluation, pricing, and policy structure Apply training directly in the office through hands-on underwriting experience alongside a dedicated... 
    Work experience placement
    Summer work
    Work at office

    Amwins

    San Antonio, TX
    5 days ago
  •  ...critical underwriting decisions regarding insurability based on nature of operations, insured geographic location, risk controls, policy pricing, policy terms and conditions, and other third-party data as necessary. Assist in Risk Control in the communication and... 
    Work at office
    Local area

    Columbia Insurance

    San Antonio, TX
    5 days ago
  •  ...this role centers on efficient underwriting execution, risk evaluation, and supporting business growth within defined authority and pricing parameters. KEY RESPONSIBILITIES Following is a summary of the essential functions for this job. Other duties may be... 
    Full time
    Temporary work
    Shift work
    Day shift

    CRC Group

    San Antonio, TX
    2 days ago
  •  ...this role centers on efficient underwriting execution, risk evaluation, and supporting business growth within defined authority and pricing parameters. KEY RESPONSIBILITIES Following is a summary of the essential functions for this job. Other duties may be... 
    Full time
    Temporary work
    Shift work
    Day shift

    CRC Insurance Services, Inc.

    San Antonio, TX
    2 days ago
  •  ...work in a variety of work functions. You will monitor aggregate coverage limits and evaluate all new business quote submissions and provide quotes as appropriate. All the processes lend to helping you become a subject matter expert in Excess Flood while helping to... 
    Work experience placement

    SWBC

    San Antonio, TX
    2 days ago
  • $75k - $95k

     ...Claim Representative Donegal Insurance Group is an insurance holding company whose insurance subsidiaries offer personal and commercial...  ...are founded on supporting the independent agency system, providing best-in-class service, and building relationships customers can... 
    Permanent employment
    Full time
    Temporary work

    Donegal Insurance Group

    San Antonio, TX
    7 days ago
  •  ...pm Central Time for 4 weeks What is your impact? As a Claim Examiner, you will handle processing and adjudication for healthcare...  ...Insurance complaints, and authorize payment to claimants and providers. Overpayment reviews and recovery of claims overpayment;... 
    Full time
    Temporary work
    Part time
    Work experience placement
    Work at office
    Monday to Friday
    Flexible hours

    WebTPA Employer Services, LLC

    San Antonio, TX
    4 days ago
  • $107.6k - $161.4k

     ...Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages...  ...on case developments, policy issues, industry trends, etc.; Providing support to field offices to assist field personnel with... 
    Temporary work
    Work at office
    Remote work
    3 days per week

    The Hartford

    San Antonio, TX
    8 days ago
  •  ...and growth, and to keep those employees happy and engaged. We provide the tools and the support our employees need to grow both professionally...  ...organization! We are seeking an experienced Casualty Claims Specialist! The Casualty Claims Specialist will be responsible... 
    Full time
    Work at office

    First Chicago Insurance Company

    San Antonio, TX
    7 days ago
  •  ...Sr. Claims Specialist BITCO Corporation is seeking a Sr. Claims Specialist to join our branch office located in San Antonio, TX....  ...you have been looking for. Position Summary: This position provides key support in the handling of claims across multiple lines of... 
    Temporary work
    Work at office
    Remote work
    Flexible hours
    Night shift

    BITCO Insurance Companies

    San Antonio, TX
    3 days ago
  • $121k - $140k

     ...Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages...  .... Addressing inquiries from agents and policyholders and providing superior customer service. Position Requirements:... 
    Temporary work
    For contractors
    Work at office
    Remote work
    3 days per week

    The Hartford

    San Antonio, TX
    4 days ago
  • $120k - $150k

    1 day ago Be among the first 25 applicants This range is provided by Winston Staffing. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $120,000.00/yr - $150,000.00/yr Additional compensation types... 
    Full time
    Work at office

    Winston Staffing

    San Antonio, TX
    19 hours ago
  •  ...the company’s target programs and coverage. Quote and negotiate prices on new and renewal business, understanding statutory...  ...Maintain and promote profitable business relationships, coordinating claims, risk control, and premium audit service plans. Stay updated on... 
    Work at office
    Flexible hours

    The James Allen Companies Inc

    San Antonio, TX
    3 days ago
  • $69.2k - $148.2k

    The Hartford is seeking a Center Renewal Underwriter in San Antonio. This role involves balancing renewal retention goals and providing excellent account management service for commercial clients in the umbrella and excess market. The ideal candidate will have over 3 years... 
    Remote work
    Flexible hours

    The Hartford

    San Antonio, TX
    4 days ago
  • $62.4k - $93.6k

     ...Sr Representative Claims - CH08BE We’re determined to make a difference and are proud to be an insurance company that goes well beyond...  ...’ compensation claims. Our dynamic team of claim professionals provide superb customer service with the valuation, disposition and... 
    Temporary work
    Remote work
    Monday to Friday
    3 days per week

    The Hartford

    San Antonio, TX
    5 days ago
  • $25 per hour

     ...Claims Operations Analyst Location: San Antonio, TX Duration: 12 Months Pay Rate: $25/hr Job Overview: We are seeking a Claims Operations Analyst to support business process services within insurance claims operations. This role focuses on operational reporting,... 
    Work at office

    Leading Utilities Organization

    San Antonio, TX
    15 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Provider Pricing & Claims Configuration Analyst. Be the first to apply!