Lead Analyst, Payment Integrity & Claims Optimization
$63.13k - $129.59kMolina Healthcare of Illinois
Molina Healthcare in Dallas, Texas is seeking a Lead Analyst to support health plan payment integrity activities. This role requires collaboration with operational teams to develop solutions and improve claims accuracy. The successful candidate will have at least 4 years of experience in business analysis in a managed care setting and knowledge of Medicaid/Medicare programs. A competitive salary range of $63,133 – $129,589.63 annually is offered. #J-18808-Ljbffr Molina Healthcare
- Molina Healthcare is looking for a Lead Analyst to support health plan payment integrity activities in Dallas, Texas. This role will drive financial performance... ...initiatives tied to payment integrity and provider claims accuracy. The ideal candidate will have over 4 years...ClaimsRemote job
$75k - $100k
...Senior Analyst, Edits | Payment Integrity (Remote) CGI is seeking a results-oriented... ...Identify Opportunities: Use claim data analysis to pinpoint... ...validation datasets and lead rigorous pre-deployment user... ...(UAT). 2. Monitoring & Optimization Performance Tracking: Monitor...ClaimsRemote work- ...A leading aerospace service provider in the U.S. is seeking a Salesforce Analyst to manage Salesforce environments, ensuring platform optimization and user support. This role requires at least 2 years of experience with Salesforce, a Bachelor's degree, and strong problem...Suggested
$90k - $95k
...Role: Technical Business Analyst with Payment Experience (ACH, SWIFT, Fedwire... ...to deliver industry-leading digital solutions. Synechron... ...progressive technologies and optimization strategies span end-to-end... ...user stories for API integrations and working within an Agile...SuggestedTemporary workFlexible hours- ...Holdings Inc. is seeking an experienced Technical Project Manager in Dallas, Texas. This role focuses on leading technical projects and requires expertise in payment processing methodologies, including emerging methods like cryptocurrency. The ideal candidate will have...Suggested
- ...Job Summary At Integrity, we are redefining the future of work. We believe that our people... ...looking for a dynamic and strategic Lead Analyst, Wealth Management Strategy to lead and... ...implementing, and evaluating strategies to optimize Business effectiveness drive business...Local area
- ...streamline processes, improve data integrity, and drive efficiencies... ...operations. Develop, maintain, and optimize automated workflows,... ...continuously enhance tax operations. Lead and support special projects... ...Levels The Specialist/Analyst level requires a Bachelor's degree...Work at officeShift workNight shift
- ...Patient Financial Specialist Lead carries out his/her duties by... ...Health's core values of Dignity, Integrity, Compassion, Excellence, and... ...benefits requirements, on-line claims status, submission, billing, cash... ...productivity, reimbursement, payment delays, and/or patient...ClaimsFull timeMonday to FridayFlexible hours
- MissionHires is seeking an IT Applications Manager to lead the NetSuite ERP platform for an integrator of mission‑critical solutions in Dallas, TX. This role involves overseeing governance, driving improvement across operations, and managing integrations and a development...
$60k - $130k
...involving coding audits, disputes, claims analysis, and investigations.... ..., and reimbursement optimization. * Familiarity with healthcare... ...methodologies. * Quality and Integrity Driven: Demonstrates commitment... ...life balance and help employees lead fulfilling lives.Learn more...ClaimsWork at officeLocal areaFlexible hours$142k - $166k
...Sr Lead Data Analyst This role is in support of the Retirement Solutions and Client Experience... ...solution development. Determining the optimal analytic approach and supporting development... ...People, Be Client Obsessed, Lead with Integrity, Own It, and Win As One. They influence...Work experience placementWork at office- ...economy. Position Information Job Title: Lead Data Analyst Agency: Texas A&M AgriLife Research... ...design, implementation, and continual optimization of data analysis workflows, ensuring best... ...programming forms, monitoring data integrity, and developing data cleaning procedures...Local areaRemote workFlexible hours
- ...The SNF Billing Team Lead will oversee a team of billers and report... ...clearinghouse technology to optimize billing performance, enhance client... ...collections processes Ensure claims accuracy and compliance with... ...Review ERA/EOBs to identify payment discrepancies and denial trends...ClaimsWork at office
- ...Posting Title Division Order Analyst - Oil & Gas Location Dallas -... ...orders, transfer orders, and payments received without a returned division... ...bankruptcies for potential claims of missing oil and gas... ...degree of professionalism and integrity and comply with Hospital policies...ClaimsFull timeLocal areaRemote workMonday to Friday
- ...Health and Benefits Senior Analyst you will contribute to a wide... ...eligibility, carrier coverage and claims issues, compliance, etc.)... ..., implementation, and optimization activities Providing benefit... ...Strong analytical, creative and integrative skills ~ Excellent...ClaimsTemporary workWork at officeLocal areaVisa sponsorshipWork visaFlexible hours
- ...Job Title Lead Data Analyst Agency Texas A&M Agrilife Research Department... ...design, implementation, and continual optimization of data analysis workflows, ensuring best... ...including programming forms, monitoring data integrity, and developing data cleaning...H1bLocal areaRemote workWork visaFlexible hours
- ...Job Title: Lead Business Systems Analyst with Generative AI Location: Dallas, TX (Onsite) Duration... ...this role will be identifying and integrating generative AI capabilities to unlock... ...workflows, and functional designs, ensuring optimal solution architecture and user...Full timeContract workWork experience placement
$140k - $185k
...CRCL) is one of the world’s leading internet financial platform companies... ...through digital assets, payment applications, and... ...by our company values: High Integrity, Future Forward, Multistakeholder... ...is a stakeholder. As a Lead Analyst, Product Compliance supporting...Flexible hours$60k - $130k
...promoting a culture of integrity and accountability. We... ...What You’ll Do As an Analyst, you will play a hands... ...including charge capture, claims processing, and... ...EHR implementations and optimization initiatives, including... ...balance and help employees lead fulfilling lives....ClaimsWork at officeLocal areaFlexible hours- ...Risk Analyst Dallas, TX The Risk Analyst will support... ...decisions that lead to profitable outcomes... ...premium and deductible payments or send return premium.... ...plans. Support external claim management service provider... .... Offering a fully integrated platform of real estate...ClaimsWork at office
- ...Lead Functional Analyst - Oracle EBS Supply Chain #26-2723 Multiple Locations Job Description Proven... ...-wide Supply Chain process optimization, ERP transformation initiatives, and... ...Manufacturing, Logistics, and Order Fulfillment integrations. Partner with business stakeholders...Full time
- ...for. JOIN OUR TEAM AS A SENIOR DATA ANALYST!! We believe analytics isn't a... ...Collaborate with sales, underwriting, claims, and actuarial teams to integrate models into production... ...industry. Proficiency in Python, SQL optimization, statistical modeling, API development...ClaimsWork at office
- ...Services Limited is seeking a Salesforce Analyst in Addison, Texas. In this role, you... ...bridge between business stakeholders and IT, optimizing Salesforce CRM functionality to meet... ...stakeholder communication, and ensuring data integrity. The ideal candidate will have a...
- ...and detail-oriented Business Analyst with 3–4 years of experience... ...: Experience with API integrations or data mapping Knowledge of payment systems, claims processing, or retail workflows... ...hiring process—from profile optimization and interview preparation to...ClaimsFull timeContract work
- ...Job Summary The WMS Optimization & Data Analyst is a single, integrated role responsible for optimizing warehouse management system (WMS) performance while developing data‑driven digital solutions that support production efficiency and customer delivery. This role serves...Local areaRelocation
$84k - $102k
...Description Consultant,Payment Intelligence AArete is one... ...,goes beyond typical payment integrity to ensureerroneousand... ...help our clients ensure proper claims paymentthrough the use of(1)... ...provider lifecycle, and network optimization ~ Strong professional communication...ClaimsDaily paidContract workWork at officeFlexible hours$77.7k - $108k
...Professional, Client Delivery - Analyst is a senior individual... ...technical execution by leading solutioning discussions for complex, integrated software systems. This... ...opportunities for optimization, automation, and... ...individual(s) or entities claiming to be employees of Cotality...ClaimsFull timeWork experience placementLocal areaRemote workFlexible hours- ...the development and ongoing optimization of actuarial pricing models.... ...& Performance Monitoring Lead profitability studies and quarterly... ...Partner with underwriting, claims, finance, IT, and operations... ...collaborative environment. If you value integrity and are driven to succeed,...ClaimsFull timeTemporary workShift workDay shift
- ...finance company for one of the world's leading automakers and a mobility provider with... ...experience. Position Summary The Team Lead – Integrations is responsible for leading the... ...inefficiencies and implement improvements to optimize productivity. Ensure best practices in documentation...Work at officeVisa sponsorshipWork visaMonday to FridayShift work2 days per week
- ...*Job Summary**As part of the Business Intelligence team, the Lead Analyst, BI & Analytics is responsible for providing business insights... ...**•Deliver timely reporting and analyses of the highest integrity and quality•Develop clear, concise, and effective executive level...Local area
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