Healthcare Claim Analyst Jobs in Texas

Healthcare Data Analyst (4212) Irving, TX HMS Holdings Corp. is a national leader in cost containment and program integrity services for government healthcare programs. In 2006, HMS recovered more than $1.0 ..

Risk Manager - RN','Full-time','Professional Clinical/Allied Health','Full Time','Full Time','80','80','Occasional','Occasional','TEXAS-HOUSTON-ST LUKE VINTAGE','','!*!CHI St. Luke's Health–The Vintage Hospital provides high quality, compassionate care for residents of the Tomball and Northwest Houston areas. The Vintage ..

Decision Support Financial Analyst','26500-98324','United States-Texas-Irving-North Texas Division Office','Full-time','Finance Acctg Billing Claims & Revenue','!*!Decision Support Financial AnalystMedical City HealthcareDivision OfficeUtilizes a strong background in finance, posting journal entries, balance sheet reconciliations, cost ..

Description Responsibilities The Consumer Service Operations Professional 2 evaluates claims oversight performance metrics by interfacing with the sub-contractor to gather and track associated reporting. The Consumer Service Operations Professional 2 evaluates ..

Senior Financial Analyst - National Remote','2146661','!*!$1,500 Sign On Bonus For External Candidates You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome ..

Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..

Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..

Description The Mail Operations Pharmacy Technician 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. Responsibilities The Mail Operations Pharmacy Technician 2 ensures ..

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..

Description The Senior Compliance Professional ensures compliance with governmental requirements, specifically risk adjustment coding and medical record document requirements. This role acts as the second line of defense by providing oversight ..

Job Information Humana RN, Senior Stars Improvement, Clinical Professional in San Antonio Texas Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be ..

... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..

... Humana Lead Product Manager - Healthcare API in San Antonio Texas ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Job Information Humana Market President, AVP in Houston Texas Description LOCATION: Successful candidate will be currently located in Houston TX, or open to relocation. Location: Houston Reporting structure: Reports into Cheri ..

13,738 Job Information Deloitte Healthcare Data Analytics & Visualization Consultant ... Visualization Consultant in Dallas Texas Healthcare Data Analytics and Visualization Consultant ... expertise on Medicare (preferably Claims) Healthcare Analytics..

Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Senior Process Improvement Professional work assignments ..

Description The Mail Operations Pharmacy Technician 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. Responsibilities The Mail Operations Pharmacy Technician 2 ensures ..

Description The Mail Operations Pharmacy Technician 2 accurately fills and counts medications. The Mail Operations Pharmacy Technician 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works ..

Description The Mail Operations Pharmacy Technician 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. Responsibilities The Failed Claims Pharmacy Technician 2 ensures ..

16,436 Job Information Deloitte Federal Healthcare Data Analytics and Visualization Analyst in Dallas Texas Federal Healthcare Data Analytics and Visualization Analyst Are you a Federal Data ... expertise on Medicare..

Description The Senior Claims Research & Resolution Professional manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claims issues/complaints within contractual ..

Description The Health Information Management Professional ensures data integrity for claims errors. The Health Information Management Professional work assignments are varied and frequently require interpretation and independent determination of the appropriate ..