Financial Claims Examiner II Jobs in Dallas, TX

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Epic Resolute PB Claims Analyst

Talent Groups

•

Remote

Full-time

Position: Epic Resolute PB Claims Analyst Location: Remote Job Type: Direct Hire Job Description:The Professional Billing Claims Analyst position will be housed under a subsidiary organization. To implement, maintain, support, and maximize the use of clinical, financial, and administrative portions of the software applications utilized by client in conducting daily operations under the direction of the Manager of Professional Billing and Claims.Responsibilities: Maintaining current clinical, f
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Posted 3 days ago

Guidewire UAT- Orange County CA but 100% remote

Tech Rakers

•

Remote

Third Party, Contract

Job Title: Guidewire UAT Location: Orange County CA but 100% remote Duration: 18 months (Extensions) Top Skills' Details Bachelor s degree in Accounting/Finance preferred or relevant technical field. Progressive and relevant systems/applications, and/or accounting experience. At least 2 years of prior accounting systems testing experience. Prior insurance accounting or similar field is a plus. Prior experience with Guidewire or Tableau is a plus. Detail-oriented and appreciation for work accurac
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Posted 3 days ago

Application Analyst Epic Resolute Professional Billing, Claims & Remittance

Tranzeal, Inc.

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Remote or San Francisco, California, USA

Contract

Application Analyst Epic Resolute Professional Billing, Claims & Remittance Job Summary: We re seeking an experienced Application Analyst with deep expertise in Epic Resolute Professional Billing, Claims, and Remittance modules. This role will be key in implementing, optimizing, and supporting Epic billing applications, enhancing revenue cycle workflows, and ensuring system integrity and performance. Key Responsibilities: Lead configuration and implementation of Epic Resolute and Claims/Remittan
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Posted 19 days ago | Updated 14 hours ago

Technical Business Analyst (Claims/HRP)- W2

PamTen Inc

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Remote

Contract

Project Description: This position is responsible for understanding stakeholder needs and business issues to be addressed in the Enrollment Applications. Collaborate with the Product owner to assess configuration, EDI Eligibility transactions data mapping, Open Enrollment process, Exchange (Affordable Care Act) processes. Understand Eligibility and Premium billing functions. Assess requirements associated with new input and output Eligibility feeds, define UAT scope/testing needs and validate re
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Posted 18 days ago

Data Analyst - Cloud (Remote)

S2Tech

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Remote

Full-time

Data Analyst - Cloud Location: Remote About Us: Known for Delighting the Client through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of both technical and business services in support of Health and Human Services-related projects. Feel free to learn more at s2tech.com. Why S2Tech?: Stable privately-owned company with a strong reputatio
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Posted 3 days ago | Updated 3 days ago

Senior Data Analyst

PARAKEET WORLD SOLUTIONS LLC

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Remote

Full-time

Job Title : Senior Data Analyst Location: Fort Worth, TX (100% Onsite)Type: Full-Time (W2 only)Duration: 5 Months This is a FTE req from an existing client, which is in software consulting company. They would hire the candidate on their payroll to work on the clients We are seeking an experienced Senior Data Analyst to join our client s Enterprise Data team. The ideal candidate will have 8+ years of hands-on experience, with a deep understanding of the P&C insurance domain, strong data modellin
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Posted 3 days ago | Updated 3 days ago

IT Software Engineer

Patton Labs Inc.

•

Plano, Texas, USA

Contract

Top Requirements: Bachelor Degree or Master Degree in Technical or business discipline or equivalent experience Top Skills the manager is looking for, Java (most recent versions preferred), React, Typescript, Looking for strong soft skills plus good tech experience, someone with claims experience and someone who worked with a previous carrier would be ideal.Would prefer someone who previously worked in Insurance, financial technology and ideally someone that worked for a fortune 100 company. Loo
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Posted 19 days ago

Senior Analyst, Medical Economics - REMOTE

Molina Healthcare

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Remote or Dallas, Texas, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to
Posted 7 hours ago

SAP FICA Systems Analyst

SEDGWICK CLAIMS MGMT SERVICES, INC.

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Dallas, Texas, USA

Full-time

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insuranc
Posted 34 days ago | Updated 3 hours ago

Senior Analyst, Medical Economics - REMOTE

Molina Healthcare

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Remote or Fort Worth, Texas, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to
Posted 7 hours ago

Senior Director, Data Mining

Gainwell Technologies LLC

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Dallas, Texas, USA

Full-time

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have
Posted 7 days ago | Updated moments ago

Senior Software Engineer (Java)

PTR Global

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Plano, Texas, USA

Full-time

Position: Senior Engineer Location: Plano, Texas Duration: 5 Months Contract Job ID: 169008 Job Overview: The Senior Engineer will be responsible for designing, building, and implementing scalable solutions to bring platforms to life while ensuring they are well-managed. This role involves collaborating with product owners to understand business requirements, working with architecture teams to align with architectural direction, and designing innovative solutions with the platform lead engin
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Posted 13 hours ago | Updated 1 hour ago

Manager, Software Application Development - myPBM

CVS Health

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Remote or Richardson, Texas, USA

Full-time

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all w
Posted 50 days ago | Updated 3 hours ago

Benefits Manager

Brinks

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Coppell, Texas, USA

Full-time

Brinks Texas License #C00550 About Brink's: The Brink's Company (NYSE:BCO) is a leading global provider of cash and valuables management, digital retail solutions, and ATM managed services. Our customers include financial institutions, retailers, government agencies, mints, jewelers, and other commercial operations. Our network of operations in 52 countries serves customers in more than 100 countries. Brink's has been a trusted partner in securing commerce for more than 165 years. Together, eve
Posted 14 days ago | Updated 20 hours ago

Senior Software Engineer / .NET (CIAM/IAM) / Irving, TX / Hybrid

Motion Recruitment Partners, LLC

•

Irving, Texas, USA

Full-time

This company serves as the financing arm of a major automaker, offering vehicle loans, leases, and dealer financial solutions. Headquartered in the DFW area, it supports operations across North America and beyond. The company plays a key role in enhancing customer and dealer experiences through automation, analytics, and digital platforms. It offers the stability of a large enterprise with the opportunity to work on impactful, enterprise-scale technology initiatives. This company is looking for
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Posted 28 days ago | Updated moments ago

Desktop Support Engineer

Brinks

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Coppell, Texas, USA

Full-time

Brinks Texas License #C00550 About Brink's: The Brink's Company (NYSE:BCO) is a leading global provider of cash and valuables management, digital retail solutions, and ATM managed services. Our customers include financial institutions, retailers, government agencies, mints, jewelers, and other commercial operations. Our network of operations in 52 countries serves customers in more than 100 countries. We believe in building partnerships that secure commerce and doing that requires fostering an
Posted 16 hours ago

Senior Network Pricing Analyst - Hybrid in Las Vegas, NV

UnitedHealth Group

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Remote or Las Vegas, Nevada, USA

Full-time

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. Why work for the leading organization in health care to help improve the lives of millions? You'll fin
Posted 10 days ago | Updated 3 hours ago

PBM Strategy and Implementation Consultant

TalTeam

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Remote

Contract

This role requires deep expertise in pharmacy supply chain financial management, PBM transitions, and pharmacy operations. The successful candidate will be responsible for a new pharmacy supply chain implementation and PBM transition, including managing execution activities, aligning stakeholders, contract management, vendor relationship management, and driving business readiness. Project Leadership & Accountability Manage business execution team, ensuring alignment of team efforts with goals, o
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Posted 34 days ago | Updated 18 hours ago

Director - Leader of Technical Application Support Operations team

Magellan Health Services

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Frisco, Texas, USA

Full-time

- SME on building and creating maps, guidelines and profiles using Edifecs tools such as EDIFECS SpecBuilder, Map Builder, EAM as per functional logic. - Understand current maps and guidelines (xml, DFF, PFF) for Healthcare EDI transactions like 837, 834, 835, 820 transactions. - Understand and decompose the design and implementation of current Edifecs solution. - Experience with AWS and strong understanding of AWS components like FSx, file processing and Queues - Excellent understanding of
Posted 16 days ago | Updated 3 hours ago

Senior Analyst, Medical Economics - REMOTE

Molina Healthcare

•

Remote or Augusta, Georgia, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to
Posted 7 hours ago