Health Claims Jobs in Plano
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Search Results - Health Claims Jobs in Plano
UnitedHealth Group-Plano
econometrics, predictive modeling, ROI analysis, simulation, and data visualization for policy development
• Query large healthcare claims databases and prepare data for internal/external use
• Write specifications and documentation of data processing...
Plano
policies and procedures.
Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.
• Reviews EOB/EOMB's for proper reimbursement.
• Resolves electronic claim rejections and Explanation of Benefits denials...
usrenalcare.com -
TEKsystems-Plano
Overview
In this contract, remote CWCOT Claims Processor role supports mortgage claim processing for FHA-related files. You review, process and verify claims against guidelines, enter data, and resolve discrepancies to ensure accuracy within...
DXC Technology-Plano
platforms, ISB delivers solutions across policy administration, claims, billing, analytics, and digital engagement supporting Life & Annuity, Property & Casualty, and Specialty insurance markets. You’ll directly shape how the world's leading insurers operate...
UnitedHealth Group-Plano
and reduce rework
• Build stakeholder relationships and present updates with executive presence
Key requirements
• 5+ years in healthcare
• 3+ years in Payment Integrity, Revenue Integrity, claims operations, healthcare analytics, or related function
• 3...
Abbott-Plano
Job ID: 31165058Company: Abbott LaboratoriesLocation: Plano, Texas, United States | Austin, Texas, United StatesEmployment type: full timeCategory: MarketingIndustry: HealthcarePosted: 2026-10-16
Abbott is a global healthcare leader that helps...
SCAN Health Plan-Plano
experience (or 4+ years in Healthcare/Managed Care)
• Experience with HEDIS and medical claims data preferred
• Advanced MS Office proficiency; strong MS SQL querying skills
• Snowflake experience preferred; SQL Server Reporting Services and Integration...
Samsung SDS America-Plano
claims, and regulatory investigations.
• Direct and supervise outside counsel while controlling legal expenses.
• Develop litigation strategies that align with business priorities.
• Resolve commercial disputes through negotiation and alternative dispute...
workable.com -
TEKsystems-Plano
Overview
In this role, you will support a healthcare/PBM organization by researching, auditing, and remediating pharmacy claims affected by RxClaim system issues. You will work remotely with a cross-functional team to identify root causes...
NTT DATA, Inc.-Plano
Location:
This person will be a REMOTE based employee within the United States.
Key Responsibilities
• Serve as a strategic advisor to Public Sector executives, helping define and shape AI opportunities aligned with underwriting, claims, distribution...
appcast.io -
Plano
to achieve your wellness goals.
• Employee Assistance Program (EAP): Comprehensive support for your mental, emotional, and physical health.
• Award-Winning Culture – Honored with the Clinical Excellence Award in 2021 for our commitment to ethical standards...
behavioral-innovations.com -
Plano
your problem solving skills and knowledge of customer service to help improve the health of America's workforce? At Concentra, we serve more than 500 medical centers and 130 onsite clinics nationwide. Concentra colleagues remain fueled by our driving...
icims.com -
Plano
and pipelines using healthcare and pharmacy data (claims, EHRs, prescription data, formulary data, etc.)
• Develop robust end-to-end ML systems, including data ingestion, feature engineering, model training, validation, deployment, monitoring, and retraining...
avitapharmacy.com -
ProClinical-Plano
Overview
As Product Owner, you will drive enhancements to a healthcare payments and reimbursement platform, working with cross-functional teams to deliver value for patients, providers, and businesses. You’ll shape product requirements, prioritise...
UnitedHealth Group-Plano
collaboration experience
• Bachelor’s degree in finance, Healthcare Administration, Economics, Statistics, Mathematics, Business Analytics, or related fields
• Experience with claims systems, contract modeling software, or reimbursement configuration platforms...
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