Claims Processing Jobs in Plano, TX

Job Description:DXC Technology (NYSE: DXC) helps global companies run their mission critical systems and operations while modernizing IT optimizing data architectures and ensuring security and scalability across public private and hybrid clouds. The worlds largest companies and public sector organiz...

At Zelis we Get Stuff Done. So lets get to it!A Little About UsZelis is modernizing the healthcare financial experience across payers providers and healthcare consumers. We serve more than 750 payers including the top five national health plans regional health plans TPAs and millions of healthcare p...

Job Description Claims Processor Project Duration: 5 6 months Work Hours: 7:00 AM 4:00 PM PST Start Date: Targeting December 15th Role Overview The Claims Processor is responsible for validating members Out-of-Pocket Maximum (OOPM) cost shares based on the audit years listed in the Accumu...

The Payment Integrity Analyst II plays a critical role in analyzing and interpreting healthcare data to provide actionable insights for improving patient outcomes optimizing clinical workflows and supporting healthcare decision-making. This position ensures accurate claims processing policy interpre...

Position Overview:The Senior Clinical Analyst role combines clinical data expertise with relationship management to ensure accurate claims processing resolve billing discrepancies and optimize carrier performance. The analyst plays a key role in identifying improper payments communicating findings a...

At Collective Health were transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology compassionate service and world-class user experience design.The Senior Compliance Claims Auditors primary focus will be supporting the Companys i...

At Collective Health were transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology compassionate service and world-class user experience design.The Compliance Claims Auditors primary focus will be supporting the Companys internal...

At Collective Health were transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology compassionate service and world-class user experience design.The Compliance Claims Auditors primary focus will be supporting the Companys internal...

Job Title: Director of Pharmacy AnalyticsLocation: Remote/HybridDepartment: Pharmacy / Payment Integrity Reports To: VP of Payment IntegrityJob Summary:The Director of Pharmacy will lead the pharmacy-related functions within SmartLight Analytics. This leadership role will focus on ensuring the accur...