- Molina Healthcare (TX)
- **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...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** Assist business teams with developing requirements for major projects of considerable complexity, prepares system design ... debug/analyze problems. + Fields direct questions from Molina Operations Staff regarding business , technical and operations rules. + Develops technical solutions to … more
- Humana (Austin, TX)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid business… more
- Prime Therapeutics (Austin, TX)
- …claims , contracting and pharmacy reimbursement. Works directly with business partners across the enterprise. **Responsibilities** + Executes compliance procedures ... and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance… more
- PNC (Dallas, TX)
- …have an opportunity to contribute to the company's success. As a Loan Support Analyst within PNC's Midland organization, you will be based in office within the PNC ... and also supports remote and hybrid work environments As a Loan Support Analyst in PNC Midland's Insurance department you will be responsible for determining… more
- Baylor Scott & White Health (Temple, TX)
- …applications to conduct business and operate efficiently and effectively. The Systems Analyst II bridges the gap between the business needs of the customer ... **JOB SUMMARY** **Hybrid Position - Temple/Austin** **BSW Health Plan** The Systems Analyst II figures out how to best use computerized… more
- Zelis (Plano, TX)
- …that shape who you are. Position Overview The Sr. Medicaid Regulatory Pricer Analyst will collaborate with the Zelis Regulatory Pricer Product team to further the ... team to refine into user stories with acceptance criteria, including creating test cases/ claims with expected pricing outcomes . + Perform analysis of various data… more
- Molina Healthcare (Fort Worth, TX)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities ... skills in data analysis. Performs research and deep-dive analysis of complex healthcare claims data, CMS return files, and financial cost, revenue, and vendor data.… more
- Molina Healthcare (Dallas, TX)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...life cycle + Gains a deep understanding of Molina claims life cycle and all processes that affect … more
- Sedgwick (San Antonio, TX)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Data Analyst Manager **PRIMARY PURPOSE OF THE ROLE:** To manage a staff of data ... combination of education and experience required to include four (4) years business experience in an insurance related field and four (4) years statistical… more
Recent Jobs
-
Associate Director, Clinical Research, Value & Evidence Generation, US Medical
- Takeda Pharmaceuticals (Lexington, MA)
-
Sr Manager, EHS
- ThermoFisher Scientific (Grand Island, NY)
-
Accounts Receivable Specialist
- Glens Falls Hospital (Glens Falls, NY)
-
Custodian - Georgetown University Law Center
- Georgetown Univerisity (Washington, DC)