- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate billing and coding compliance with Medicare and third-party ... potential risk areas and revenue potential. The Sr Compliance Coding Analyst position partners with stakeholders to provide feedback regarding documentation and… more
- Molina Healthcare (San Antonio, TX)
- …have experience working in Medicare + Must have experience analyzing claims . **Job Qualifications** ** REQUIRED EDUCATION:** Associate's Degree and/or equivalent ... and/or detects violation of applicable laws and regulations, which will protect the Business from liability and potential risk. Ensures that the Business … more
- Sedgwick (Dallas, TX)
- …Fortune Best Workplaces in Financial Services & Insurance SAP FICO Systems Analyst **PRIMARY PURPOSE** : To design and maintain robust, scalable software ... + Ensures software scalability and data integrity throughout all claims -related applications. + Ensures software compatibility and alignment with overall… more
- Prime Therapeutics (Austin, TX)
- …flexible schedule which may include weekends, holidays, or shifts outside of Prime's core business hours of 9:00am-3:00pm + Constantly required to sit, use hands ... our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Senior - Remote **Job Description** The Senior Pricing Analyst participates… more
- Prime Therapeutics (Austin, TX)
- …fuels our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Sr - Strong SQL/GCP - Remote **Job Description** The Senior Pricing ... Analyst participates in the assessment of value generated by...revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other… more
- Evolent (Austin, TX)
- …selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ... Senior Analyst , Healthcare Analytics Consultant The Client Analytics team provides...team provides a unique opportunity to collaborate with key business , analytics, product, and operational leaders to deliver client-specific… more
- Evolent (Austin, TX)
- …selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ... Job Description ** Analyst , Integration Quality** Integration testing in the healthcare ecosystem...timely manner including: + create & maintain test cases required to analyze source & target integrity across various… more
- Sedgwick (Houston, TX)
- …years of related experience or equivalent combination of education and experience required . Experience in multi-line claims management processes and system ... Workplaces in Financial Services & Insurance Sr IT Systems Analyst Specialist **PRIMARY PURPOSE OF THE ROLE** : To...**PRIMARY PURPOSE OF THE ROLE** : To lead the business analysis efforts for implementations and large, multi-line projects;… more
- Molina Healthcare (Austin, TX)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data… more
- Molina Healthcare (Houston, TX)
- **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the RADV (Risk Adjustment Data Validation) team, assisting in the execution of ... chase lists by helping identify and validate source data required for medical record collection. This is an ideal...collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data, regulatory… more