- Molina Healthcare (San Antonio, TX)
- **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by translating ... healthcare business needs into technical solutions. This role works closely...queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and maintain… more
- Catholic Health Initiatives (Houston, TX)
- …requirements. Reports are produced for Revenue Cycle functions such claims submission, insurance follow‐up, cash management, credits/refunds, charge/payment posting, ... leadership. Strong communication, analytical and critical thinking skills are required for timely report generation/distribution through use of computer‐based… more
- WTW (Dallas, TX)
- …between talent, assets and ideas - the dynamic formula that drives business performance. Together, we unlock potential. Learn more at wtwco.com . **Description** ... We are seeking a highly analytical and detail-oriented Insurance Risk Analyst with 3-5 years of experience assessing risk in complex environments. The ideal… more
- Sysco (Houston, TX)
- …from home on Thursday and Friday.** **Job Summary:** The Leave of Absence Analyst is responsible for managing employee leave and return to work processes, ensuring ... and company policies. This role involves coordinating with HR, business leaders, colleagues, and our third party leave and...Work:** Review and audit Return to Work process for claims , including Return to Work transitional program, process with… more
- CVS Health (Richardson, TX)
- …the department. + Very light travel, if any, may be requested to support business activity. ** Required Qualifications:** + 1+ year of professional experience or ... + Caremark Formulary and/or Rebate knowledge beneficial. + Experience with Caremark business systems, claims adjudication, formulary, drug, and client systems… more
- CVS Health (Austin, TX)
- …Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning the negotiation ... staff, and team members as more complex cases and strategies are developed. ** Required Qualifications** + 3-5 years of experience in a medical claim background with… more
- Molina Healthcare (Houston, TX)
- …information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each ... Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network… more
- Capgemini (El Paso, TX)
- …Groups + Disaster Relief **About Capgemini** Capgemini is a global business and technology transformation partner, helping organizations to accelerate their dual ... the value of technology to address the entire breadth of their business needs. It delivers end-to-end services and solutions leveraging strengths from strategy… more
- Capgemini (El Paso, TX)
- …Groups + Disaster Relief **About Capgemini** Capgemini is a global business and technology transformation partner, helping organizations to accelerate their dual ... the value of technology to address the entire breadth of their business needs. It delivers end-to-end services and solutions leveraging strengths from strategy… more
- Centene Corporation (Austin, TX)
- …and extensive datasets to extract value, which directly impacts and influences business decisions. Work collaboratively with key business stakeholders to ... effectively, both verbally and visually, communicate findings and insights to non-technical business partners + Independently engage with customers and business … more