- Prime Therapeutics (Austin, TX)
- …It fuels our passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst Sr - Medicaid Pharmacy Implementations - Remote ... **Job Description** The IT Business Systems Analyst (BSA) Sr is responsible...**Preferred Qualifications** + Previous Pharmacy Benefit Management (PBM) or healthcare experience with understanding of Medicare, Medicaid ,… more
- Elevance Health (Grand Prairie, TX)
- ** Business Information Analyst Senior - Medicaid Encounters Data** The ** Business Information Analyst Senior** is responsible for analyzing and ... encounter data submissions to CMS (Centers for Medicare & Medicaid Services). This role involves ensuring the accuracy and...Knowledge of SAS. + Knowledge of systems capabilities and Healthcare business operations. + ASC X12 837… more
- Humana (Austin, TX)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an ... complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and expansion into new states. The business … more
- Zelis (Plano, TX)
- …and the personal interests that shape who you are. Position Overview The Sr. Medicaid Regulatory Pricer Analyst will collaborate with the Zelis Regulatory Pricer ... What you'll bring to Zelis: + Bachelor's degree or equivalent experience in healthcare administration, business administration, or a related field + Five+ years… more
- Molina Healthcare (Austin, TX)
- …adjustment to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be...needs. Performs analysis across multiple states and lines of business (Medicare, Medicaid , Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** +… more
- Molina Healthcare (San Antonio, TX)
- **Job Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan ... + At least 6 years of experience as a Business Analyst or Program Manager in a...synthesize complex information. **PREFERRED QUALIFICATIONS:** + Experience with Medicare, Medicaid , and Marketplace lines of business . +… more
- Molina Healthcare (TX)
- **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims Operations ... and processing. This role will focus on identifying, reviewing, and validating Medicaid secondary payments to ensure alignment with internal configuration rules and… more
- Molina Healthcare (Houston, TX)
- …for medical record collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data, regulatory processes, and ... **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the...Experience** + 0-2 years of experience in data analytics, business intelligence, or healthcare operations + Foundational… more
- Molina Healthcare (Fort Worth, TX)
- …Experience, Knowledge, Skills, and Abilities:** + 5+ years of related experience in healthcare + Demonstrated understanding of Medicaid and Medicare programs or ... **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… 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