- Humana (Austin, TX)
- …actuarial and business needs for specific product lines. The Actuarial Analyst 2, General work assignments are varied and frequently require interpretation and ... **Become a part of our caring community and help us put health first** The Actuarial Analyst 2, General provides actuarial support across a broad range of… more
- Prime Therapeutics (Austin, TX)
- …passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal (Performance and Oversight) - Remote **Job Description** The Compliance ... launch and beyond, focusing on balancing customer needs with business goals. + Consults with business areas...or within a highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) +… more
- Prime Therapeutics (Austin, TX)
- …and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance ... Analyst assists in the implementation of Prime's compliance programs,...to claims, contracting and pharmacy reimbursement. Works directly with business partners across the enterprise. **Responsibilities** + Executes compliance… more
- CVS Health (Richardson, TX)
- …every day. This is a hybrid position. **Position Summary** As a Rebate Formulary Analyst - Manufacturer Rebates you will perform a critical role in the analysis of ... Medicare and Commercial formularies to determine client eligibility for...light travel, if any, may be requested to support business activity. **Required Qualifications:** + 1+ year of professional… more
- Molina Healthcare (Fort Worth, 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...achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **Job… 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...+ provide summary information to stakeholders & management answering business questions + create & maintain queries supporting precise… more
- 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 ... potential risk areas and revenue potential. The Sr Compliance Coding Analyst position partners with stakeholders to provide feedback regarding documentation and… 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 ... an integral part of the Pricer Business and System Support team responsible for administering complex...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- Baylor Scott & White Health (Temple, TX)
- **Job Description :** We are seeking a detail-oriented and experienced **System Analyst 2** to join our team. The ideal candidate will be responsible for testing, ... related to healthcare claims. This role involves working closely with developers, business analysts, and EDI teams to ensure that claims data meets internal… more
- CVS Health (Austin, TX)
- …sound data presentation * Converts results of data analysis into meaningful business information to disseminate conclusions about the overall function of the ... data analysis to strategize and achieve operational targets for NCQA HEDIS and Medicare Stars * Provide analysis support for PIP reports to regulators, including… more