- Centene Corporation (Austin, TX)
- …clinical outcomes. + Interpret and analyze data from multiple sources including claims , provider, member, and encounters data. Identify and assess the business ... Microsoft PowerBI. Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity… more
- Molina Healthcare (Austin, TX)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting,… more
- Bureau of Naval Personnel (Post, TX)
- …when selecting individuals under this specific hiring authority. However, if you claim veteran's preference, you will be required to submit supporting documentation ... with your application as described in the Required Documents section below. Certain incentives (such as Recruitment, Relocation or Student Loan Repayment) may or may not be authorized to eligible selectees. A relocation incentive is generally a single payment… more
- Prime Healthcare (Farmers Branch, TX)
- …Cycle processes and applications such as billing, coding, reimbursement methodologies, claim denial, etc. + Proficient in business software applications, and related ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/214646/revenue-cycle-technology- analyst /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare… more
- The Cigna Group (Austin, TX)
- …of managed care business processes, data, systems, and applications for claims payment, enrollment, benefit design, and utilization management + Strong analytical ... and problem-solving skills with a proven track record of success + Ability to independently perform data analysis while managing multiple projects and meeting strict deadlines + Strong ability to validate and interpret results + Ability to influence and drive… more
- Molina Healthcare (Dallas, TX)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Develop ad-hoc reports using SQL programming, SQL Server… more
- Acosta Group (Lewisville, TX)
- …to perform the essential duties. Responsibilities With Regard to Workers' Compensation Claims : You are responsible for reporting any employment related injury you ... incur to your direct supervisor as soon as possible following an incident resulting in an injury. **QUALIFICATIONS** **Additional Requirements:** + **Education/Experience:** 2 years' experience in analyzing and interpreting data and delivering actionable… more
- WTW (Dallas, TX)
- …management program design, pharmacy solutions, disability/absence management strategies and claims audit services. Product-based solutions such as our pharmacy ... purchasing coalition round out our broad-based suite of offerings. **Explore an opportunity:** WTW's Recent College Graduate Program (RCGP) is a centrally run, 12-month program for recent college graduates. The program offers a centralized team to support… more
- CVS Health (Austin, TX)
- …-3-5 years of data interpretation and analysis experience. -Experience with internal claims data and healthcare coding. -Must be able to travel to provide ... testimony if needed. -Advanced experience with Excel. **Preferred Qualifications** Certified Professional Coder Knowledge of CVS/Aetna's policies and procedures **Education** Bachelor's degree or equivalent work experience **Anticipated Weekly Hours** 40… more
- Molina Healthcare (TX)
- …+ SQL expertise + Excel expertise + Medicare, Medicaid, Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting ... and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made… more