- USAA (Plano, TX)
- …for this position. **The candidate selected for this position will be joining the Claims Analytics team, which is a part of P&C Actuary & Analytics.** **They will ... work directly with Claim 's business partners on benefit analysis, analyzing data to...initiatives.** **They will partner with the other teams within Claims Analytics, as well as the P&C Data Science… more
- CVS Health (Austin, TX)
- …with heart, each and every day. **Position Summary** The Dispute Repricing Analyst will be responsible for the accurate analysis and resolution of provider ... related to Network contracts and agreements. + Research identified issues; submit claim adjustment requests and determine the root cause of disputes. + Serve… more
- Prime Therapeutics (Austin, TX)
- …our passion and drives every decision we make. **Job Posting Title** Pricing Analyst - Remote **Job Description** The Pricing Analyst maintains, provides ... with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness &… more
- Prime Therapeutics (Austin, TX)
- …our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Senior - Remote **Job Description** The Senior Pricing Analyst participates ... revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other...weekends, holidays, or shifts outside of Prime's core business hours of 9:00am-3:00pm + Constantly required to sit, use… more
- Intermountain Health (Austin, TX)
- **Job Description:** The Business Analyst II reports to the Supervisor of the Central Business Unit (CBU) and performs moderate to complex tasks within our claims ... resolution of issues. **Schedule** + Flexible schedule, Mon-Fri during normal business hours + Fully remote We are committed to offering flexible work options… 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 integral ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- Position Information Posting NumberSRGV8219 Working TitleCOMPLIANCE CODING AND BILLING ANALYST Number of Vacancies1 LocationMcAllen, Texas DepartmentOffice of the ... and regulations and UTRGV policies. To review and analyze medical records, claims , and workflow processes to ensure accuracy, completeness, and compliance with… more
- CVS Health (Austin, TX)
- …to join our PBM Customer Reporting group as a Senior Reporting Analyst within our Compliance Pharmacy Payments. CVS Health strives to continuously innovate ... work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information… more
- Academy Sports + Outdoors (Katy, TX)
- …field of study OR equivalent work experience Work Experiences: + 3 Years Analyst Work Experience in Casualty Insurance or Risk Management field preferred Skills: + ... between Risk Management and insurance carriers for renewals, audits, retrospective claim reviews, etc. + Reconciles and ensures the accuracy of retrospective… more
- AdventHealth (Burleson, TX)
- …spiritual level by praying with patients and families and providing on call, 24 hours , 7 days a week Chaplains for spiritual support. + Award winning facility and ... a low-cost of living. **The role you'll contribute:** A Finance Analyst interacts with department directors, physicians, and hospital management in conjunction… more