- Cardinal Health (Austin, TX)
- …data from multiple sources (eg, Salesforce, Trella Insights, Definitive Healthcare, claims feeds, internal CRM/ERP) to deliver clear, actionable insights that ... Ensure HIPAA/privacy safeguards and appropriate minimum necessary use of PHI/ claims . + Define and operationalize Reach (# of targeted...offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision… more
- CVS Health (Austin, TX)
- …+ Performs a broad range tasks and assignments of operational/financial activities in support of revenue or claim information. + Performs general data gathering ... and analysis in support of assigned operational accounting discipline. + Balances and...inventory and business activity results to unit supervisor in support of unit's operating plan. + Applies understanding of… more
- Centene Corporation (Austin, TX)
- …projects and acts as a lead for other Data Analysts. + Provide advanced analytical support for business operations in all or some of the following areas: claims , ... provider data, member data, clinical data, HEDIS, pharmacy, external reporting + Extract, load, model, and reconcile large amounts of data across multiple system platforms and sources + Review data to determine operational impacts and needed actions; elevate… more
- CVS Health (Austin, TX)
- …Applies in-depth knowledge of configuration management tools and systems to support organizational operations. + Codes and/or writes custom configurations or ... and security requirements. **Required Qualifications** + 1 year minimum of claims processing experience + Experience with system testing and post go-live… more
- Experian (Austin, TX)
- …to communicate variance review/appeal best practices and client specific requirements + Provide support to the Appeals Analyst (s) as questions arise + Work ... directly with the Appeal Analyst (s) to resolve CM data issues affecting ...review process and to resolve large volumes of underpaid claims through claim projects with the payer… more
- UIC Government Services and the Bowhead Family of Companies (San Antonio, TX)
- **Overview** BROOKE ARMY MEDICAL CENTER (BAMC) INFORMATION TECHNOLOGY (IT) SUPPORT (BAMCIT): Bowhead seeks individuals to network with relative to a potential ... supporting theGeographic Service Providers (GSP) Brooke Army Medical Center (BAMC) IT Support Services directorate located in San Antonio, TX. The Military Medical… more
- CVS Health (Austin, TX)
- …**Position Summary** The Senior Manager Analytic Consultant is an experienced customer-facing analyst who supports the Account Team's ability to craft a compelling ... and actionable information. This role is responsible for medical claims and economics reporting and analytics for a book...and how the work of the AC can best support those objectives. + Provide proactive trend advising and… more
- CVS Health (Austin, TX)
- …**Position Summary** We are seeking a highly analytical and detail-oriented Data Analyst to join our Special Investigation Unit within a leading health insurance ... and Python who can transform complex healthcare data into actionable insights to support fraud, waste, and abuse (FWA) detection and Medicaid regulatory & compliance… more
- Elevance Health (Grand Prairie, TX)
- …week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office ... American healthcare delivery. The **Senior Health Economist (** Advanced Analytics Analyst Senior) measures financial performance of core Carelon products leveraging… more
- Houston Methodist (Houston, TX)
- …revenue cycle performance. + Leads committees and task forces needed to support revenue cycle initiatives for assigned departments. Demonstrates the ability to plan, ... in a variety of areas, including but not limited to: coding, claim submission, insurance and self-pay collections, refunds and write-off approvals Works with… more