- Molina Healthcare (Houston, TX)
- **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the RADV (Risk Adjustment Data Validation) team, assisting in the execution of ... collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data, regulatory...+ Basic familiarity with healthcare data types such as claims , encounters, or eligibility data + Comfortable working with… more
- Molina Healthcare (Austin, TX)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data… more
- Highmark Health (Austin, TX)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… 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 ... executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other… more
- Baylor Scott & White Health (Temple, TX)
- **JOB SUMMARY** **Hybrid Position - Temple/Austin** **BSW Health Plan** The Systems Analyst II figures out how to best use computerized applications to conduct ... business and operate efficiently and effectively. The Systems Analyst II bridges the gap between the business needs of the customer and the technology of… more
- Molina Healthcare (Houston, TX)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities ... skills in data analysis. Performs research and deep-dive analysis of complex healthcare claims data, CMS return files, and financial cost, revenue, and vendor data.… 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,...stakeholders to research and resolve regulatory inquiries/complaints related to claims , contracting and pharmacy reimbursement. Works directly with business… more
- Molina Healthcare (San Antonio, TX)
- **Job Description** **Job Summary** The Senior Analyst will serve a key role on the RADV (Risk Adjustment Data Validation) team, contributing to the end-to-end data ... Databricks, not all required elements are neatly organized or centralized. The analyst will be expected to investigate and connect disparate data sources, with… more
- CBRE (Houston, TX)
- Insurance Analyst Job ID 188665 Posted 09-Oct-2024 Role type Full-time Areas of Interest Capital Markets Location(s) Houston - Texas - United States of America CBRE ... at CBRE. **About the Role: ** As an Insurance Analyst , you will perform various tasks within the insurance...Manage flood determination process, force placed insurance and insurance claims as required. **What You'll Do:** + Conduct analysis… more
- Lyric (Austin, TX)
- …support are not available for this position. **Job Summary:** The Clinical Data Analyst - Staff plays a pivotal role in advancing our products and services ... business operations leaders to develop reporting and analyze large-scale healthcare claims and clinical datasets. By leveraging advanced coding, analytic reporting,… more