- Molina Healthcare (Austin, TX)
- **Job Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan ... business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...+ At least 6 years of experience as a Business Analyst or Program Manager in a… more
- Highmark Health (Austin, TX)
- …+ Bachelor's Degree **EXPERIENCE** **Required** + 3 - 5 years of experience in a Business Analyst or Business Process Analyst role or experience ... significant amounts of information and analyzes processes to support business unit needs. May troubleshoot errors, conduct impact analyses,...in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 1 -… more
- Highmark Health (Austin, TX)
- …+ Bachelor's Degree **EXPERIENCE** **Required** + 1 - 3 years of experience in a Business Analyst or Business Process Analyst role or experience ... significant amounts of information and analyzes processes to support business unit needs. May assist with troubleshooting errors, conducting...in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 0 -… more
- The Hartford (San Antonio, TX)
- …Disability and Absence Management Disability Team. The Short-Term Absence Management Disability Analyst quickly investigates claims to determine if the insured ... Ability Analyst - C410ANSr Ability Analyst -...with the expectation of coming into an office as business needs arise. Start Date: 2/2/2026 Training Hours: Core… more
- The Cigna Group (Plano, TX)
- **Senior Business Analyst - Out of Network Analytics - Evernorth** Are you passionate about using data to drive meaningful change in healthcare? Join our Out of ... as well as maximum reimbursable charge. As a Senior Business Analyst , you'll turn complex data into...experience in the healthcare domain, with expertise in healthcare claims data. + Advanced proficiency in data querying tools… more
- Baylor Scott & White Health (Austin, TX)
- + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position analyzes ... and outbound encounter process. + Monitors and oversees the end-to-end claims encounter management workflow. + Identifies and interprets encounter data, submission… more
- Sedgwick (Dallas, TX)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance SAP FICA Systems Analyst **PRIMARY PURPOSE OF THE ROLE:** To design and maintain robust, scalable ... INCLUDE** + Ensures software scalability and data integrity throughout all claims -related applications. + Ensures software compatibility and alignment with overall … 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 ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Academy Sports + Outdoors (Katy, TX)
- …environment that values hard work, commitment, and growth . The Senior Fraud Analyst serves as a strategic leader in protecting Academy's eCommerce platforms from ... fraudulent activity while enhancing customer experience and supporting business growth. As a subject matter expert, this role leverages advanced analytics to… 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:** ... **Lead Analyst , Performance Analytics - Oncology & Member Product Focus**...Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers,… more