- Molina Healthcare (Austin, TX)
- …used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables ... departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods… more
- Highmark Health (Austin, TX)
- …the Epic Resolute Hospital Billing application. Responsibilities include business /systems analysis, requirements definition and documentation, system design, and ... problem resolution. The analyst communicates with system end-users to understand issues and...**Preferred** + 2+ years of Healthcare Revenue Cycle experience ( Claims , Patient Access, Billing) + Epic Certification in Resolute… 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:** ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...trust, expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process… more
- Molina Healthcare (San Antonio, TX)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more
- Molina Healthcare (Austin, TX)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality...overall markets and LOB. + Work in an agile business environment to derive meaningful information out of complex… more
- Molina Healthcare (Austin, TX)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more
- Catholic Health Initiatives (Houston, TX)
- …requirements. Reports are produced for Revenue Cycle functions such claims submission, insurance follow‐up, cash management, credits/refunds, charge/payment posting, ... Indicator (KPI) dashboards, reimbursement and payer mix analyses and clinic/ business operational reports; 2) interpreting/explaining report findings to clinic… more
- Lockheed Martin (Fort Worth, TX)
- …policies and regulations, mitigating risk, and partnering with others to obtain positive business results\. **What You Will Be Doing** As a Global Supply Chain Staff ... Contracts Analyst , you are an experienced professional with a legal,...procurement law and the Uniform Commercial Code \(UCC\) * Claims , disputes, disclosures, or remedy experience * Experience with… more
- Lockheed Martin (Fort Worth, TX)
- …work at Lockheed Martin\! Who You Are As a Global Supply Chain Contracts Analyst Sr you are an experienced professional with a legal or contracts negotiating ... mitigating risk, and partnering with others to obtain positive business results\. In this role, you will: * Manage,...procurement law and the Uniform Commercial Code \(UCC\) * Claims , disputes, disclosures, or remedy experience * Experience with… more
- Elevance Health (Grand Prairie, TX)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues...They are how we achieve our strategy, power our business outcomes and drive our shared success - for… more