- Molina Healthcare (Houston, TX)
- …in data analysis. Performs research and deep-dive analysis of complex healthcare claims data , CMS return files, and financial cost, revenue, and vendor ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will support Molina's Risk...and Power BI, organizing and managing large and varied data sets, analyzing healthcare data for decision… more
- Molina Healthcare (Dallas, TX)
- …in SQL for large dataset analysis and transformation, specifically in processing healthcare claims data and supporting managed care reporting needs + Experience ... solutions. * Write advanced SQL queries to extract, validate, and analyze healthcare data , including claims , authorization, pharmacy, and lab datasets. * Build… more
- UTMB Health (Galveston, TX)
- Revenue Cycle Analyst - RCO Analytics **Galveston, Texas, United States** **New** Business, Managerial & Finance UTMB Health Requisition # 2505275 **EDUCATION & ... project management/facilitator experience with successful outcomes **JOB SUMMARY** The Revenue Cycle Analyst serves as a valued team member that analyzes complex … 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 (San Antonio, TX)
- **Job Description** **Job Summary** The Lead Analyst , Reimbursement is responsible for administering complex provider reimbursement methodologies timely and ... existing lines of business and expansion into new states. The Lead Analyst , Reimbursement will be primarily responsible for implementation, maintenance, and support… more
- BP Americas, Inc. (Houston, TX)
- …billion barrels of oil in place. **About the Role** The **Division Order & Lease Analyst ** will be supporting the land compliance team in the Gulf of America (GoA) ... maintenance and monitoring of the master lease and contract data . Distribute advices and obligations to the imbedded finance...Confirm validity of and initiate payments for invoices and claims . + **Document Control:** File and upload all documents… more
- Molina Healthcare (TX)
- …Marketplace and Medicare/MMP + Develops custom health plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and ... **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's...reports as requested to track HEDIS performance and supplemental data monitoring + Develops and QA custom health plan… more
- Molina Healthcare (Austin, TX)
- …for Medicaid, Marketplace and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will...users on how to use reports. + Assist Quality Data Analytics Leaders in Predictive Intervention Strategy Analytics along… more
- Molina Healthcare (Austin, TX)
- …Marketplace and Medicare/MMP * Develops custom health plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates * Assists and ... **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement role will...develops reporting solutions to assist HEDIS Outbound, Inbound extracts, Data Ingestions, Dashboards, Reports & Extracts for rate tracking… more
- Molina Healthcare (San Antonio, TX)
- …of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule… more
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