- Amazon (Austin, TX)
- Description The Senior Product Safety and Quality Analyst is responsible for vetting the safety and quality of new and existing WFM products by investigating ... WFM Legal team on regulatory requirements o Reviewing applicable product claims /statements and determining claim validation criteria o Developing and negotiating… 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** 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
- PNC (TX)
- …an opportunity to contribute to the company's success. As a Loan Support Analyst within PNC's Midland Commercial Real Estate Division, you will be based remotely ... insurance items. Additional analytical responsibilities may be assigned, with regards to claims and lender placed insurance coverage. An ideal candidate will have 4… more
- Molina Healthcare (Austin, TX)
- …the Sr. Analyst , Data is responsible for data compilation, data management , data analysis, and reporting + Extracts and compiles various sources of information ... easily understood reports, analysis, and summary of findings for use by management + Assists in preparation of regularly produced reports to support executive… more
- Evolent (Austin, TX)
- …will partner closely with executives across analytics, finance, product and account management . **What You Will Be Doing:** + Support Business Development & Product ... fostering trust, expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate… more
- CVS Health (Austin, TX)
- …And we do it all with heart, each and every day. **Overview** The Senior Analyst supports Product Analytics by making data accessible and actionable for the care ... management suite of products. This role is responsible for...in business analytics. + Familiarity with medical and pharmacy claims datasets and healthcare analytics. + Excellent verbal and… more
- Lockheed Martin (Fort Worth, TX)
- …results\. **What You Will Be Doing** As a Global Supply Chain Staff Contracts Analyst , you are an experienced professional with a legal, contracts or supply chain ... management background\. You have a comprehensive understanding of the...procurement law and the Uniform Commercial Code \(UCC\) * Claims , disputes, disclosures, or remedy experience * Experience with… more
- Humana (Austin, TX)
- …CFOs, clinical teams, and provider engagement teams, focusing on Medicaid claims and premium analytics across multiple states, including established and expansion ... data connecting financial outcomes with operational results, particularly in Medicaid claims and premiums. + Deliver project-based and ad-hoc reporting for Medicaid… 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 ... Review medical record documentation in support of Evaluation and Management , CPT, HCPCS and ICD-10 code. + Reviews company...to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues… more