- CVS Health (Austin, TX)
- …with heart, each and every day. **Position Summary** The Dispute Repricing Analyst will be responsible for the accurate analysis and resolution of provider ... and responding to provider participation and pricing inquiries. + Analyze post-paid healthcare claims as it relates to pricing needs. + Apply in-depth research to… more
- CVS Health (Austin, TX)
- …to join our PBM Customer Reporting group as a Senior Reporting Analyst within our Compliance Pharmacy Payments. CVS Health strives to continuously innovate ... work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information… 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
- Keurig Dr Pepper (TX)
- …employees on workers' compensation ensuring timely return to work + Partners with claims adjusters, nurse case managers, EHS, Risk Management , managers, and ... and key stakeholders to identify preventative opportunity areas + Assesses all new claims and immediately engage in those that are serious, questionable, or lost… more
- Sysco (Houston, TX)
- …Senior Analyst is responsible for analyzing and enhancing case management processes within the organization. This role involves conducting in-depth data ... and other leave policies. Ensure timely and accurate case management . Investigates claims of abuse or misuse. Maintain accurate and confidential records… more
- Mass Markets (TX)
- …partner in the industry. We are looking for a proactive and detail-oriented Real-Time Analyst to join our workforce management team. This role is crucial in ... Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing,… more
- Evolent (Austin, TX)
- …will partner with stakeholders of various levels across analytics, finance, and account management . **What You Will Be Doing:** + Develop and deploy models and ... into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant… more
- International (San Antonio, TX)
- …sustainable transport solutions. International is looking for an Sr. MES SCADA Analyst to support our Digital Transformation Journey. Supervisory Control and Data ... focusing on delivering high-quality solutions* Relies on evidence to back claims and maintains high standards* Thinks independently, makes clear decisions, and… 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 ... and develops presentations for key stakeholders, including providers, clinic management and organizational leadership. Strong communication, analytical and critical… more
- CVS Health (Austin, TX)
- …every day. **Position Summary** CVS Health is looking for an experienced Business Analyst , QA and Technical SME with focus on balancing high-impact business ... management solutions with small project speed to market efficiency....+ Healthcare Insurance and PBM knowledge including Prior Authorizations, Claims , Rebates, Network contracting, Sales, Call Center Ops and… more