- Acosta Group (Lewisville, TX)
- …of strategic business planning, including, but not limited to, category management , **space management , product evaluation, promotion planning and evaluation** ... internally and externally as a thought leader in space planning, category management insights and trends. + Coordinate efforts with the field Insights team… more
- Centene Corporation (Austin, TX)
- …support for business operations in all or some of the following areas: claims , provider data, member data, clinical data, HEDIS, pharmacy, external reporting + ... elevate issues, trends, areas for improvement and opportunities to management + Develop reports and deliverables for management... management + Develop reports and deliverables for management + Model data using MS Excel, Access, SQL,… more
- Molina Healthcare (Fort Worth, TX)
- …opportunities for cost savings. + Leads coordinated development and ongoing management /interpretation review process, committee structure and timing with key ... care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. + Strong understanding of… more
- CVS Health (Austin, TX)
- …data interpretation and analysis experience. + Healthcare background. + Experience with internal claims data and healthcare coding. + Must be able to travel to ... all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit… more
- Highmark Health (Austin, TX)
- …The role involves executing all facets of the Informatics project management process, leading multiple project managers, and potentially guiding, mentoring, or ... analysis capability for Highmark's pharmacy and medical benefit specialty drug management programs. Furthermore, the incumbent will utilize advanced knowledge of… more
- Experian (Austin, TX)
- …of variance review/appeal activities + Work directly with the Appeal Analyst (s) to communicate variance review/appeal best practices and client specific requirements ... + Provide support to the Appeals Analyst (s) as questions arise + Work directly with the...review process and to resolve large volumes of underpaid claims through claim projects with the payer + Work… more
- UIC Government Services and the Bowhead Family of Companies (San Antonio, TX)
- …DHA operations. **Responsibilities** Positions available may include: + Graphic Designer + Management Analyst + Application Engineer + Application Programmer + ... Facilities (MTFs) IT (Information Technology) division supports the continued management and administration of DHA systems, applications, networks, cybersecurity,… more
- CVS Health (Austin, TX)
- …**Position Summary** We are seeking a highly analytical and detail-oriented Data Analyst to join our Special Investigation Unit within a leading health insurance ... analyses to support investigations of potential fraud, waste, and abuse in Medicaid claims and provider activity. + Prepare timely and accurate Medicaid regulatory &… more
- Elevance Health (Grand Prairie, TX)
- …American healthcare delivery. The **Senior Health Economist (** Advanced Analytics Analyst Senior) measures financial performance of core Carelon products leveraging ... claims , authorization, and membership data to tell a detailed...Experiences:** + Actuarial sciences background highly preferred. + Utilization Management experience preferred. + Medical economics, provider finance, healthcare… more
- HUB International (Argyle, TX)
- …a global insurance broker providing a broad array of property, casualty, risk management , life and health, employee benefits, investment and wealth management ... Provides benchmarking reports to client (annually, quarterly or monthly) + Manages claims and coverage issue resolution for clients' employees when elevated from HR.… more