- Prime Therapeutics (Austin, TX)
- …It fuels our passion 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...stakeholders to research and resolve regulatory inquiries/complaints related to claims , contracting and pharmacy reimbursement. Works directly with business… more
- International (San Antonio, TX)
- …era of complete and sustainable transport solutions. International is looking for an Sr . MES SCADA Analyst to support our Digital Transformation Journey. ... Supervisory Control and Data Acquisition (SCADA) systems help monitor and control operations and industrial processes within an integrated IT architecture. This role… more
- Evolent (Austin, TX)
- …fostering trust, expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate ... raw unadjudicated claims data. **Qualifications Required and Preferred:** + Bachelor's degree, preferably with a quantitative major (eg actuarial, statistics, … more
- Health Care Service Corporation (Wichita Falls, TX)
- …corporate operations . * Knowledge of product, marketing, sales, and claims adjudication. * Clear and concise written, presentation, verbal and interpersonal ... communication skills in order to work across various departments with various levels of management. * Handling sensitive or difficult situations as well as develop and deliver formal training to internal and external customers. * Extensive experience leading… more
- AIG (Dallas, TX)
- Senior Claims Management Analyst Join us as a Senior Claims Analyst to grow your experience in handling complex claims . Make your mark in ... Claims . Our Claims teams are the proven problem solvers of choice...on establishing appropriate reserves within assigned authority and in recognition AIG's of exposure above the deductible. Continually evaluates… more
- Highmark Health (Austin, TX)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
- Molina Healthcare (Austin, TX)
- …the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr . Analyst works with health plans and operations departments to assess, ... ensure adherence to and compliance with State and Federal regulatory guidelines. The Sr . Analyst develops and performs audits and oversight functions involving… more
- Molina Healthcare (Austin, TX)
- **Job Description** **Job Summary** The Sr Analyst , Encounters is responsible for monitoring inbound and outbound encounter processes and ensuring timely, ... Governance and Operations Reviews + Performs root cause analysis of claims and encounter data and develops recommendations based on data and industry knowledge.… more
- Prime Healthcare (Farmers Branch, TX)
- …revenues and efficiencies. As the Subject Matter Expert (SME) for Revenue Cycle operations , the Senior Analyst will lead strategic project implementations. ... Cycle Management by analyzing data and identifying process improvement opportunities. The Senior Analyst will apply analytical and critical thinking to develop… more
- Evolent (Austin, TX)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides a ... the impact of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams… more