- Molina Healthcare (Austin, TX)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data (SQL and advanced Excel functions) from internal and external sources to ... Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis… more
- Molina Healthcare (Austin, TX)
- **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. ... Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact.… more
- Providence (TX)
- …Fiduciary, Property, Cyber, Managed Care, and Auto Claims. The Senior Quality Analyst assists the Claims leaders in managing a quality assurance program to ... regulations pertaining to self-insured health care organizations. The Senior Quality Analyst is also responsible for maintaining a claims quality assurance program,… more
- Houston Methodist (Houston, TX)
- …seek maximum reimbursement from various government programs. The Sr. Accounting and Reporting Analyst utilizes strong data analytic skills to identify issues and ... At Houston Methodist, the Senior (Sr.) Accountng and Reporting Analyst position is responsible for identifying and compiling information to effectively report costs… more
- Molina Healthcare (Austin, TX)
- …finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for...include research, analysis and modeling of complex healthcare claims data , pharmacy data , lab data ,… more
- CVS Health (Austin, TX)
- … Medicare , Medicaid, & Healthcare Plans. Primary responsibilities of the Eligibility Analyst include: + Acting as a healthcare data subject matter expert ... division of CVS Health, is looking for an Eligibility Analyst to join our Eligibility Administration Department. As an...on Eligibility guidelines and Electronic Data Interchange (EDI) protocol for clients + Researching and… more
- Molina Healthcare (Houston, TX)
- …for medical record collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data , regulatory processes, and ... **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the...or analytics + Exposure to Databricks, Spark, or similar data platforms + Familiarity with Medicare Advantage… more
- Prime Therapeutics (Austin, TX)
- …passion and drives every decision we make. **Job Posting Title** Senior Actuarial Analyst - REMOTE **Job Description** The Senior Actuarial Analyst is ... pricing support for all Prime's lines of business (commercial, Medicare and Medicaid). This role will also provide actuarial...and complex actuarial models + Lead, perform, and review data analyses, reporting, and projections + Lead, perform, and… more
- Molina Healthcare (Fort Worth, TX)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... identifying opportunities to improve financial performance. Extracts, analyzes, and synthesizes data from various sources to identify risks and opportunities. **Job… more
- Molina Healthcare (TX)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom ... reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare /MMP. Assists with research, development, and completion of special performance… more