- Humana (Austin, TX)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... claims + Prior professional experience utilizing Microsoft Excel (eg performing basic data analysis in excel and utilizing pivot tables and various functions such… more
- Molina Healthcare (TX)
- …activities at individual state health plans. **KNOWLEDGE/SKILLS/ABILITIES** The Compliance Analyst position is primarily responsibility for supporting the day to ... + Performs Plan Required Reporting. + Interpret and analyzes Medicare , Medicaid and MMP Required Reporting Technical Specifications. +...rulemaking. + Manages user access to CMS. + Analyze data use critical thinking + Ability to work independently… more
- Molina Healthcare (Fort Worth, TX)
- …on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules ... as they apply to each database. Validate data to be housed on databases and ensure adherence...researching, presenting and documenting is required, + Experience with Medicare , Medicaid and Marketplace is required. + Medical coding… more
- Molina Healthcare (TX)
- …+ Computer Science or Info tech + Testing experience required + Data analytics + Familiarity w/SDLC Methodologies: Agile, waterfall, etc. **PREFERRED EXPERIENCE:** + ... SQL expertise + Excel expertise + Medicare , Medicaid, Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting and… more
- Molina Healthcare (Dallas, TX)
- …cross-functional coordination, and ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & ... the role. + Validate findings and test assumptions through data , but lead with contextual knowledge of claims processing,...At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
- Molina Healthcare (Fort Worth, TX)
- …achieve operational goals and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for ... the role. + Validates findings and test assumptions through data , but lead with contextual knowledge of claims processing,...At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
- HCA Healthcare (Austin, TX)
- …and process documentation for both the department and for assigned projects + Perform data analyst functions that generate knowledge via data mining, ... services research environment. + Experience with large health care data sets including, electronic health records, Medicare ...care data sets including, electronic health records, Medicare claims, or other health care claims data… more
- HCA Healthcare (Dallas, TX)
- …Institute (Kidney, Liver, Pancreas and Heart). + Work with division analyst to evaluate competitive market trends and opportunities. **Operational & Financial ... a financial infrastructure that ensures efficiency, optimizes cost capture for Medicare Cost Reports, and improves reimbursement strategies. + Work with Corporate… more
- Houston Methodist (Houston, TX)
- …Harmonisation/Good Clinical Practice guidelines. **FINANCE ESSENTIAL FUNCTIONS** + Assisting financial analyst in development of calendar and Medicare Cost ... post-study documentation, return of study materials to the sponsor and data archiving. + Collaborates and prepares with Principal Investigator, Institutional Review… more