- Evolent (Austin, TX)
- …business administration, healthcare administration, public health, analytics, or a related field , master's degree Strongly Preferred. + 10+ years of experience ... accounts + Strong knowledge of health plan operations, care/utilization management, claims processing, value-based care, and the levers to optimize financial… more
- Zelis (Plano, TX)
- …team to refine into user stories with acceptance criteria, including creating test cases/ claims with expected pricing outcomes . + Perform analysis of various data ... equivalent experience in healthcare administration, business administration, or a related field + Five+ years of experience in Medicaid billing, reimbursement, claim… more
- Elevance Health (Grand Prairie, TX)
- …requirements. + Develop and analyze business performance reports (eg, for claims data, provider data, utilization data) and provides notations of performance ... Requirements:** + Requires a BS/BA degree in a related field and a minimum of 3 years data analysis...experience. + Facets systems knowledge considered a plus. + Claims and/or Encounters experience preferred. + Experience with Medicaid… more
- BrightSpring Health Services (Corpus Christi, TX)
- …personnel costs, consultant services + Monitors worker's compensation and unemployment claims for assigned service site(s). Is proactive in efforts to reduce ... claims and minimize risk/exposure of agency in these areas...has five decades of experience in the disability services field , providing support to individuals who need assistance with… more
- Bechtel Corporation (Sugar Land, TX)
- …teams, suppliers, and other BEO functional departments to resolve performance issues, claims , and contractual matters. + Ensure invoices are reviewed in a timely ... contract formation, and administration. + Experience resolving supplier performance issues, claims , and disputes. + Effective communication skills, both oral and… more
- Texas A&M University System (Bryan, TX)
- …in administration, program management, risk and compliance, or a related field . Required Special Knowledge, Skills, and Abilities: + Strong operational understanding ... to leadership based on the collected and analyzed data, including claims history of medical malpractice policies, workers' compensation, and bloodborne pathogen… more
- Defense Contract Management Agency (San Antonio, TX)
- …progressively higher level graduate education leading to such a degree, in a field which demonstrates the knowledge, skills, and abilities necessary to perform the ... at the time of application) to support your educational claims . Or, if you are using education to qualify...at the time of application) to support your educational claims . The transcripts must include your name, the name… more
- BrightSpring Health Services (Lufkin, TX)
- …personnel costs, consultant services + Monitors worker's compensation and unemployment claims for assigned service site(s). Is proactive in efforts to reduce ... claims and minimize risk/exposure of agency in these areas...has five decades of experience in the disability services field , providing support to individuals who need assistance with… more
- Sedgwick (Austin, TX)
- …Bachelor's degree in Marketing, Business, IT, Engineering or a related field 8+ years of experience in B2B marketing technology. Experience creating ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Houston Methodist (Houston, TX)
- …Clinical Research Billing Compliance. + Provides oversight and performs detailed claims analysis and medical record review as necessary, including the following: ... clinical trial protocols, study budgets, coverage analyses, etc. - Performs detailed claims testing and medical review. - Reviews Medicare Coverage Analysis to… more