• Analytic Consultant

    Norstella (Austin, TX)
    …sciences analytical use cases by querying and analyzing a wide range of healthcare data sources, including claims , lab results, electronic medical records (EMR), ... Norstella's unified Real World Data asset, a combination of claims , lab, SDOH and EMR data. You will be...worked in and understands the dynamics of the US healthcare ecosystem. **Responsibilities:** *As an RWD Analytic Consultant, you… more
    Norstella (08/22/25)
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  • Sr. Medicaid Regulatory Pricer Analyst

    Zelis (Plano, TX)
    …Proficient writing SQL queries + A good understanding of public and private healthcare payment systems, medical claims , standard claim coding, claim editing, ... So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more… more
    Zelis (08/27/25)
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  • Eligibility Analyst

    Prime Therapeutics (Austin, TX)
    …relevant work experience; HS diploma or GED required + 2 years of experience in healthcare , PBM, Eligibility or claims processing + Must be eligible to work in ... files, outgoing eligibility files, verification of letters of authority and some claims analysis. + Other duties as assigned **Minimum Qualifications** + Bachelor's… more
    Prime Therapeutics (09/05/25)
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  • Manager Rating/ Claims System Analyst

    Elevance Health (Grand Prairie, TX)
    **Manager Rating/ Claims System Analyst** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... accommodation is granted as required by law. The **Manager Rating/ Claims System Analyst** is responsible for managing the day-to-day...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
    Elevance Health (09/05/25)
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  • Pricing Analyst - Remote

    Prime Therapeutics (Austin, TX)
    …analysis to include 1 year of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare , and/or related field + Must be eligible to ... with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness &… more
    Prime Therapeutics (09/05/25)
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  • Senior Analytic Consultant

    Norstella (Austin, TX)
    …relational databases, ensuring data accuracy and quality. *Perform in-depth analyses on healthcare data sources, including claims , lab, EMR/EHR, and SDOH data, ... unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be...worked in and understands the dynamics of the US healthcare ecosystem. **Responsibilities:** *Lead the delivery of complex RWD… more
    Norstella (08/22/25)
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  • Claims PA1

    Capgemini (El Paso, TX)
    …and career. For eligible employees, we offer: + Flexible work + Healthcare including dental, vision, mental health, and well-being programs + Financial well-being ... and career. For eligible employees, we offer: + Flexible work + Healthcare including dental, vision, mental health, and well-being programs + Financial well-being… more
    Capgemini (08/13/25)
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  • Claims PA1

    Capgemini (El Paso, TX)
    …and career. For eligible employees, we offer: + Flexible work + Healthcare including dental, vision, mental health, and well-being programs + Financial well-being ... and career. For eligible employees, we offer: + Flexible work + Healthcare including dental, vision, mental health, and well-being programs + Financial well-being… more
    Capgemini (07/24/25)
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  • Appeals 3rd Party Claims

    TEKsystems (Addison, TX)
    …requests. + Ensure timely and accurate generation of re-bills, prioritizing high-dollar claims when behind goal. 3. Follow-Up & Escalation + Conduct in-depth ... Strong attention to detail and accuracy + Proficient in Microsoft Office suite and healthcare -specific software + Other duties as assigned + 3-5 years of appeals RCM… more
    TEKsystems (09/05/25)
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  • Senior Solution Product Owner - Pharmacy…

    Prime Therapeutics (Austin, TX)
    …decision we make. **Job Posting Title** Senior Solution Product Owner - Pharmacy Claims Data **Job Description** The Senior Solution Product Owner is responsible for ... duties as assigned **Minimum Qualifications** + Bachelor's degree in IT, Business, Healthcare Administration or related area of study, or equivalent combination of… more
    Prime Therapeutics (09/04/25)
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