- Zelis (TX)
- …who you are. Position Overview We are seeking a detail-oriented and technically skilled analyst to support healthcare claims repricing and data validation ... insights. Success in this role requires deep familiarity with healthcare claims data, strong SQL proficiency, and...all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you… more
- Providence (TX)
- …we must empower them.** **Providence St Joseph Health operates a self-administered claims program for General and Healthcare Professional Liability, Directors ... and Officers, Employment Practices, Fiduciary, Property, Cyber, Managed Care, and Auto Claims . The Senior Quality Analyst assists the Claims leaders in… more
- Molina Healthcare (Fort Worth, TX)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Molina Healthcare (Austin, TX)
- …analysis, task and workflow analysis. + Interpret customer business needs in the claims space and translate them into application and operational requirements + ... **JOB DESCRIPTION** **Job Summary** Analyzes complex claims business problems and issues using data from...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Evolent (Austin, TX)
- …**What You Will Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, ... working seamlessly with diverse teams and stakeholders. + Familiarity with healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including… more
- Molina Healthcare (Austin, TX)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate billing and coding compliance with Medicare and third-party ... potential risk areas and revenue potential. The Sr Compliance Coding Analyst position partners with stakeholders to provide feedback regarding documentation and… more
- Norstella (Austin, TX)
- …seeking a Senior Medical Analyst to join our team and drive data-driven healthcare initiatives. In this role, you will leverage your expertise in healthcare ... Sr. Medical Analyst Company: MMIT Location: Remote, United States Date...related field. + Experience working with and querying large healthcare databases, including claims , EMR/EHR, and laboratory… more
- Elevance Health (Houston, TX)
- **Recovery Audit Analyst I** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and connectivity, ... is granted as required by law. The **Recovery Audit Analyst I** is responsible for auditing and facilitating the...is responsible for auditing and facilitating the recovery of claims overpayments as identified by our business partners. Responsible… more
- Highmark Health (Austin, TX)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
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