- 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 ... passion and drives every decision we make. **Job Posting Title** Eligibility Analyst **Job Description** The Eligibility Analyst is responsible for representing… more
- Prime Therapeutics (Austin, TX)
- …claims , contracting and pharmacy reimbursement. Works directly with business partners across the enterprise. **Responsibilities** + Executes compliance procedures ... every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory Inquiry &...as assigned **Education & Experience** + Bachelor's degree in business , healthcare , or related area of study,… more
- Evolent (Austin, TX)
- …Codes, CPT Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...health, biology) + 1+ years of professional experience in claims -based healthcare analytics with a payer, provider,… more
- CVS Health (Richardson, TX)
- …and develop applications, systems, and databases used to process prescriptions, claims , and related healthcare activities; and collaborate with cross-functional ... CVS Health company, is hiring for the following role in Richardson, TX: Sr. Analyst , Application Development to analyze and assist with the design and development of… more
- UTMB Health (Galveston, TX)
- Analyst , 340B Program - Contract Pharmacy **Galveston, Texas, United States** **New** Allied Health UTMB Health Requisition # 2504846 **_REQUIRED EDUCATION / ... 340B University **_PREFERRED EDUCATION / EXPERIENCE:_** + **_Bachelor's degree in business , accounting or finance_** + **_3 years' experience with pharmacy 340B… more
- Catholic Health Initiatives (Houston, TX)
- …requirements. Reports are produced for Revenue Cycle functions such claims submission, insurance follow‐up, cash management, credits/refunds, charge/payment posting, ... Indicator (KPI) dashboards, reimbursement and payer mix analyses and clinic/ business operational reports; 2) interpreting/explaining report findings to clinic… more
- Highmark Health (Austin, TX)
- …and/or create analytics and reporting solutions aligned to the Quadruple Aim of Healthcare : lower per capita health care costs, improved outcomes from and quality of ... in varied and complex data; and articulates analytic findings, business implications, and recommendations to realize identified opportunities. **ESSENTIAL… more
- CVS Health (Austin, TX)
- …every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team within ... role, you will manage complex investigations into suspected and known acts of healthcare fraud, waste and abuse (FWA). **Key Responsibilities** + Conduct high level,… more
- 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 ... Groups + Disaster Relief **About Capgemini** Capgemini is a global business and technology transformation partner, helping organizations to accelerate their dual… more
- 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 ... Groups + Disaster Relief **About Capgemini** Capgemini is a global business and technology transformation partner, helping organizations to accelerate their dual… more