- Providence (TX)
- …insurance codes, regulations, and our department's policies and procedures + Secure monthly claims data reports and provide quality assurance recommendations to ... claims files for quality assurance purposes + Experience working with claims data analytics + Experience in project management + Experience creating… more
- Molina Healthcare (Fort Worth, TX)
- …of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Molina Healthcare (Austin, TX)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex claims business problems and issues using data from internal and external sources to provide insight to ... Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis… more
- Providence (TX)
- …front-line caregivers. + 2 years of experience working with healthcare claims and/or Electronic Medical Record billing data . **Preferred qualifications:** + ... must empower them._** **Providence is calling a Senior Business Analyst - Risk, Liability & Claims who...analysis to stakeholders on scheduled basis. + Serve as risk/ claims data consultant/subject matter expert. + Be… more
- Molina Healthcare (Austin, TX)
- …Molina's Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data , pharmacy data , lab ... analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst... Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data … more
- Molina Healthcare (Houston, TX)
- …skills in data analysis. Performs research and deep-dive analysis of complex healthcare claims data , CMS return files, and financial cost, revenue, ... and Power BI, organizing and managing large and varied data sets, analyzing healthcare data ...analytic support for finance, pricing and actuarial functions. + Healthcare Analyst I experience desired. + PowerBI,… more
- Molina Healthcare (San Antonio, TX)
- …technical solutions. + Write advanced SQL queries to extract, validate, and analyze healthcare data , including claims , pharmacy, and lab datasets. + ... **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role...in clinical and business operations. + Maintain fluency in healthcare data types (eg, ICD/CPT codes, HEDIS… more
- Molina Healthcare (San Antonio, TX)
- …+ Perform research and analysis of complex healthcare utilization and performance date, claims data , pharmacy data , and lab data regarding ... findings. + Oversee development, organization, and ongoing maintenance of data representing a wide range of healthcare ...of data representing a wide range of healthcare information. + Develop and direct a process to… more
- Molina Healthcare (Fort Worth, TX)
- …coordination, and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational ... integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and...the role. + Validates findings and tests assumptions through data , but leads with contextual knowledge of claims… more
- Centene Corporation (Austin, TX)
- …of care for members and improve their clinical outcomes. + Interpret and analyze data from multiple sources including claims , provider, member, and encounters ... and data management or 2+ years of IT experience. Healthcare analytics experience preferred. Working knowledge of SQL/querying languages. Knowledge of… more