- Molina Healthcare (Fort Worth, TX)
- …to accurate and timely implementation and maintenance of critical information on all claims and provider databases, validate data housed on databases and ensure ... **Job Duties for this position:** * Analyze and interpret data to determine appropriate configuration. * Comprehensive understanding of...of experience in claims as Adjuster or claims examiner in the healthcare field **PHYSICAL… more
- TEKsystems (Dallas, TX)
- …+ Experience in charge entry or claims processing + Familiarity with healthcare data and HIPAA compliance Work Environment + Fully remote (must have ... About the Role We are seeking a highly analytical and detail-oriented Data Operations Analyst to support our Charge Entry & Claims Submission processes. This… more
- Molina Healthcare (Dallas, TX)
- …Responsible for accurate and timely implementation and oversight of critical information on claims databases. Synchronizes data among operational and claims ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...and knowledge to research and resolve claim/encounter issues, pended claims and facilitate system update(s) as necessary. + Works… more
- Prime Therapeutics (Austin, TX)
- …every decision we make. **Job Posting Title** Specialty & Home Delivery Program Claims Analyst - Remote **Job Description** The Specialty & Home Delivery Program ... Claims Analyst is responsible for serving as...functions on project lifecycle as assigned + Perform daily claims monitoring and data validation activities +… more
- Molina Healthcare (Austin, 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)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data regarding network ... 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 (Austin, TX)
- …in California and work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data ... utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based… more
- Centene Corporation (Austin, TX)
- …for members and improve their clinical outcomes. + Interpret and analyze data from multiple sources including healthcare provider, member/patient, and ... years of experience working with large databases, data verification, and data management, or 1+ years IT experience. Healthcare analytics experience… more
- Molina Healthcare (TX)
- …DESCRIPTION** Candidate must reside in Georgia **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab ... Helps to oversee development, organization, and ongoing maintenance of data representing a wide range of healthcare ...of data representing a wide range of healthcare information. + Identifies and completes report enhancements/fixes. +… more
- Molina Healthcare (Austin, TX)
- …all claims and provider databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims ... systems and application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and… more