- Evolent (Austin, TX)
- …**What You Will Be Doing:** + ** Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization ... working seamlessly with diverse teams and stakeholders. + Familiarity with healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including… more
- Molina Healthcare (Fort Worth, TX)
- …from various systems to support executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to ... evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical...building dashboards in Excel, Power BI, and/or Tableau and data management + Knowledge of healthcare operations… more
- Molina Healthcare (Houston, TX)
- …opportunity for an early-career analyst with a strong interest in healthcare data , regulatory processes, and cross-functional collaboration. Success in this ... **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the...Python or another programming language + Basic familiarity with healthcare data types such as claims… more
- Molina Healthcare (San Antonio, TX)
- …equivalent discipline **Required Experience** + 3-5 Years of experience with healthcare -related data ( claims /encounters, provider, CMS/EDGE response files, ... **Job Description** **Job Summary** The Senior Analyst will serve a key role on the...serve a key role on the RADV (Risk Adjustment Data Validation) team, contributing to the end-to-end data… more
- Lyric (Austin, TX)
- …other immigration support are not available for this position. **Job Summary:** The Clinical Data Analyst - Staff plays a pivotal role in advancing our products ... and business operations leaders to develop reporting and analyze large-scale healthcare claims and clinical datasets. By leveraging advanced coding,… more
- Scottish Rite for Children (Dallas, TX)
- …priority! We're committed to giving children back their childhood! Job Posting Title: Data Analyst Lead Location: Dallas - Hospital Additional Posting Details: ... Monday - Friday 8:30am - 4:30pm Job Description: Duties/Responsibilities + Query healthcare data from multiple sources including electronic medical records,… more
- Molina Healthcare (San Antonio, 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
- Molina Healthcare (TX)
- …**R** **I** **E** **N** **C** **E:** + 1-3 years of experience in Healthcare (payer experience), Vendor Management, Data Analytics, Contract Terms and ... **Job Description** **Job Summary** Supports ongoing Claims and Enrollment operations in the management of...analyze business and vendor performance problems and issues using data from internal and external sources to provide solutions… more
- Molina Healthcare (TX)
- …DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. ... Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis… more
- Baylor Scott & White Health (Temple, TX)
- …for testing, validating, and ensuring the accuracy of EDI transactions related to healthcare claims . This role involves working closely with developers, business ... analysts, and EDI teams to ensure that claims data meets internal standards and regulatory...CMS, etc.). **Key Responsibilities:** + Analyze, test, and validate healthcare EDI transactions, including: + **837 ( Claims )**… more