- Molina Healthcare (San Antonio, 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
- 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 (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 (Austin, TX)
- …follow up, and performance monitoring. + Understands provider, member, and, inbound claims data compliance in relation to encounters submission requirements + ... **Job Description** **Job Summary** The Sr Analyst , Encounters is responsible for monitoring inbound and...and Operations Reviews + Performs root cause analysis of claims and encounter data and develops recommendations… more
- Prime Healthcare (Farmers Branch, TX)
- …analyzing data and identifying process improvement opportunities. The Senior Analyst will apply analytical and critical thinking to develop innovative solutions ... positions and Jr. Analyst positions. Qualifications + Minimum 3 Years of Healthcare Experience with bachelor's or 2 years with masters + Familiar with Revenue… more
- Molina Healthcare (Austin, TX)
- …to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee, ... and compliance with State and Federal regulatory guidelines. The Sr. Analyst develops and performs audits and oversight functions involving business-critical… more
- Prime Therapeutics (Austin, TX)
- …modeling + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience in the implementation ... our passion and drives every decision we make. **Job Posting Title** Data and Reporting Analyst Assoc- REMOTE **Job Description** The Associate Data &… more
- Molina Healthcare (Austin, TX)
- …for Medicaid, Marketplace and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will...+ 1-3 Years of experience with predictive modeling in healthcare quality data . + 1-3 Years of… more
- Molina Healthcare (Austin, TX)
- …Marketplace and Medicare/MMP * Develops custom health plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates * Assists and ... **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement role will...* 3-5 Years of experience with predictive modeling in healthcare quality data . * 5+ Years of… 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...methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule… more