- CVS Health (Austin, TX)
- …evaluating and responding to provider participation and pricing inquiries. + Analyze post-paid healthcare claims as it relates to pricing needs. + Apply in-depth ... with heart, each and every day. **Position Summary** The Dispute Repricing Analyst will be responsible for the accurate analysis and resolution of provider… more
- Humana (Austin, TX)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- Position Information Posting NumberSRGV8219 Working TitleCOMPLIANCE CODING AND BILLING ANALYST Number of Vacancies1 LocationMcAllen, Texas DepartmentOffice of the ... and regulations and UTRGV policies. To review and analyze medical records, claims , and workflow processes to ensure accuracy, completeness, and compliance with… 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, ... timely report generation/distribution through use of computer‐based applications and data . Work also includes: 1) developing/maintaining Key Performance Indicator… more
- AdventHealth (Burleson, TX)
- …a low-cost of living. **The role you'll contribute:** A Finance Analyst interacts with department directors, physicians, and hospital management in conjunction ... Manager to provide relevant, accurate, and timely information. Performs research, collects data , and skillfully organizes and presents the analysis to management in… 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 ... fueled by its market leading capabilities in AI, generative AI, cloud and data , combined with its deep industry expertise and partner ecosystem. The Group reported… 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 ... fueled by its market leading capabilities in AI, generative AI, cloud and data , combined with its deep industry expertise and partner ecosystem. The Group reported… more
- Highmark Health (Austin, TX)
- …+ 5 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years of project ... Highmark Health **Job Description :** **JOB SUMMARY** This job creates data -driven insights which identify actionable opportunities and/or create analytics and… more
- The Cigna Group (Plano, TX)
- …you will support the medical cost position of assigned markets through analysis of healthcare provider contracts, data drill downs of contract trend drivers, and ... Microsoft Excel and/or SAS/SQL + Understanding of managed care business processes, data , systems, and applications for claims payment, enrollment, benefit… more
- CVS Health (Austin, TX)
- …-3-5 years of data interpretation and analysis experience. -Experience with internal claims data and healthcare coding. -Must be able to travel ... an analytically driven individual who is skilled at identifying outliers through data extraction and analysis. The lead reviewer is accountable for the validation… more