- Molina Healthcare (Austin, TX)
- …solutions. * Write advanced SQL queries to extract, validate, and analyze healthcare data, including claims , authorization, pharmacy, and lab datasets. * ... and collaborate cross-functionally to drive data-informed decisions in clinical and business operations . * Maintain fluency in healthcare data types (eg, ICD/CPT… 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. + Build and ... and collaborate cross-functionally to drive data-informed decisions in clinical and business operations . + Maintain fluency in healthcare data types (eg, ICD/CPT… more
- Prime Healthcare (Dallas, TX)
- …and interpersonal communication skills.4. Strong knowledge of hospital business operations and considerations.5. Experience with healthcare regulatory compliance ... Overview Prime Healthcare is an award-winning health system headquartered in...corporate team! Responsibilities The Assistant General Counsel - Hospital Operations must be a transactional/regulatory attorney with experience in… more
- Molina Healthcare (Houston, TX)
- …Experience** + 0-2 years of experience in data analytics, business intelligence, or healthcare operations + Foundational proficiency in SQL and exposure to ... Python or another programming language + Basic familiarity with healthcare data types such as claims , encounters, or eligibility data + Comfortable working with… more
- Molina Healthcare (TX)
- …highly experienced Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of ... operations + Must have strong understanding of QNXT claims processes + Must be able to identify and...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Amazon (TX)
- …experience in a call center environment 1+ years with medical billing, insurance claims , or healthcare revenue cycle Demonstrated proficiency in Microsoft Office ... of customer-service, administrative work and are motivated to cultivate change in healthcare . You are currently looking for your next opportunity at an organization… more
- Humana (Austin, TX)
- … operations , technology, communications, and processes + Solid understanding of healthcare operations , particularly around claims processing, enrollment, ... meetings to discuss IT priorities, new requests, and collaborate with Market Operations and Compliance teams. Facilitate and communicate with state agencies on… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …Posting NumberSRGV8399 Working TitleSENIOR LEGAL OFFICER & MANAGING ATTORNEY- HEALTHCARE Number of Vacancies1 LocationMcAllen, Texas DepartmentLegal Affairs FTE1 ... reimbursements, including governmental and private payors; accreditation-related issues; false claims ; tax; anti-trust; tissue or organ transplantation; collections; risk… more
- Molina Healthcare (Fort Worth, TX)
- … operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms (eg, ... related to cost, utilization and revenue for multiple Molina Healthcare products. Analyzes data and dashboard reports to monitor...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- Molina Healthcare (Fort Worth, TX)
- … operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms (eg, ... related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more