- Zelis (TX)
- …who you are. Position Overview We are seeking a detail-oriented and technically skilled analyst to support healthcare claims repricing and data validation ... insights. Success in this role requires deep familiarity with healthcare claims data, strong SQL proficiency, and...What You'll Do: + Analyze repriced healthcare claims and validate outputs from modeling systems .… more
- Providence (TX)
- **Description** **Providence is one of the nation's leading non-profit healthcare systems with 119,000+ caregivers/employees serving more than 5 million unique ... we must empower them.** **Providence St Joseph Health operates a self-administered claims program for General and Healthcare Professional Liability, Directors… more
- Molina Healthcare (Austin, TX)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Molina Healthcare (Austin, TX)
- …pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + Data ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be...team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data,… more
- Molina Healthcare (Austin, TX)
- **JOB DESCRIPTION** **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives ... solutions. * Write advanced SQL queries to extract, validate, and analyze healthcare data, including claims , authorization, pharmacy, and lab datasets. *… more
- Molina Healthcare (San Antonio, TX)
- **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by ... technical solutions. + Write advanced SQL queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and… 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 ... compliance (HIPAA, CMS, etc.). **Key Responsibilities:** + Analyze, test, and validate healthcare EDI transactions, including: + **837 ( Claims )** + **835… more
- Molina Healthcare (Fort Worth, TX)
- … healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to...related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health… more
- Molina Healthcare (Houston, TX)
- …for medical record collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data, regulatory processes, and ... a willingness to engage with complex datasets across varied systems . The analyst will work closely with...Python or another programming language + Basic familiarity with healthcare data types such as claims , encounters,… more
- Highmark Health (Austin, TX)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more