- Molina Healthcare (San Antonio, TX)
- …**Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial ... and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed… more
- Prime Therapeutics (Austin, TX)
- …and assumptions to define additional resource needs; collaborate with Business Systems Analyst Resource Lead or Resource Manager to determine work assignments ... Provide work plan and detailed estimate based on scope; lead scope management, prioritization and drive scope trade off...within project + Educate and advance business systems analyst practice within the Claims IT team… more
- Molina Healthcare (Austin, TX)
- **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Reporting team. Designs and develops reporting ... plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates * Assists and...various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations *… more
- Molina Healthcare (Austin, TX)
- …work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations. + Maintains SharePoint… more
- Highmark Health (Austin, TX)
- …MUST 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… more
- Lockheed Martin (Fort Worth, TX)
- …career destination\! Join us\! **Who You Are** This highly visible role in Regulatory Contracts is fast paced within Lockheed Martin, Global Supply Chain you'll be ... Be Doing** As a Global Supply Chain Staff Contracts Analyst , you are an experienced professional with a legal,...a company culture that empowers employees to think big, lead with a growth mindset, and make the impossible… more
- Molina Healthcare (Austin, TX)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality...for business data issues as assigned by the team lead . + Analyze data sets and trends for anomalies,… more
- Fannie Mae (Plano, TX)
- …evaluating complex documents such as financial statements, legal documents, litigation claims and engineering and inspection reports. * Exceptional written and ... project underwriting or analysis to GSE requirements. * Proven ability to lead initiatives and contribute to team success through collaboration and accountability. *… more
- CVS Health (Irving, TX)
- …the candidate will embrace compliance as a core competency. Responsibilities: + Support regulatory data requests related to All Payer Claims Databases (APCD) + ... do it all with heart, each and every day. **Position Summary** The Senior Analyst - Business Analytics will be a detail-oriented individual with strong data analysis… more