- Molina Healthcare (Fort Worth, TX)
- …on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules ... as they apply to each database. Validate data to be housed on databases and ensure adherence...researching, presenting and documenting is required, + Experience with Medicare , Medicaid and Marketplace is required. + Medical coding… more
- Prime Therapeutics (Austin, TX)
- …+ Own, build, support, and maintain financial and complex actuarial models + Lead , perform, and review data analyses, reporting, and projections + ... every decision we make. **Job Posting Title** Senior Actuarial Analyst - REMOTE **Job Description** The Senior Actuarial ...Lead , perform, and review complex ad hoc pharmacy data mining and analyses to help investigate and answer… more
- Molina Healthcare (Fort Worth, TX)
- …to management + Lead projects to completion by contributing to ad-hoc data analyses, development, and presentation of financial reports + Serve as subject matter ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key… more
- Elevance Health (Denison, TX)
- **Financial Analyst - NGS** **Location** : **Hybrid 1:** This role requires associates to be in-office **1-2** days per week, fostering collaboration and ... member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services… more
- Zelis (Plano, TX)
- …that shape who you are. Position Overview The Sr. Medicaid Reimbursement Regulatory Analyst will collaborate with the Zelis Regulatory Pricer Product team to further ... test cases/claims with expected pricing outcomes . + Perform analysis of various data sources, including but not limited to, published fee schedules and provider… more
- Prime Therapeutics (Austin, TX)
- …and drives every decision we make. **Job Posting Title** Principal Financial Analyst - Government Programs - Remote **Job Description** The Principal Financial ... Analyst is responsible for providing leadership on financial analysis...projects + Recommend operational improvements after investigating, and analyzing data from a financial and functional view + Provide… more
- CenterWell (Austin, TX)
- …queries to pull data and build reports. Coordinate with Business Intelligence Lead and support ad hoc reporting. * Develop basic modeling and business case ... will be responsible for supporting the CenterWell ACO and Medicare payment model programs via the Center for ...analysis; work closely with Finance and Data teams * Coordinate with ACO Lead … more
- HCA Healthcare (Austin, TX)
- …and process documentation for both the department and for assigned projects + Perform data analyst functions that generate knowledge via data mining, ... Experience in health services research environment. + Experience with large health care data sets including, electronic health records, Medicare claims, or other… more
- HCA Healthcare (Dallas, TX)
- …programs as applicable in conjunction with the Transplant Administrators. **Technology & Data Management** + Lead the operation an integration strategy of ... (Kidney, Pancreas) in collaboration with existing facility-based Transplant Administrators. + Lead integration of culture, policies, and best practices across all… more