• Lead Analyst , Claims/ Regulatory…

    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
    Molina Healthcare (06/18/25)
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  • Senior Actuarial Analyst - REMOTE

    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
    Prime Therapeutics (06/09/25)
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  • Risk Adjustment Analyst - Predictive…

    Molina Healthcare (Fort Worth, TX)
    …well as Reporting modules related to Risk Adjustment for Medicaid, Marketplace and Medicare /MMP. + Assist Risk Adjustment Data Analytics Leaders in developing ... **Job Description** **Job Summary** The Analyst , Risk Adjustment-Predictive Analytics role will support Molina's...cause analysis. + Do root cause analysis for business data issues as assigned by the team lead… more
    Molina Healthcare (07/31/25)
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  • Senior Analyst , Medical Economics - REMOTE

    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
    Molina Healthcare (07/10/25)
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  • Sr Medicaid Reimbursement Regulatory…

    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
    Zelis (07/12/25)
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  • Division Director of Research GME

    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 (06/21/25)
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  • Division Vice President of Solid Organ Transplant

    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
    HCA Healthcare (07/14/25)
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