- Methodist Health System (Dallas, TX)
- …Net Revenue generation for contracted plans for the health system Supports the managed care division's initiatives through analysis and performs forecasts on the ... I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care , neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics,… more
- Molina Healthcare (TX)
- …**Required Experience** + 5-7 years of business analysis experience, + 6+ years managed care experience. + Demonstrates proficiency in a variety of concepts, ... practices, and procedures applicable to job-related subject areas. **Preferred Education** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** + 3-5 years of formal training in Project Management + Experience… more
- Molina Healthcare (Houston, TX)
- …**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** + 1 - 2 years' experience in Managed Care + Background in provider contracts, pricing configuration, claim ... **Job Description** **Job Summary** The Analyst , Reimbursement is responsible for administering complex provider...**PREFERRED EXPERIENCE** + 3 - 5 years' experience in Managed Care + Experience researching and resolving… more
- Intermountain Health (Austin, TX)
- …pathology, radiology, picture archiving and communications (PACS), cardiovascular, pharmacy, home care , long term care , population health, consumer and patient ... scheduling, time and attendance, customer relationship management) The Principal analyst is responsible for providing overseeing technical support, configuration,… more
- Capgemini (Irving, TX)
- **_MUST BE A US CITIZEN_** **About the Role You Are Considering:** The Managed Detection and Response (MDR) program at Capgemini is expanding our DECODE team with ... the addition of an experienced and motivated Senior Cyber Threat Intelligence Analyst . The DECODE team stands at the forefront of defending client cyber operations,… more
- Guidehouse (Richardson, TX)
- …order to potentially hire them into future openings within Financial Services - Managed Services._ + Financial Services - Managed Services is currently ... our rapidly growing firm. Guidehouse is seeking experienced Fraud Investigations Analyst 's to conduct, identify, and investigate potential fraud recovery cases. The… more
- Evolent (Austin, TX)
- …analytics or utilization management within a payer, provider, clinical vendor, managed care , or healthcare consulting environment. + Strong understanding ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...for the culture. **What You'll Be Doing:** **Senior Scope Analyst , Scope Management** The Specialty Scope Management team is… more
- Molina Healthcare (Fort Worth, TX)
- …facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Proficiency with Microsoft ... utilized in medical coding/billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk… more
- CVS Health (Irving, TX)
- …work experience in Analytics or Finance **Preferred Qualifications** + Extensive knowledge of managed care and how provider reimbursement policies relate to the ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...and every day. CVS Health is seeking a Senior Analyst , Medical Economics to join our team! The Sr.… more
- Ascension Health (Austin, TX)
- …items and to recognize and resolve billing inconsistencies. + Collaborate with managed care department to code billable items for reimbursement. Collaborate ... experience required. **Additional Preferences** Charge Capture & Clinical Data Analyst - Surgical Services We're looking for a highly...sees data as a tool for improving both patient care and business outcomes. Minimum Qualifications: 2+ years of… more
