- The Cigna Group (Houston, TX)
- …skills to include written, oral, and group presentation + Understanding of managed care business processes, data, systems, and applications for claims ... dynamic Network Analytics team as a Business Analytics Lead Analyst (Provider Contract Analytics) for the Mid...data analysis preferred. Experience with trend analysis and health care provider contract analysis preferred + Familiarity… more
- Molina Healthcare (TX)
- …adjudication, QNXT system navigation, and strong analytical acumen. Experience in Medicaid managed care is required, and a background in payment integrity-either ... **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims Operations… more
- Mass Markets (TX)
- …partner in the industry. We are looking for a proactive and detail-oriented Real-Time Analyst to join our workforce management team. This role is crucial in ensuring ... applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition,… more
- The Cigna Group (Plano, TX)
- …skills to include written, oral, and group presentation + Understanding of managed care business processes, data, systems, and applications for claims ... data analysis required. Experience with trend analysis and health care provider contract analysis preferred. + Knowledge of standard medical coding including… more
- Evolent (Austin, TX)
- …experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care , or related healthcare consulting entity + Ability to ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Catholic Health Initiatives (Houston, TX)
- …successful reporting of revenue cycle AR Work with IT, Financial Data Warehouse, and Managed Care to develop dashboards and metrics tracking. Other duties as ... tools. 1. Gathers information for various financial projects, including payer contract negotiations, payment variance analysis, and reimbursement analysis; runs ad… more
- 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 ... impact of reimbursement terms during contract negotiation process * Develops and produces financial reports on a periodic and ad-hoc basis for management. Monitor… more
- RTX Corporation (Richardson, TX)
- …as only US citizens are authorized to access information under this program/ contract . **Security Clearance:** None/Not Required RTX Corporation is an Aerospace and ... Team. The ES Controllership organization is tasked with safeguarding the assets managed by the Enterprise Services group, ensuring the accuracy of financial… more
- HCA Healthcare (Dallas, TX)
- …reimbursement strategies. + Work with Corporate Reimbursement and Managed Care Contracting to improve transplant-related payer contract negotiations and ... of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We...(Kidney, Liver, Pancreas and Heart). + Work with division analyst to evaluate competitive market trends and opportunities. **Operational… more
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