- Molina Healthcare (Austin, TX)
- …with Medicaid contract analytics is highly preferred. + Experience working on Managed care analytics and healthcare reimbursement models is required. + Must ... materials and documentation archives. + Demonstrate Healthcare experience in contract modeling, analyzing relevant Financial and Utilization Metrics of Healthcare.… more
- Elevance Health (Grand Prairie, TX)
- **Provider Contract Cost of Care Analyst...a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as ... unless an accommodation is granted as required by law. The **Provider Contract Cost of Care Analyst Senior** is responsible for providing analytical support… more
- US Physical Therapy (Houston, TX)
- …** Contract Manager/ Analyst .** This is a dual role that will support the ** Managed Care Operations Team** . The person in this role should have experience ... in Managed Care , WC, Replacements & Auto lines...care contracts and government reimbursement methodologies to create contract modeling calculation. + Prepare pre-negotiation analysis to support… more
- CGI Technologies and Solutions, Inc. (San Antonio, TX)
- …Type:** Full Time **Position Description:** CGI Federal is looking for Cyber Security Analyst to support our Managed Security Services based out of Huntsville, ... **SOC Analyst ** **Category:** Cyber Security **Main location:** United States,...tools, security procedures, and services within the CGI Federal Managed Security Services (MSS). * Ensure that event analysis… more
- Prime Healthcare (Harlingen, TX)
- … Analyst , Account Resolution is responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with ... reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. Qualifications EDUCATION, EXPERIENCE, TRAINING 1.… more
- Elevance Health (Grand Prairie, TX)
- …quality improvement and/or behavioral health, risk management and/or utilization review in a managed care setting as well as process improvement; or any ... **JR167284 Behavioral Health Clinical Quality Audit Analyst , Sr** Responsible for maintaining crisis accreditation and developing, delivering and evaluating training… 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
- 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
- Highmark Health (Austin, TX)
- …+ High school diploma /GED + 3 years of experience required in health care / managed care + 3 years of experience in credentialing/re-credentialing of ... Establish and implement monitoring processes to evaluate performance against contract standards, requirements and performance expectations. + Identify opportunities… more