• Analyst , 340B Program - Contract Pharmacy

    UTMB Health (Galveston, TX)
    Analyst , 340B Program - Contract Pharmacy **Galveston, Texas, United States** Allied Health UTMB Health Requisition # 2504846 **_REQUIRED EDUCATION / EXPERIENCE:_** ... and eligible patient status. + Monitors and audits state Medicaid prescriptions to ensure compliance to prevent potential duplicate...+ Partners with IS and RCO departments to ensure claims are going out with the correct modifiers and… more
    UTMB Health (09/05/25)
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  • Lead Analyst , Healthcare Analytics-…

    Molina Healthcare (Austin, TX)
    …work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... identifying Utilization mgmt. trends and monitor pair mix. + Experience with Medicaid contract analytics is highly preferred. + Experience working on Managed care… more
    Molina Healthcare (09/11/25)
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  • Healthcare Analytics Business Consultant (SQL…

    CVS Health (Austin, TX)
    …complex data analyses to support investigations of potential fraud, waste, and abuse in Medicaid claims and provider activity. + Prepare timely and accurate ... We are seeking a highly analytical and detail-oriented Data Analyst to join our Special Investigation Unit within a...in healthcare fraud, waste and abuse + Knowledge of Medicaid healthcare claims adjudication (QNXT) & regulatory… more
    CVS Health (10/07/25)
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