- Norstella (Austin, TX)
- Sr. Medical Analyst Company: MMIT Location: Remote, United States Date Posted: Sep 3, 2025 Employment Type: Full Time Job ID: R-1370 **Description** **Why ... support patients in need. We are seeking a Senior Medical Analyst to join our team and...extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records… more
- Molina Healthcare (TX)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical… more
- Molina Healthcare (San Antonio, TX)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... + Experience with Medicare, Medicaid and Marketplace is required. + Medical coding experience is highly preferred. **JOB QUALIFICATIONS** **Required Education**… more
- AIG (Dallas, TX)
- …and management of indemnity, medical and legal aspects of highest valued, complex claims . + Reviews and analyzes TPA claim financials to ensure payments are ... Management Analyst Join us as a Senior Claims Analyst to grow your experience in...settlement authority to TPAs and oversees negotiations to achieve claim settlements within authority limits. + Reviews claims… more
- USAA (Plano, TX)
- …for this position. **The candidate selected for this position will be joining the Claims Analytics team, which is a part of P&C Actuary & Analytics.** **They will ... work directly with Claim 's business partners on benefit analysis, analyzing data to...initiatives.** **They will partner with the other teams within Claims Analytics, as well as the P&C Data Science… more
- Molina Healthcare (TX)
- …sources. + Resource to staff for mentoring, coaching, and analysis questions. + Reviews Medical Economics analyst work products to ensure accuracy and clarity. + ... strategic analysis. **KNOWLEDGE/SKILLS/ABILITIES** Manages and provides direct oversight of Medical Economics Team activities and personnel. Provides technical expertise,… more
- Rush Enterprises (New Braunfels, TX)
- …and services. Responsibilities + Oversee and manage complex workers compensation claim process, including reporting, medical coordination, lost time and ... The Senior Risk and Insurance Analyst - Workers' Compensation serves as the central...claims required. + Perform regular audits of individual claim files and review workers' compensation claims .… more
- The Hartford (San Antonio, TX)
- …Long Term Disability benefit determinations using vocational, medical , and financial claim management. The Senior Ability Analyst supports our mission of ... by applying them to meaningful work at The Hartford. The Senior Ability Analyst primarily investigates claims to make timely, accurate and customer focused… more
- The City of Houston (Houston, TX)
- SENIOR STAFF ANALYST - Risk Management Print (https://www.governmentjobs.com/careers/houston/jobs/newprint/5065965) Apply SENIOR STAFF ANALYST - Risk ... OVERVIEW Applications accepted from: ALL PERSONS Job Classification: SENIOR STAFF ANALYST Division: RISK MANAGEMENT Reporting Location: 611 WALKER Workdays & Hours:… more
- Zelis (Plano, TX)
- …SQL queries + A good understanding of public and private healthcare payment systems, medical claims , standard claim coding, claim editing, contracting, ... that shape who you are. Position Overview The Sr. Medicaid Regulatory Pricer Analyst will collaborate with the Zelis Regulatory Pricer Product team to further the… more