- Molina Healthcare (San Antonio, TX)
- …more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data ( medical , pharmacy and ancillary) to deliver practical, ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and… more
- Molina Healthcare (Austin, TX)
- …more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data ( medical , pharmacy and ancillary) to deliver practical, ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and… more
- Amazon (Austin, TX)
- Description The Senior Product Safety and Quality Analyst is responsible for vetting the safety and quality of new and existing WFM products by investigating ... WFM Legal team on regulatory requirements o Reviewing applicable product claims /statements and determining claim validation criteria o Developing and negotiating… more
- SAIC (TX)
- …mapping tools. + Understanding the financial procurement process. + Knowledge of Medical claims processing. + Provide excellent customer service experience. + ... **Description** SAIC has an opening for an experienced Mainframe Analyst who will be required to respond to end-user requests for assistance. Expertise in mainframe… more
- Evolent (Austin, TX)
- …team at Evolent. This individual will be primarily focused on distilling medical economics insights from product strategy analyses and translating them to complex ... fostering trust, expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate… more
- 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 ... Finance, Economics, Math, Accounting or related fields Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators: + Proactively… more
- CVS Health (Austin, TX)
- …and security requirements. **Required Qualifications** + 1 year minimum of claims processing experience + Experience with system testing and post go-live ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- CVS Health (Austin, TX)
- …data interpretation and analysis experience. + Healthcare background. + Experience with internal claims data and healthcare coding. + Must be able to travel to ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- Molina Healthcare (Fort Worth, TX)
- …recoveries in a managed care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. ... for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. To all current Molina employees: If you are interested in… more
- WTW (Houston, TX)
- …Risk, including adjustments for model limitations, near-term climate conditions, and claims experience. + Working with clients, jointly with other Willis commercial ... following (eligibility requirements apply): + **Health and Welfare Benefits:** Medical (including prescription coverage), Dental, Vision, Health Savings Account,… more