• Operational Regulatory Oversight Analyst

    Molina Healthcare (Houston, TX)
    …to the Health Care environment. **Knowledge/Skills/Abilities** The Operational/Regulatory Oversight Analyst works with health plans and operations departments to ... to and compliance with State and Federal regulatory guidelines. The Analyst develops and performs audits and oversight functions involving business-critical… more
    Molina Healthcare (07/19/25)
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  • Senior Business Analyst ( Medicare

    Molina Healthcare (Austin, TX)
    …business analysis, task and workflow analysis. + Subject matter expert of Medicare and Healthcare enrollment 834 files. + Interpret customer business needs and ... translate them into application and operational requirements + Communicate and collaborate with external and internal customers to analyze and transform needs, goals and transforming in to functional requirements and delivering the appropriate artifacts as… more
    Molina Healthcare (07/27/25)
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  • Senior Actuarial Analyst ( Medicare

    Molina Healthcare (Houston, TX)
    **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. ... Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with Actuarial staff to calculate risk adjustment payment… more
    Molina Healthcare (07/25/25)
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  • Senior Quality Analyst , Claims *Remote

    Providence (TX)
    …Fiduciary, Property, Cyber, Managed Care, and Auto Claims. The Senior Quality Analyst assists the Claims leaders in managing a quality assurance program to ... regulations pertaining to self-insured health care organizations. The Senior Quality Analyst is also responsible for maintaining a claims quality assurance program,… more
    Providence (08/01/25)
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  • Actuarial Analyst 2

    Humana (Austin, TX)
    …of our caring community and help us put health first** The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... short, medium and long-term financial and competitive position. The Actuarial Analyst 2, Analytics/Forecasting work assignments are varied and frequently require… more
    Humana (07/31/25)
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  • Sr. Accounting and Reporting Analyst - FT…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Senior (Sr.) Accountng and Reporting Analyst position is responsible for identifying and compiling information to effectively report costs ... reimbursement from various government programs. The Sr. Accounting and Reporting Analyst utilizes strong data analytic skills to identify issues and researches… more
    Houston Methodist (06/24/25)
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  • Senior Analyst , Financial Operations

    CVS Health (Irving, TX)
    …TX., Scottsdale, AZ., or Northbrook, IL **Position Summary** As a Senior Financial Analyst , Financial Operations, put your skills to use in a challenging position ... and to grow with our finance operations team. This Senior Financial Analyst , Adjustment Reporting and Research position focuses on claim adjustment reporting; and… more
    CVS Health (07/24/25)
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  • Sr. QNXT Config Analyst

    Cognizant (Plano, TX)
    **Sr. QNXT Config Analyst .** **About the role:** As a Sr. QNXT Config Analyst , you will make an impact by conducting requirements using QNXT configuration. You ... + Experience with cautionary reduction functionality. + QNXT SMEs with experience in Medicare Benefit. + Experience with items like Cost Share. + Experience with… more
    Cognizant (06/05/25)
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  • Senior Analyst , Healthcare Analytics (Risk…

    Molina Healthcare (Dallas, TX)
    **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... Performs analysis across multiple states and lines of business ( Medicare , Medicaid, Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + Compiling and organizing… more
    Molina Healthcare (07/17/25)
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  • Revenue Integrity Charge Review Analyst

    HCA Healthcare (Houston, TX)
    …Do you have the career opportunities as a Revenue Integrity Charge Review Analyst you want with your current employer? We have an exciting opportunity for ... of colleagues. Do you want to work as a Revenue Integrity Charge Review Analyst where your passion for creating positive patient interactions is valued? If you are… more
    HCA Healthcare (07/11/25)
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