- 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 (Austin, 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
- 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
- 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
- CVS Health (Austin, TX)
- …a Financial Reporting Analyst to join our team. As a Finance Reporting Analyst , you will be supporting the Medicare Finance organization with day to day ... financial and accounting responsibilities. This position will focus on the Aetna Medicare Supplement Insurance business. The Financial Reporting Analyst will… more
- Molina Healthcare (Austin, 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
- CVS Health (Austin, TX)
- …Management (PBM) division of CVS Health, is looking for an Eligibility Analyst to join our Eligibility Administration Department. As an Eligibility Analyst ... you will impact and support customers in all areas including Commercial, Medicare , Medicaid, & Healthcare Plans. Primary responsibilities of the Eligibility … more
- 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
- Prime Therapeutics (Austin, TX)
- …passion and drives every decision we make. **Job Posting Title** Senior Actuarial Analyst - REMOTE **Job Description** The Senior Actuarial Analyst is ... benefit design and pricing support for all Prime's lines of business (commercial, Medicare and Medicaid). This role will also provide actuarial support in complex… more
- Robert Half Legal (Frisco, TX)
- Description We are looking for a skilled Compliance Analyst to join our team on a contract basis in Frisco, Texas. This role involves ensuring adherence to ... healthcare regulations, particularly in the Medicare Advantage space, while supporting key compliance initiatives and investigations. If you are passionate about… more