- Zelis (Plano, TX)
- …interests that shape who you are. Position Overview The Healthcare Data Analyst will be responsible for analyzing and managing healthcare repricing claim data, ... with a focus on various pricing methodologies including Medicare , Medicaid, and commercial reimbursements. This role involves leveraging data to ensure accurate and… more
- Prime Therapeutics (Austin, TX)
- …passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal - Remote **Job Description** The Compliance Principal is responsible ... Supports new client implementations + Supports all lines of business (commercial/HIM, Medicare and Medicaid) + Other duties as assigned **Education & Experience** +… more
- 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 (Austin, TX)
- …part of our caring community and help us put health first** The Actuarial Analyst 2, General provides actuarial support across a broad range of actuarial and ... business needs for specific product lines. The Actuarial Analyst 2, General work assignments are varied and frequently require interpretation and independent… more
- Molina Healthcare (Houston, TX)
- **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the RADV (Risk Adjustment Data Validation) team, assisting in the execution of ... collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data, regulatory...Databricks, Spark, or similar data platforms + Familiarity with Medicare Advantage or Medicaid programs + Awareness of CMS… 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 key ... performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **Job Qualifications** **Required… more
- Zelis (Plano, TX)
- …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 ... billing, reimbursement, claim payment or cost reporting. + Experience with Medicare / Medicare Advantage or commercial billing and reimbursement a plus + Ability… more
- CVS Health (Richardson, TX)
- …every day. This is a hybrid position. **Position Summary** As a Rebate Formulary Analyst - Manufacturer Rebates you will perform a critical role in the analysis of ... Medicare and Commercial formularies to determine client eligibility for...an emphasis on the RxClaim adjudication platform beneficial. + Medicare knowledge beneficial. + Ability to work independently and… more
- Prime Therapeutics (Austin, TX)
- …passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal (Performance and Oversight) - Remote **Job Description** The Compliance ... or within a highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) +...related area of study, such as Juris Doctor + Medicare Part D, Medicaid, and/or Affordable Care Act knowledge… more
- Evolent (Austin, TX)
- …Stay for the culture. **What You'll Be Doing:** Job Description ** Analyst , Integration Quality** Integration testing in the healthcare ecosystem requires complete ... testing is exercised to ensure source to target integrity. The IQ Analyst (IQA) performs analysis, reporting, and technical testing across multiple domains. Active… more