• Sr. Medicaid Regulatory Pricer Analyst

    Zelis (Plano, TX)
    …good understanding of public and private healthcare payment systems, medical claims , standard claim coding, claim editing , contracting, preferred-provider ... the personal interests that shape who you are. Position Overview The Sr. Medicaid Regulatory Pricer Analyst will collaborate with the Zelis Regulatory Pricer Product… more
    Zelis (08/27/25)
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  • Lead Analyst, Payment Integrity

    Molina Healthcare (Fort Worth, TX)
    …Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met ... a Managed Care Organization (MCO) or health plan setting, including experience in Medicaid and/or Medicare , or equivalent combination of relevant education and… more
    Molina Healthcare (09/07/25)
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