- Humana (Austin, TX)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Health Care Service Corporation (Richardson, TX)
- …**Job Summary** We are seeking a motivated and collaborative Systems Analyst to provide skilled leadership on complex assignments/projects. This position is ... technical specifications within limits of code environment; linking Business Analyst needs and Architect definition to technical solutions. Additionally, they… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- Position Information Posting NumberSRGV8219 Working TitleCOMPLIANCE CODING AND BILLING ANALYST Number of Vacancies1 LocationMcAllen, Texas DepartmentOffice of the ... and regulations and UTRGV policies. To review and analyze medical records, claims , and workflow processes to ensure accuracy, completeness, and compliance with… more
- Zelis (TX)
- …So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more ... top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across… more
- Capgemini (El Paso, TX)
- …meeting service levels, key measurement targets of the team and delivers a high quality and cost effective customer service to the client. Performs tasks in line ... For eligible employees, we offer: + Flexible work + Healthcare including dental, vision, mental health, and well-being programs...measurement targets of the team and delivers a high quality and cost effective customer service to the client.… more
- Highmark Health (Austin, TX)
- …Developers, and other team members to capture capability needs and drive quality business solutions. Create and maintain deliverables such as business vision, ... years in a relevant operational area (eg customer service, claims , enrollment and billing, etc.) to include 1 -...Insurance Industry + 1 - 3 years in the Healthcare Industry + 1 - 3 years in Lean/Six… more
- Public Consulting Group (Austin, TX)
- …Evaluation Consultant to join our team. This role involves analyzing large healthcare datasets and interpreting results of quality measures, supporting strategic ... analytical methodologies to ensure transparency and repeatability. + Develop and implement claims -based quality metrics to assess the performance of Medicaid… more
- CVS Health (Irving, TX)
- …do it all with heart, each and every day. **Position Summary** The Senior Analyst - Business Analytics will be a detail-oriented individual with strong data analysis ... regulations, review of compliance interpretation, writing business specifications, data quality review, data preparation and compliance to regulatory requirements.… more
- Elevance Health (Grand Prairie, TX)
- …of committed clinicians and business leaders passionate about transforming American healthcare delivery. The **Senior Health Economist (** Advanced Analytics ... Analyst Senior) measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed story to… more
- Public Consulting Group (Austin, TX)
- …**Duties and Responsibilities** + Provides leadership, management, and direction to the Quality Assurance Analyst team. + Leads and manages department providing ... Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory...Studies + Cost Settlement and Supplemental Payment Strategies + Healthcare Access and Markets A Test Leader oversees the… more
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