- Molina Healthcare (Fort Worth, TX)
- …of key managed care concepts and provider reimbursement principles such as risk adjustment , capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key… more
- AdventHealth (Burleson, TX)
- …hospital readmission metrics, especially CMS. Working knowledge of ICD-10 coding, risk adjustment , and clinical documentation improvement. Familiarity with ... low-cost of living. **The role you'll contribute:** The Quality Improvement Analyst obtains and analyzes clinical data to identify process improvement opportunities,… more
- Molina Healthcare (Austin, TX)
- …directly with **clinicians, nurses, or case management teams** + Familiarity with risk adjustment , value-based care models, or healthcare performance metrics + ... **JOB DESCRIPTION** **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by… more
- Molina Healthcare (San Antonio, TX)
- …directly with **clinicians, nurses, or case management teams** + Familiarity with risk adjustment , value-based care models, or healthcare performance metrics + ... **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by translating… more
- Datavant (Austin, TX)
- …reports directly to the Director of Strategic Operations. As a trusted partner to the Risk Adjustment COO and broader leadership team, you'll play a key role in ... for delivering results **Bonus Points If:** + You have experience in risk adjustment coding applications and technology \#LI-BC1 We are committed to building a… more
- BP Americas, Inc. (Houston, TX)
- …Maintain a strong control environment, actively monitoring internal controls, identifying risk areas, and eliminating unnecessary complexity. + Support and be ... disability status. Individuals with an accessibility need may request an adjustment /accommodation related to bp's recruiting process (eg, accessing the job… more
- Centene Corporation (Austin, TX)
- …intelligence and visualization tools including Microsoft PowerBI. Experience in risk adjustment , clinical coding, financial reporting/analysis, or CMS/State ... encounters and regulatory file submissions preferred; Experience with data mining, population health, and statistical modeling preferred. Pay Range: $68,700.00 - $123,700.00 per year Centene offers a comprehensive benefits package including: competitive pay,… more
- BP Americas, Inc. (Houston, TX)
- …Experience: 5-10 years' work tenure, with specific experience working as a Market Analyst or economist. + Strong analytical thinker able to organize large amounts of ... Exposure Management, Machine Learning, Macroeconomics, Market analysis methods, Market Risk Management, Statistics, Trade execution and management, Trading Fundamentals,… more
- TXNM Energy (Alvin, TX)
- …into the position, the candidate must successfully pass a Personnel Risk Assessment, which includes identity verification and a criminal background check. ... if corrective actions taken were effective or if they require revision or adjustment . Must be proactive, adept in working with cross-functional teams and stakeholder… more