- International (San Antonio, TX)
- …sustainable transport solutions. International is looking for an Sr. MES SCADA Analyst to support our Digital Transformation Journey. Supervisory Control and Data ... focusing on delivering high-quality solutions* Relies on evidence to back claims and maintains high standards* Thinks independently, makes clear decisions, and… more
- Evolent (Austin, TX)
- …primarily focused on performing medical economics analysis in support of complex risk -based contract development and will partner with stakeholders of various levels ... across analytics, finance, and account management . **What You Will Be Doing:** + Develop and...presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based… more
- CVS Health (Austin, TX)
- …every day. **Position Summary** CVS Health is looking for an experienced Business Analyst , QA and Technical SME with focus on balancing high-impact business ... management solutions with small project speed to market efficiency....ensure clarity of roles, responsibilities, and expectations. Completes project risk assessments and develops mitigation strategies to minimize project… more
- Molina Healthcare (Austin, TX)
- …quality improvement** + Experience working directly with **clinicians, nurses, or case management teams** + Familiarity with risk adjustment, value-based care ... **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)
- …quality improvement** + Experience working directly with **clinicians, nurses, or case management teams** + Familiarity with risk adjustment, value-based care ... **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by translating… more
- Centene Corporation (Austin, TX)
- …ROI evaluation preferred. Familiarity with claims payment, utilization management , provider/vendor contracts, risk adjustment for government sponsored ... clinical outcomes. + Interpret and analyze data from multiple sources including claims , provider, member, and encounters data. Identify and assess the business… more
- AIG (Dallas, TX)
- At AIG, we are reimagining the way we help customers to manage risk . Join us as Product Wording Specialist to play your part in that transformation. It's an ... and align with underwriting intent. + Work with Underwriting, Claims and Legal in drafting new policy forms and...team environment across multiple disciplines + Prioritizing and Time Management - Able to manage time effectively, capable of… more
- WTW (Dallas, TX)
- …overall GPA of 3.0 + Preferred course work may include human capital/human resource management , health economics, risk management & insurance, business ... clinical/health management program design, pharmacy solutions, disability/absence management strategies and claims audit services. Product-based solutions… more
- Prime Therapeutics (Austin, TX)
- …systems, particularly those that may be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, Telephony, Membership, etc.). + ... the best technologies to use for our environment considering future direction, risk , consistency and return on investment. + Takes into account the technology… more
- HUB International (Fort Worth, TX)
- …is a global insurance broker providing a broad array of property, casualty, risk management , life and health, employee benefits, investment and wealth ... management products and services. HUB has more than 650...reports to client (annually, quarterly or monthly) + Manages claims and coverage issue resolution for clients' employees when… more