- Highmark Health (Austin, TX)
- …in varied and complex data; and articulates analytic findings, business implications, and recommendations to realize identified opportunities. **ESSENTIAL ... strategic priorities, needs, plans and resources. + Serves as a strategic business partner to internal and external stakeholders as demonstrated by providing thought… more
- Rush Enterprises (New Braunfels, TX)
- The Senior Risk and Insurance Analyst - Workers' Compensation serves as the central point of contact for the day-to-day administration of the Workers' ... Oversee all activities of the Company's TPAs for Workers' Compensation and internal business partners. + Analyze complex workers' compensation claims data and… more
- Toyota (Plano, TX)
- …within the Compliance & Audit seeks a passionate and highly motivated **Insurance Risk Analyst ** . Reporting to the Senior Risk Manager, the person in this ... role is to assist the Insurance Risk Manager(s) and Senior Risk Manager in the various insurance programs for... activities (ie, collection of claim detail information from business unit for claims notification, claims… more
- NTT America, Inc. (Houston, TX)
- …"TEMP BPO Senior Specialist **"** to join our team. **Client's business problem to solve?** Our client provides access to high-quality healthcare, innovative ... Contract) as per the requirement and according to defined business rules of new claims processing platform....(UAT) and implement the modifications as suggested by the business owners and/or analyst + Creating manual… more
- Prime Therapeutics (Austin, TX)
- …Pricing Analyst Sr - Strong SQL/GCP - Remote **Job Description** The Senior Pricing Analyst participates in the assessment of value generated by Prime's ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Humana (Austin, TX)
- …The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer ... as it expands to accommodate the increased responsibilities. **Responsibilities:** The Senior Business Intelligence Engineer will be primarily responsible for… more
- Norstella (Austin, TX)
- …therapies to market faster and support patients in need. We are seeking a Senior Medical Analyst to join our team and drive data-driven healthcare initiatives. ... Sr. Medical Analyst Company: MMIT Location: Remote, United States Date...extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records… 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 ... medical record collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data, regulatory processes, and… more
- Sedgwick (San Antonio, TX)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Data Analyst Manager **PRIMARY PURPOSE OF THE ROLE:** To manage a staff of data ... and provides analysis for forecasting and/or benchmarking used by senior management. + Reports directly to senior ...education and experience required to include four (4) years business experience in an insurance related field and four… more
- Prime Therapeutics (Austin, TX)
- … Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance Analyst assists in the implementation of Prime's compliance ... claims , contracting and pharmacy reimbursement. Works directly with business partners across the enterprise. **Responsibilities** + Executes compliance procedures… more