- Molina Healthcare (Houston, TX)
- …easy to understand. + Research and develop reports and analysis for senior management and effectively communicate results. **JOB QUALIFICATIONS** **Required ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will support Molina's Risk...analysis. Performs research and deep-dive analysis of complex healthcare claims data, CMS return files, and financial cost, revenue,… more
- Highmark Health (Austin, TX)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
- Sysco (Houston, TX)
- …Work from home on Thursday and Friday.** **Job Summary:** The Leave of Absence Senior Analyst is responsible for analyzing and enhancing case management ... and other leave policies. Ensure timely and accurate case management . Investigates claims of abuse or misuse. Maintain accurate and confidential records… more
- WTW (Dallas, TX)
- …**Description** We are seeking a highly analytical and detail-oriented Insurance Risk Analyst with 3-5 years of experience assessing risk in complex environments. ... interpretation, and a solid understanding of construction subcontractor risk and claims -particularly as it relates to Subcontractor Default Insurance (SDI) and/or… more
- Molina Healthcare (Austin, TX)
- **JOB DESCRIPTION** **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives ... into technical solutions. This role works closely with clinicians, utilization management teams, and business stakeholders to gather requirements and deliver… more
- US LawShield (Webster, TX)
- …who care about protecting the rights of responsible self-defenders? US LawShield is seeking a Senior Data Analyst to join our data and analytics team. This role ... (Power BI, Looker Studio, etc.) + Analyze trends in member behavior, claims data, retention, and customer satisfaction + Collaborate with stakeholders to define… 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....+ Healthcare Insurance and PBM knowledge including Prior Authorizations, Claims , Rebates, Network contracting, Sales, Call Center Ops and… more
- Molina Healthcare (San Antonio, TX)
- **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by translating ... into technical solutions. This role works closely with clinicians, care management teams, and business stakeholders to gather requirements and deliver actionable… more
- Keurig Dr Pepper (Frisco, TX)
- …including evenings, weekends, and holidays. Join Keurig Dr Pepper as a Senior Global Logistics Specialist, where you'll manage international import and export ... while driving strategic initiatives. This role blends hands-on logistics management with analytical decision-making to ensure cost-effective, compliant, and… more
- CVS Health (Austin, TX)
- …and every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team within ... abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants and customers. + Researches and… more