- AIG (Dallas, TX)
- Senior Claims Management Analyst Join us as a Senior Claims Analyst to grow your experience in handling complex claims . Make your mark in ... Claims . Our Claims teams are the proven problem solvers of choice...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
- TEKsystems (San Antonio, TX)
- TEKsystems is looking to hire several FULLY REMOTE Seasoned Medical Claims Analyst for a large healthcare client. **If you have 5+ years of completing a deep ... level of research within PBM claims , and have 3+ years of experience running queries...our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions.… more
- Molina Healthcare (Austin, TX)
- …to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, ... to and compliance with State and Federal regulatory guidelines. The Sr. Analyst develops and performs audits and oversight functions involving business-critical … more
- Evolent (Austin, TX)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides a ... the impact of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams… more
- Molina Healthcare (TX)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms (eg, PMPM,… more
- Molina Healthcare (Austin, TX)
- …Governance and Operations Reviews + Performs root cause analysis of claims and encounter data and develops recommendations based on data and industry knowledge. ... **Job Description** **Job Summary** The Sr Analyst , Encounters is responsible for monitoring inbound and...and works with other areas including IT, health plan, claims , provider, enrollment, regulators, and external vendors, as needed,… more
- Molina Healthcare (Dallas, TX)
- **JOB DESCRIPTION** **JOB DESCRIPTION** **Job Summary** The ** Senior Analyst , Utilization Management** plays a critical role in supporting clinical and ... advanced SQL queries to extract, validate, and analyze healthcare data, including claims , authorization, pharmacy, and lab datasets. * Build and maintain efficient… more
- Highmark Health (Austin, TX)
- …MUST BE A US CITIZEN This position serves as a key liaison between Claims Operations , Customer Service, Regulatory Affairs, IT, Legal and other departments, ... federal, and industry regulatory changes and assess their potential impact on Claims Operations , Customer Service and other operational areas processes and… more
- Keurig Dr Pepper (Frisco, TX)
- …hours, including evenings, weekends, and holidays. Join Keurig Dr Pepper as a Senior Global Logistics Analyst , where you'll manage international import and ... and efficient global shipments. You'll play a key role in daily operations , process improvements, and the implementation of new systems. **What You'll Do:**… more
- CVS Health (TX)
- …day. **Position Summary** CVS Health is looking for an experienced Business Analyst , QA and Technical SME with focus on balancing high-impact business management ... out of the box management and integration solutions for our various enterprise operations teams using a variety of platforms. We service medical, pharmacy, sales,… more