• PBM Senior Reporting Analyst

    CVS Health (Austin, TX)
    …has an exciting opportunity to join our PBM Finance Enablement group as a Senior Reporting Analyst within our PBM Customer Reporting team. CVS Health strives ... team is highly collaborative. You will report to the Senior Reporting Manager within the PBM Finance Data, Analytics,...AWS/ Azure * Experience working with medical and/or pharmacy claims data * Experience in healthcare industry,… more
    CVS Health (08/30/25)
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  • Senior Internal Business Systems…

    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
    Highmark Health (07/11/25)
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  • Risk Adjustment Audit Operations Analyst

    Molina Healthcare (Houston, TX)
    …for medical record collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data, regulatory processes, and ... **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the...Python or another programming language + Basic familiarity with healthcare data types such as claims , encounters,… more
    Molina Healthcare (08/08/25)
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  • Senior Analyst , Product…

    CVS Health (Austin, TX)
    …+ Healthcare Insurance and PBM knowledge including Prior Authorizations, Claims , Rebates, Network contracting, Sales, Call Center Ops and Pharmacy Ops + ... day. **Position Summary** CVS Health is looking for an experienced Business Analyst , QA and Technical SME with focus on balancing high-impact business management… more
    CVS Health (08/21/25)
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  • Senior Analyst , Special…

    CVS Health (Austin, TX)
    …each and every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team ... role, you will manage complex investigations into suspected and known acts of healthcare fraud, waste and abuse (FWA). **Key Responsibilities** + Conduct high level,… more
    CVS Health (08/24/25)
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  • Senior Clinical & Population Health…

    Highmark Health (Austin, TX)
    …and/or create analytics and reporting solutions aligned to the Quadruple Aim of Healthcare : lower per capita health care costs, improved outcomes from and quality of ... to identify, develop and/or monitor actionable opportunities for improving health and healthcare outcomes and clinical quality and costs of care, efficiently and… more
    Highmark Health (07/22/25)
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  • IT Business Systems Analyst Sr - Medicaid…

    Prime Therapeutics (Austin, TX)
    …to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across the organization ... decision we make. **Job Posting Title** IT Business Systems Analyst Sr - Medicaid Pharmacy Implementations - Remote **Job...project team and various levels of management. With consistent Senior Leadership visibility, the IT BSA Sr is also… more
    Prime Therapeutics (08/27/25)
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  • Sr. Configuration Analyst

    NTT America, Inc. (Houston, TX)
    …this role include:** + Candidates must have Over all 5+ years' experience in US healthcare Claims Payer. + 6 + year(s) experience in Configuring client System ... apply now. We are currently seeking a Sr. Configuration Analyst to join our team in Houston, Texas (US-TX),...here. NTT DATA, Inc. currently seeks a "TEMP BPO Senior Specialist **"** to join our team. **Client's business… more
    NTT America, Inc. (08/29/25)
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  • Sr. Medical Analyst

    Norstella (Austin, TX)
    …life-saving 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 ... Sr. Medical Analyst Company: MMIT Location: Remote, United States Date...related field. + Experience working with and querying large healthcare databases, including claims , EMR/EHR, and laboratory… more
    Norstella (07/31/25)
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  • Pricing Analyst Sr - Strong SQL/GCP…

    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 ... analysis to include 3 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare , and/or related field. + Previous experience using… more
    Prime Therapeutics (08/01/25)
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