• 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 (09/02/25)
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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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  • Medicaid Provider Hospital Reimbursement…

    Humana (Austin, TX)
    …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... it expands to accommodate the increased responsibilities. **Responsibilities:** The Senior Business Intelligence Engineer will be primarily responsible for… more
    Humana (08/14/25)
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  • Compliance Coding And Billing Analyst

    University of Texas Rio Grande Valley (Mcallen, TX)
    Position Information Posting NumberSRGV8219 Working TitleCOMPLIANCE CODING AND BILLING ANALYST Number of Vacancies1 LocationMcAllen, Texas DepartmentOffice of the ... and regulations and UTRGV policies. To review and analyze medical records, claims , and workflow processes to ensure accuracy, completeness, and compliance with… more
    University of Texas Rio Grande Valley (08/20/25)
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  • Revenue Cycle Analyst

    Catholic Health Initiatives (Houston, TX)
    …requirements. Reports are produced for Revenue Cycle functions such claims submission, insurance follow‐up, cash management, credits/refunds, charge/payment posting, ... on accuracy, reliability, and timeliness; provides/presents interpretation of findings to senior leaders, colleagues, clinic leaders , and/or physicians. 4. Develops… more
    Catholic Health Initiatives (07/13/25)
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  • Claims PA1

    Capgemini (El Paso, TX)
    …client. Performs tasks in line with the written procedures or assigned by senior staff under supervision. Deepening knowledge in one process or more. **Your role** ... For eligible employees, we offer: + Flexible work + Healthcare including dental, vision, mental health, and well-being programs...in line with the written procedures or assigned by senior staff under supervision. Deepening knowledge in one process… more
    Capgemini (08/13/25)
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  • Claims PA1

    Capgemini (El Paso, TX)
    …client. Performs tasks in line with the written procedures or assigned by senior staff under supervision. Deepening knowledge in one process or more. **Your role** ... For eligible employees, we offer: + Flexible work + Healthcare including dental, vision, mental health, and well-being programs...in line with the written procedures or assigned by senior staff under supervision. Deepening knowledge in one process… more
    Capgemini (07/24/25)
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  • Billing Specialist

    HCA Healthcare (Mckinney, TX)
    …and other uncompensated expenses. "Good people beget good people."- Dr. Thomas Frist, Sr . HCA Healthcare Co-Founder We are a family 270,000 dedicated ... At MSO - Comprehensive OB/GYN, you come first. HCA Healthcare has committed up to $300 million in programs...(tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid… more
    HCA Healthcare (07/30/25)
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