- Sedgwick (Houston, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr IT Systems Analyst Specialist **PRIMARY PURPOSE OF THE ROLE** : To lead ... combination of education and experience required. Experience in multi-line claims management processes and system requirements strongly preferred. **WORK… more
- Zelis (Plano, TX)
- …and the personal interests that shape who you are. Position Overview The Sr . Medicaid Regulatory Pricer Analyst will collaborate with the Zelis Regulatory ... team to refine into user stories with acceptance criteria, including creating test cases/ claims with expected pricing outcomes . + Perform analysis of various data… more
- International (San Antonio, TX)
- …era of complete and sustainable transport solutions. International is looking for an Sr . MES SCADA Analyst to support our Digital Transformation Journey. ... focusing on delivering high-quality solutions* Relies on evidence to back claims and maintains high standards* Thinks independently, makes clear decisions, and… more
- Evolent (Austin, TX)
- …fostering trust, expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate ... raw unadjudicated claims data. **Qualifications Required and Preferred:** + Bachelor's degree,...health, biology) + 1+ years of professional experience in claims -based healthcare analytics with a payer, provider, clinical vendor,… more
- 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** ... 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**… more
- 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** ... 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**… more
- 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. General ... Responsibilities / Accountabilities: * Contacts overdue customers and chases for payment in accordance with rules set by the engagement * Issues and monitors automatic and manual reminders to customers * Documents customer interactions into system * Maintain a… more
- Molina Healthcare (San Antonio, TX)
- …pertaining to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr . Analyst works with health plans and operations departments to ... ensure adherence to and compliance with State and Federal regulatory guidelines. The Sr . Analyst develops and performs audits and oversight functions involving… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate billing and coding compliance with Medicare and ... compliance reviews and identifying potential risk areas and revenue potential. The Sr Compliance Coding Analyst position partners with stakeholders to provide… more
- Molina Healthcare (Austin, TX)
- **JOB DESCRIPTION** **Job Summary** This Sr . Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data… more