- Molina Healthcare (Austin, TX)
- **JOB DESCRIPTION** **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives ... advanced SQL queries to extract, validate, and analyze healthcare data, including claims , authorization, pharmacy, and lab datasets. * Build and maintain efficient… 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
- Sysco (Houston, TX)
- …from home on Thursday and Friday.** **Job Summary:** The Leave of Absence Senior Analyst is responsible for analyzing and enhancing case management processes ... and other leave policies. Ensure timely and accurate case management. Investigates claims of abuse or misuse. Maintain accurate and confidential records of all… more
- CVS Health (Austin, 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 ... Qualifications** + Healthcare Insurance and PBM knowledge including Prior Authorizations, Claims , Rebates, Network contracting, Sales, Call Center Ops and Pharmacy… 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
- 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 ... + Financial Oversight: Audit and approve transportation invoices and process freight claims . + Process Optimization: Maintain SOPs and partner with providers to… more
- Highmark Health (Austin, TX)
- …5 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years of project leadership ... in a complex, matrixed environment (payer and/or provider preferred) + 3 years of providing analytical consultation to clinical, administrative, operational and financial stakeholders **Preferred** + None **LICENSES or CERTIFICATIONS** **Required** + None… more
- Toyota (Plano, TX)
- …within the Compliance & Audit seeks a passionate and highly motivated **Insurance Risk Analyst ** . Reporting to the Senior Risk Manager, the person in this ... responsibility of this role is to assist the Insurance Risk Manager(s) and Senior Risk Manager in the various insurance programs for the North American region,… more
- Keurig Dr Pepper (Frisco, TX)
- **Job Overview:** The Procurement Analyst is responsible for providing analytical, project management, and tactical executions support to create a reliable and ... network with an overall lower cost structure and improved efficiency. The Analyst works cross-functionally and supports efforts to integrate category strategies with… more
- 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