- Norstella (Austin, TX)
- Sr . Medical Analyst Company: MMIT Location:...faster and support patients in need. We are seeking a Senior Medical Analyst to join our ... to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records (EHRs). You… more
- Rush Enterprises (New Braunfels, TX)
- The Senior Risk and Insurance Analyst - Workers' Compensation serves as the central point of contact for the day-to-day administration of the Workers' ... Oversee and manage complex workers compensation claim process, including reporting, medical coordination, lost time and return-to-work program. + Provide strategic… more
- Zelis (Plano, TX)
- …+ A good understanding of public and private healthcare payment systems, medical claims , standard claim coding, claim editing, contracting, preferred-provider ... and the personal interests that shape who you are. Position Overview The Sr . Medicaid Regulatory Pricer Analyst will collaborate with the Zelis Regulatory… more
- CVS Health (Richardson, TX)
- …Inc., a CVS Health company, is hiring for the following role in Richardson, TX: Sr . Analyst , Application Development to analyze and assist with the design and ... develop applications, systems, and databases used to process prescriptions, claims , and related healthcare activities; and collaborate with cross-functional teams… more
- Evolent (Austin, TX)
- …team at Evolent. This individual will be primarily focused on distilling medical economics insights from product strategy analyses and translating them to complex ... fostering trust, expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate… more
- 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 ... of indemnity, medical and legal aspects of highest valued, complex claims . + Reviews and analyzes TPA claim financials to ensure payments are appropriate… more
- USAA (Plano, TX)
- …candidate selected for this position will be joining the Service Team within the Claims Actuary and Analytic community, which is part of P&C Data Science. They be ... responsible for delivering insights to the Claims organization related to all things Service to better...The essence of work performed by the Decision Science Analyst involves gathering, manipulating and synthesizing data (eg, attributes,… 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
- The Hartford (San Antonio, TX)
- …talents new purpose by applying them to meaningful work at The Hartford. The Senior Ability Analyst primarily investigates claims to make timely, accurate ... Sr Ability Analyst - C409ANAbility Specialist...vocational, medical , and financial claim management. The Senior Ability Analyst supports our mission of… 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
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