- 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
- 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
- Providence (TX)
- …Directors and Officers, Employment Practices, Fiduciary, Property, Cyber, Managed Care, and Auto Claims . The Senior Quality Analyst assists the Claims ... self-insured health care organizations. The Senior Quality Analyst is also responsible for maintaining a claims...Insurance terminology + Legal concepts + Liens + Electronic claims databases + Medical terminology **Skills required… 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
- Molina Healthcare (Austin, TX)
- …the business to provide recommendations on opportunities for process improvements, medical cost savings or revenue enhancements. + Create Business Requirements ... technical teams + Appeals & Grievance, healthcare services, or claims background **Preferred License, Certification, Association** Certified Business Analysis… 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
- 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
- Molina Healthcare (Fort Worth, TX)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical… more