- Molina Healthcare (TX)
- …functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received ... support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains...claims to identify billing issues that will impact claims processing and payment. Monitor new solutions implemented to… more
- CVS Health (Austin, TX)
- …And we do it all with heart, each and every day. **Position Summary:** The Senior Data Analyst will be responsible for pulling participation and ... claims data using SQL, analyzing it, and deriving conclusions and...to develop and maintain dashboards and reports to visualize data and communicate findings. Additionally, the analyst … more
- Elevance Health (Grand Prairie, TX)
- …NOTE: This position is not eligible for current or future VISA sponsorship._ The **Rating/ Claims System Analyst Sr ** is responsible for providing support, ... **Pre-Pay Editing Analyst Sr ** **Location:** This role requires...configuration, design, testing and implementation for claims systems. Ensures accurate adjudication of claims ,… more
- Prime Therapeutics (Austin, TX)
- …and drives every decision we make. **Job Posting Title** Sr . Market Pricing Analyst - REMOTE **Job Description** The Senior Market Pricing Analyst serves ... new and revised financial pricing strategies based on analysis of pharmacy claims data , average wholesale drug prices (AWP), health plan margin target guidelines… more
- Prime Therapeutics (Austin, TX)
- …Applied Stars and Quality Analytics Analyst - Remote **Job Description** The Senior Health Data Analyst provides information, analyses, and consultation ... + Experience conducting complex analysis on large sets of pharmacy, claims , medical, and/or financial data + Intermediate SAS or SQL coding skills + Previous… more
- Zelis (Plano, TX)
- …and the personal interests that shape who you are. Position Overview The Sr . Medicaid Reimbursement Regulatory 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 … more
- CVS Health (Irving, TX)
- …each and every day. **Position Summary** As an Application and Development Support, Sr Analyst on the Program Modernization Automation and Development team, this ... and Power BI. + Experience working with large volumes of medical and pharmacy claims data . + Experience with SSIS, Alteryx, Tableau Prep, or other ETL tools. +… 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. ... Supervisory Control and Data Acquisition (SCADA) systems help monitor and control operations...on delivering high-quality solutions* Relies on evidence to back claims and maintains high standards* Thinks independently, makes clear… more
- Evolent (Austin, TX)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote** Evolent is seeking a ... Senior Analyst , Performance Analytics to join our...Professional experience in healthcare analytics (eg medical and pharmacy claims data , membership data , or… more
- Elevance Health (Grand Prairie, TX)
- **Provider Contract Cost of Care Analyst Senior ** **Location:** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration ... may be considered. The **Provider Contract Cost of Care Analyst Senior ** will be responsible for analyzing...+ Develops and analyzes business performance reports (eg for claims data , provider data , utilization… more