- Molina Healthcare (Austin, TX)
- …more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, ... **Job Description** **Job Summary** Sr . Analyst , Network Strategy, Pricing &...to present analytical results and findings to health plans' senior management team and key stakeholder meetings (PowerPoint) +… more
- Rocket Software (Austin, TX)
- …where people truly BELIEVE in what they're doing!** **Job Description Summary:** The Senior Benefit Analyst is responsible for building and delivering both ... in line with the global total rewards philosophy. The Senior Benefits Analyst supports the design, administration,...to resolve issues, monitor service levels, and ensure accurate data exchange. + Analyze claims , utilization, and… more
- Amazon (Austin, TX)
- Description The Senior Product Safety and Quality Analyst is responsible for vetting the safety and quality of new and existing WFM products by investigating ... specifications for new and existing products across diverse product categories. The Senior PSQA shall provide technical guidance and recommendations for product and… more
- Molina Healthcare (Dallas, TX)
- …of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule… more
- Molina Healthcare (San Antonio, TX)
- …for Medicaid, Marketplace and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will...users on how to use reports. + Assist Quality Data Analytics Leaders in Predictive Intervention Strategy Analytics along… more
- Public Consulting Group (Austin, TX)
- …To learn more, visit www.publicconsultinggroup.com . The Contract Support and RCM Analyst will support both the contractual administrative tasks and the entire claim ... process. The independent contractor will provide contract support through data entry, report extract and analysis, and client support through claim issue research.… more
- Sedgwick (San Antonio, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Data Analyst Manager **PRIMARY PURPOSE OF THE ROLE:** To manage a staff of ... by senior management. + Reports directly to senior management and communicates data findings for...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Molina Healthcare (Fort Worth, TX)
- **JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements ... care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. + Strong understanding of… more
- CVS Health (Austin, TX)
- …organization's hardware, software, and documentation. + Analyzes complex configuration data to provide insights into configuration management metrics, trends, and ... determine risks associated with configuration management, such as unauthorized changes, data integrity issues, and/or configuration drift. + Conducts routine audits… more
- Bank of America (Plano, TX)
- …performance of our fraud strategies. + Identify process improvements and efficiencies via data analysis. + Partner with claims , policy, strategy, and product ... Fraud Analytics and Innovation Lead Analyst - Fraud Strategy Jacksonville, Florida;Plano, Texas; Richmond,...**Responsibilities:** + Performs complex analysis of financial models, market data , financial data , and portfolio trends to… more