• Senior Analyst , Medical Economics…

    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 analyzing ... from various systems to support executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to… more
    Molina Healthcare (07/10/25)
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  • Senior Reporting Analyst

    CVS Health (Irving, TX)
    …will work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information ... to join our PBM Customer Reporting group as a Senior Reporting Analyst within our Compliance Pharmacy...AWS/ Azure. + Experience working with medical and/or pharmacy claims data . + Experience in healthcare industry,… more
    CVS Health (07/09/25)
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  • Senior Internal Business Systems…

    Highmark Health (Austin, TX)
    …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
    Highmark Health (07/11/25)
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  • Leave of Absence Senior Analyst

    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 ... within the organization. This role involves conducting in-depth data analysis, providing insights for decision-making, and collaborating with various departments to… more
    Sysco (07/11/25)
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  • Senior Corporate Insurance and Risk…

    Brown-Forman (Dallas, TX)
    …(MFL) and earthquake Probable Maximum Loss (PML) estimate calculations, providing robust data to inform our risk transfer strategies. + _Global Compliance and ... insurance claim settlement activities, including both insured and self-insured claims , ensuring accurate records and facilitating efficient resolution processes. +… more
    Brown-Forman (06/17/25)
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  • Senior Clinical & Population Health…

    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 ... Highmark Health **Job Description :** **JOB SUMMARY** This job creates data -driven insights which identify actionable opportunities and/or create analytics and… more
    Highmark Health (07/22/25)
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  • Senior Analyst , Actuarial

    CVS Health (Austin, TX)
    …support for certain financial components impacting the net cost of pharmacy claims . The colleague will: + Apply quantitative skills and analytical methods to ... needs. + Foster strong technical skills by manipulating and summarizing large data sets. + Effectively communicate and collaborate across teams. + Leverage critical… more
    CVS Health (07/23/25)
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  • Fraud Analytics and Innovation Lead Analyst

    Bank of America (Plano, TX)
    …and deliver on organizational loss goals. Device and Non Monetary Fraud and Innovation Senior Analyst - This job is responsible for performing complex analyses of ... Fraud Analytics and Innovation Lead Analyst Newark, Delaware;Plano, Texas; Richmond, Virginia; New York,...capabilities, reduce customer friction, and make strategic investment decisions. Data related to customer profiles and online banking login… more
    Bank of America (07/03/25)
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  • Medicaid Provider Hospital Reimbursement…

    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
    Humana (07/29/25)
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  • Compliance Coding And Billing Analyst

    University of Texas Rio Grande Valley (Mcallen, TX)
    Position Information Posting NumberSRGV8219 Working TitleCOMPLIANCE CODING AND BILLING ANALYST Number of Vacancies1 LocationMcAllen, Texas DepartmentOffice of the ... and regulations and UTRGV policies. To review and analyze medical records, claims , and workflow processes to ensure accuracy, completeness, and compliance with… more
    University of Texas Rio Grande Valley (07/11/25)
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