- Evolent (Austin, TX)
- …SAS, SQL, or similar analytical software to analyze clinical authorization and healthcare claims data * Using analytical tools to integrate various data ... of business and health care data including medical, pharmacy and ancillary claims data , membership data , clinical operational data (UM & CM), or… more
- Evolent (Austin, TX)
- …Excel, SAS, SQL, or similar analytical software to analyze clinical authorization and healthcare claims data + Working on a strategic analytics team using ... or more years of experience within a healthcare analytics role, working with Claims , Membership, or Authorization Data , and consulting both internal and external… more
- CVS Health (Austin, TX)
- …* Marketing and placement of stop loss policies, negotiating terms based upon claims data , strategy, relationships. and cost avoidance/reduction efforts. * Works ... to understand potential impacts for custom requests. * Manages and interprets operational data and applies to fee development and financial analysis. * Presents to… more
- Lockheed Martin (Fort Worth, TX)
- …we work at Lockheed Martin\! **Who You Are** As a Global Supply Chain Contracts Analyst , Sr Staff you are an experienced professional with a legal, contracts or ... day\. At Aeronautics, we leverage problem solving, creativity, and data to tackle the most exciting challenges in the...procurement law and the Uniform Commercial Code \(UCC\) * Claims , disputes, disclosures, or remedy experience * Experience with… more
- 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 ... Device and Non Monetary Fraud 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
- 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
- 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
- Catholic Health Initiatives (Houston, TX)
- …requirements. Reports are produced for Revenue Cycle functions such claims submission, insurance follow‐up, cash management, credits/refunds, charge/payment posting, ... timely report generation/distribution through use of computer‐based applications and data . Work also includes: 1) developing/maintaining Key Performance Indicator… more
- Capgemini (El Paso, TX)
- …client. Performs tasks in line with the written procedures or assigned by senior staff under supervision. Deepening knowledge in one process or more. **Your role** ... market leading capabilities in AI, generative AI, cloud and data , combined with its deep industry expertise and partner...in line with the written procedures or assigned by senior staff under supervision. Deepening knowledge in one process… more
- Capgemini (El Paso, TX)
- …client. Performs tasks in line with the written procedures or assigned by senior staff under supervision. Deepening knowledge in one process or more. **KEY ... by its market leading capabilities in AI, cloud and data , combined with its deep industry expertise and partner...in line with the written procedures or assigned by senior staff under supervision. Deepening knowledge in one process… more