- Molina Healthcare (Dallas, TX)
- …Effectively uses current and emerging technologies. This position will be focused on Medicare Stars requirements and data review. Please make sure to include ... Designs and implements processes and solutions associated with a wide variety of data sets used for data /text mining, analysis, modeling, and predicting to… more
- Elevance Health (Grand Prairie, TX)
- ** Medicare Risk Adjustment Advanced Analyst Senior** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... and adaptable workplace. Alternate locations may be considered. The ** Medicare Risk Adjustment Advanced Analyst Senior** is...**How you will make an impact:** + Prepares analytical data sets in support of modeling studies. + Build,… more
- Molina Healthcare (Dallas, TX)
- …coordination, and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational ... lead level support as a highly capable business analyst who serves as a key strategic partner in...and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements… more
- Elevance Health (Grand Prairie, TX)
- **Business Information Analyst Senior - Medicaid Encounters Data ** The **Business Information Analyst Senior** is responsible for analyzing and validating ... healthcare encounter data submissions to CMS (Centers for Medicare ...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Molina Healthcare (Dallas, TX)
- …mentoring + Eg, Medicare Exclusion POC + Acts as a team lead , assigning and prioritizing work for other team members as needed. **JOB QUALIFICATIONS** **Required ... on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules… more
- Molina Healthcare (Dallas, TX)
- …on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules ... as they apply to each database. Validate data to be housed on databases and ensure adherence...researching, presenting and documenting is required, + Experience with Medicare , Medicaid and Marketplace is required. + Medical coding… more
- Zelis (Plano, TX)
- …that shape who you are. Position Overview The Sr. Medicaid Regulatory Pricer Analyst will collaborate with the Zelis Regulatory Pricer Product team to further the ... test cases/claims with expected pricing outcomes . + Perform analysis of various data sources, including but not limited to, published fee schedules and provider… more
- HCA Healthcare (Dallas, TX)
- …programs as applicable in conjunction with the Transplant Administrators. **Technology & Data Management** + Lead the operation an integration strategy of ... (Kidney, Pancreas) in collaboration with existing facility-based Transplant Administrators. + Lead integration of culture, policies, and best practices across all… more
Recent Jobs
-
Program Management Director
- CAI (Charleston, WV)
-
Laboratory Assistant
- HCA Healthcare (Fort Pierce, FL)
-
Hotel Food Service Worker, Qavartarvik Customer Lodge ($16.73 - $25.10/HR & Benefits - Bethel, AK)
- NANA Regional Corporation (Bethel, AK)
-
Hyperscale Data Center Fire Engineer - Senior Project Manager
- CBRE (Austin, TX)