- Molina Healthcare (San Antonio, TX)
- **Job Description** **Job Summary** The Senior Claims Research Analyst provides senior-level support for claims processing and claims research . ... The Sr. Analyst , Claims Research serves as a senior-level subject matter expert in...regulatory and contractual requirements. + Leads and manages major claims research projects of considerable complexity, initiated… more
- Molina Healthcare (Austin, TX)
- JOB DESCRIPTION Job Summary Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... inquiries and projects. * Interprets and presents in-depth analysis of claims research findings and results to leadership and respective operations teams. *… more
- Highmark Health (Austin, TX)
- …and claims staff regarding the final adjudication of complex claims . Research and investigate conflicting benefit structures in multi-payor situations. ... is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a liaison between various… more
- USAA (San Antonio, TX)
- …makes us special and impactful. **The Opportunity** As a dedicated Decision Science Analyst Senior, you will provide decision support for business areas across the ... change. The essence of work performed by the Decision Science Analyst involves gathering, manipulating and synthesizing data (eg, attributes, transactions,… more
- American Heart Association (Dallas, TX)
- …You will join a rapidly growing team dedicated to precision medicine and scientific research . As a Senior Analyst , you will define data strategies, architect ... Association has an excellent opportunity for a **Sr.** **Statistical Analyst ** based at our National Center ( **Home-Based is...(SAPs), and build scalable solutions to solve complex clinical research questions. You will work at the intersection of… more
- Houston Methodist (Bellaire, TX)
- At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate billing and coding compliance with Medicare and third-party ... potential risk areas and revenue potential. The Sr Compliance Coding Analyst position partners with stakeholders to provide feedback regarding documentation and… more
- Medtronic (TX)
- …in a more connected, compassionate world. **A Day in the Life** The Contract Analyst (Payer Relations Analyst ) plays a critical role in supporting the Managed ... alignment with Commercial and Government policy guidelines. The Contract Analyst is instrumental in maintaining operational excellence, regulatory compliance, and… more
- Evolent (Austin, TX)
- …contribute to Evolent's broader mission. **Collaboration Opportunities:** The Senior Analyst , Performance Suite Analytics utilizes and develops analytic tools to ... Evolent and its customers in the Performance Suite where Evolent does not pay claims . + Support the design of data transfer protocols during client onboarding and… more
- Evolent (Austin, TX)
- …models and approaches aimed at quantifying and articulating our value. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy ... positively contribute to Evolent's broader mission. **Collaboration Opportunities:** The Analyst , Performance Suite Analytics utilizes and develops analytic tools to… more
- Baylor Scott & White Health (Austin, TX)
- **JOB SUMMARY** The Sr. Data Governance Analyst plays a key role in advancing BSWH data governance initiatives and driving data-informed decision-making across the ... organization. The Data Governance Analyst provides data analytics, data management, data architecture support...experience._** **ESSENTIAL FUNCTIONS OF THE ROLE** + Study and research features of new database versions and tools to… more
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