- Cognizant (Austin, TX)
- …and IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge ... you on our team. **Purpose:** This position is responsible for working with business partners within one business function to align technology solutions with… more
- UTMB Health (Galveston, TX)
- Senior EHR Clin Apps Analyst (Resolute Hospital and Professional Claims ), Remote - ITS-Clin Revenue Cycle **Galveston, Texas, United States** **New** ... Qualifications:** + Certified or Accredited in Epic Resolute Hospital Billing Claims and Remittance Administration and Epic Resolute Professional Billing Claims… more
- TEKsystems (Dallas, TX)
- …of the servicer and/or client * Files respective investor/insurer initial and final claims based on the respective guidelines for allowable limits * Reviews MI claim ... and research curtailment reasons for potential rebuttal * Files Appeal or Supplemental Claims ensuring all allowable advances and interest are recovered from the MI… more
- Centene Corporation (Austin, TX)
- … business process analysis, preferably in healthcare (ie documenting business process, gathering requirements) or claims payment/analysis experience. ... flexibility. **Position Purpose:** Perform various analysis and interpretation to link business needs and objectives for assigned function. Role is focused on… more
- Molina Healthcare (Dallas, TX)
- **Molina Healthcare is hiring a Sr Business Analyst , Appeals & Grievances** and experience in data reporting. **Highly Qualified Candidates Will Have The ... full Appeals & Grievances process + Experience working with claims and claims processing + High level...Payment Integrity, Excel, Power User, Power BI, Enrollment, Enrollment Analyst , Analyst , Business Analyst… more
- Prime Therapeutics (Austin, TX)
- …and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - ScriptMed - Remote **Job Description** The IT Business Systems ... (SDLC) methodology employed by Prime and partnering with the business , IT, and other project stakeholders to elicit, define,...of security implications of domain + Experience in Prime claims systems + Proficiency in Visio, Microsoft Word, Excel,… more
- UTMB Health (Galveston, TX)
- Senior Revenue Integrity Analyst (Partial Remote /Local) - Revenue Integrity & Reimbursement **Galveston, Texas, United States** Business , Managerial & ... # 2405494 **Minimum Qualifications:** Bachelor's degree or equivalent in Finance, Business Administration, Health Care Administration, Nursing, or related field and… more
- Molina Healthcare (TX)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, and ... Finance teams through analyzing key business issues related to UM and CM processes and...and manage information from large data sources + Analyze claims and other data sources to identify early signs… more
- Molina Healthcare (Dallas, TX)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... business issues related to cost, utilization and revenue for...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- Molina Healthcare (Houston, TX)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits,… more