- Molina Healthcare (Austin, TX)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data (SQL and advanced Excel functions) from internal and external sources to ... influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and… more
- CVS Health (Austin, TX)
- …Aetna, a CVS Health company, is seeking an analytical professional to join the Medicare Sales and Strategy team. The role involves supporting the Medicare Sales ... by analyzing, compiling, and presenting data to various stakeholders, including senior leadership. The position requires strong skills in Microsoft Excel and… more
- Molina Healthcare (Houston, TX)
- …and/or detects violation of applicable laws and regulations, which will protect the Business from liability and potential risk. Ensures that the Business ... to the Health Care environment. **Knowledge/Skills/Abilities** The Operational/Regulatory Oversight Analyst works with health plans and operations departments to… more
- CVS Health (Irving, TX)
- …CT., Irving, TX., Scottsdale, AZ., or Northbrook, IL **Position Summary** As a Senior Financial Analyst , Financial Operations, put your skills to use in ... and to grow with our finance operations team. This Senior Financial Analyst , Adjustment Reporting and Research...position to both learn about various aspects of our business and to develop the foundation skills necessary for… more
- Prime Therapeutics (Austin, TX)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Actuarial Analyst - REMOTE **Job Description** The Senior Actuarial ... design and pricing support for all Prime's lines of business (commercial, Medicare and Medicaid). This role...support in complex projects that are highly visible to senior leadership and across the organization. **Responsibilities** + Own,… more
- HCA Healthcare (San Antonio, TX)
- …of each individual is recognized. Submit your application for the opportunity below: Senior Collections Analyst at Parallon **Benefits** Parallon, offers a total ... benefits may vary by location._** We are seeking a Senior Collections Analyst for our team to...delays from various payer products including HMO, PPO, Medicaid, Medicare , Auto and Workers' Compensation. + Effectively utilize ERA… more
- Molina Healthcare (Dallas, TX)
- … needs. Performs analysis across multiple states and lines of business ( Medicare , Medicaid, Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + Compiling and ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment… more
- 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 ... key business issues related to cost, utilization and revenue for...tools to monitor trend drivers and provide recommendations to senior leaders for affordability opportunities. Responsible for conducting complex… more
- Molina Healthcare (TX)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom ... reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare /MMP. Assists with research, development, and completion of special performance… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate billing and coding compliance with Medicare and ... potential risk areas and revenue potential. The Sr Compliance Coding Analyst position partners with stakeholders to provide feedback regarding documentation and… more