- CVS Health (Irving, TX)
- …day. **Position Summary** The Corporate Medicaid Compliance team is looking for a Sr . Analyst to support the Medicaid Business Compliance Office (BCO) ... will have a successful background in supporting cross-functional projects. The Sr . Analyst will support compliance oversight of market-specific implementations… more
- Prime Therapeutics (Austin, TX)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Sr . AI Business Analyst - Remote **Job Description** **Are you a Business ... grow your career in the IT AI space.** The Sr . IT Business Systems Analyst (BSA) is...project team and various levels of management. With consistent Senior Leadership visibility, the IT BSA Sr … more
- Datavant (Austin, TX)
- …educational and life experiences to realize our bold vision for healthcare. The Risk Adjustment Sr Data Analyst is an experienced analyst possessing a deep ... to understand business objectives and deliver results. As a Sr . Data Analyst , you will: + Take...+ Run various risk adjustment models for Medicare Advantage, Medicaid or ACA to forecast patient risk scores and… more
- Prime Therapeutics (Austin, TX)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Sr . Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & ... Complaints Senior Compliance Analyst assists in the implementation...or other highly regulated industry, including experience with Medicare, Medicaid , and the Affordable Care Act (ACA) + Must… more
- Baylor Scott & White Health (Austin, TX)
- + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position ... independently and with cross functional groups.Knowledge of ACA, Medicare, Medicaid , MCO, TPA business requirements preferred.Experience with healthcare encounters,… more
- Catholic Health Initiatives (Lufkin, TX)
- …current with respect to government payer reimbursement methodology changes (ie Traditional Medicare/ Medicaid /Tricare). + Other duties: * Assist National Tax team ... performance of the service lines. * Make recommendations to Senior Management for action to improve such vulnerabilities and...of annual tax returns and tax payments. * Assist National Enterprise Net Revenue team and local Financial Services… more
- Molina Healthcare (TX)
- …sources to identify risks. Additional leadership opportunities are available to lead national risk adjustment studies. Prior experience in Medicaid risk ... **Job Summary** Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model,… more
- CVS Health (TX)
- …And we do it all with heart, each and every day. **Position Summary** The Sr . Business Analyst supports Medicaid Enrollment Operations by making data ... report on vendor performance data. + Familiarity with Medicare and Medicaid regulations. **Education** + Associates degree or equivalent experience. **Anticipated… more
- Prime Therapeutics (Austin, TX)
- …fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Risk Assessment and Oversight) - Remote **Job Description** ... The Senior Compliance Analyst assists in the implementation...or other highly regulated industry, including experience with Medicare, Medicaid , and the Affordable Care Act (ACA) + Must… more
- CVS Health (TX)
- …to multiple internal and external stakeholders **Preferred Qualifications** * Medicaid and/or Medicare managed care experience **Education** * Master's degree ... or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age,… more