• Analyst , Claims Research

    Molina Healthcare (Austin, TX)
    …Operations teams + Interprets, communicates, and presents, clear in-depth analysis of claims research results, root cause analysis, remediation plans and fixes, ... **Job Description** **Job Summary** Serves as claims subject matter expert. Assist the business teams...Molina. Identifies the root cause of processing errors through research and analysis, coordinates and engages with appropriate departments,… more
    Molina Healthcare (04/27/25)
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  • Business Analyst , Logistics Claims

    Amazon (Austin, TX)
    …of leading the world in innovative technologies and services. This Business Analyst role will help business leaders make sense of complicated insurance data ... program implementation. * Drive small to medium operational enhancement projects. * Research and implement cost reduction opportunities. About the team Logistics … more
    Amazon (03/28/25)
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  • Claims Business Analyst - Remote

    Cognizant (Austin, TX)
    …IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge of the business ... systems and capabilities in order to participate in project activities and research requests on an ongoing basis; Assist in obtaining consensus by facilitating… more
    Cognizant (05/20/25)
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  • Operations Lead Analyst , Specialty…

    The Cigna Group (Austin, TX)
    **Job Summary:** The Operations Lead Analyst is an organized, analytical thinker who is responsible for the focus of supporting medical specialty pharmacy ... redirection savings research , calculation, monitoring, and trend tracking. We are seeking...tracking. We are seeking a talented Medical Savings Lead Analyst who has the profile of a collaborative professional… more
    The Cigna Group (05/28/25)
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  • Sr Analyst , Performance Suite Analytics

    Evolent (Austin, TX)
    …models and approaches aimed at quantifying and articulating our value.** **Perform research and analysis of complex healthcare claims , eligibility, and pharmacy ... contribute to Evolent's broader mission. **Collaboration Opportunities:** The Senior Analyst , Performance Suite Analytics utilizes and develops analytic tools to… more
    Evolent (04/03/25)
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  • Sr Analyst , Specialty Performance…

    Evolent (Austin, TX)
    …Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote** Evolent is seeking a Senior Analyst ... with a quantitative major (eg actuarial, statistics, biostatistics, operations research , mathematics, economics) or healthcare major (health administration, epidemiology,… more
    Evolent (05/22/25)
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  • Dispute Repricing Analyst

    CVS Health (Austin, TX)
    …with heart, each and every day. **Position Summary** ​ The Dispute Repricing Analyst will be responsible for the accurate analysis and resolution of provider ... + Review provider dispute resolutions according to organizational guidelines. + Research and respond to provider participation and pricing inquiries related to… more
    CVS Health (05/30/25)
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  • Sr. Applied Stars and Quality Analytics…

    Prime Therapeutics (Austin, TX)
    …decision we make. **Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst - Remote **Job Description** The Senior Health Data Analyst provides ... **Additional Qualifications** + Advanced troubleshooting skills, including in-depth client data research , which may involve research and drivers of utilization;… more
    Prime Therapeutics (05/24/25)
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  • Sr Analyst , Healthcare Analytics-SQL

    Molina Healthcare (Austin, TX)
    **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... of assigned reports, document reporting processes and procedures. + Assist with research , development and completion of special projects as requested by various… more
    Molina Healthcare (04/25/25)
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  • Business Process Analyst

    Highmark Health (Austin, TX)
    …+ Intake operational objectives and gather information. May perform routine research and evaluate basic output requirements and formats. Communicate business ... 3 - 5 years of experience in a Business Analyst or Business Process Analyst role or...role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 1 -… more
    Highmark Health (05/28/25)
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  • Analyst , Healthcare Analytics-SQL

    Molina Healthcare (Austin, TX)
    **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Develop ad-hoc reports using SQL programming, SQL… more
    Molina Healthcare (04/25/25)
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  • Division Director of Research GME

    HCA Healthcare (Austin, TX)
    …language(s), SAS, data transfer methods, and electronic health record and health care claims standards and/or analytical techniques used in research programs. + ... by 2028. The Central/ West Texas Division Director of Research Administration will lead a team of research...the department and for assigned projects + Perform data analyst functions that generate knowledge via data mining, visualization,… more
    HCA Healthcare (05/16/25)
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