- Molina Healthcare (Austin, TX)
- …functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received ... support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains...claims to identify billing issues that will impact claims processing and payment. Monitor new solutions implemented to… more
- Molina Healthcare (Austin, TX)
- …Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business ... rules as they apply to each database. Validate data to be housed on provider databases and ensure...and best practices while suggesting improvement processes to ensure systems are working more efficiently and improve quality. +… more
- Molina Healthcare (Austin, TX)
- …more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, ... **Job Description** **Job Summary** Sr . Analyst, Network Strategy, Pricing & Analytics guides...(including trend analysis) by utilizing NetworX Modeler and ETL systems to support negotiating strategies, modeling current and future… more
- Molina Healthcare (Austin, TX)
- … systems to support executive decision-making + Mine and manage information from large data sources + Analyze claims and other data sources to identify ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation...reports, and improvement opportunities based on analyses + Provide data driven analytics to Clinical COE, Finance, Claims… more
- Evolent (Austin, TX)
- …manner that fosters expertise and cooperation.** **Process and validate raw unadjudicated claims data .** **Use programming skills to explore, examine and ... **Familiarity with value-based care and utilization management- Preferred.** **Understanding of data systems and the critical thinking skills to solve… more
- Evolent (Austin, TX)
- …care/service + Familiarity with value-based care and utilization management + Understanding of data systems and the critical thinking skills to solve new ... activities as well as Product Development efforts. **What You'll Be Doing:** + Analyse claims and authorization data to identify trends, calculate cost of care,… more
- Molina Healthcare (Austin, TX)
- … claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...information into the claim payment system and other applicable systems . + Participates in defect resolution for assigned component… more
- Molina Healthcare (Austin, TX)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data regarding network ... + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + BI tools To all current Molina employees: If you… more
- HCA Healthcare (Austin, TX)
- …want to join an organization that invests in you as a Workers Compensation Claims Resolution Specialist? At Parallon, you come first. HCA Healthcare has committed up ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more
- Intermountain Health (Austin, TX)
- …in support of Intermountain Health's key strategy of Expanding Proactive Care. As a Data Analyst-Technical- Senior , you will act in a more senior capacity, ... to strategic initiatives, clinical standards, and operational goals through data insights. Reporting to senior leaders in...or economics and four years of relevant experience performing data analysis. + SQL + Insurance claims … more
- Centene Corporation (Austin, TX)
- …to improve systems and database designs. + Interprets and analyzes complex data from multiple sources including claims , provider, member, and encounters ... and source to target mapping. + Works on complex data integration from disparate sources. + Applies senior... data integration from disparate sources. + Applies senior level expertise in quantitative analysis, data … more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- **Position Summary** The Senior Manager of Field Technology will lead the design, optimization, and delivery of field sales reporting platforms and tools. This role ... in ensuring that our field teams have seamless access to accurate, actionable data to drive performance. The role focuses on managing field-facing technology … more
- Ascension Health (Austin, TX)
- …operational readiness and marketability issues. Ensuring a seamless path from marketing claims and value propositions to conversion. + Data Management: Oversight ... time of the offer._ **Responsibilities** We are seeking a Senior Director of Regional Marketing to lead and drive...marketing tools, marketing automation systems , content management systems (CMS), and data analytics tools. +… more
- The Cigna Group (Austin, TX)
- …conformed enterprise data warehouse and data lake to store critical data across Customer, Provider, Claims , Client, and Benefits data ; * Design, ... The job profile for this position is Software Engineering Senior Advisor, which is a Band 4 Senior...data pipelines to extract, transform, crunch and store data in various target systems ; * Manipulate… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …Under the direction of the Director/Associate Director of Clinical Management, the Senior Clinical Study Manager is responsible for the oversight and management of ... assigned trial(s), as assigned.** **Participates in ongoing review of clinical trial data focusing on data integrity, trending and consistency.** **Supports… more
- Cushman & Wakefield (Austin, TX)
- **Job Title** Senior Facility Manager **Job Description Summary** Job Description Summary This position has managerial oversight of multiple facilities, an entire ... Facilities Manager and/or Assistant Facilities Manager reporting into it. The Senior Facilities Manager has the overall responsibility for overseeing the… more
- Highmark Health (Austin, TX)
- …overall business targets or assigned volume of new applications or RFP's.Utilize various systems and tools to obtain necessary data and accurately complete and ... quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …- Interacts effectively with internal/external functional business units to gather data and develop documentation required for on-time submissions. - Works closely ... (Word, Excel, PowerPoint, Outlook) and familiarity with electronic document management systems (EDMS). **Competencies** See OPDC Competencies Chart (Level X) **P**… more
- Fujifilm (Austin, TX)
- **Position Overview** The accomplished Senior Corporate Compliance Specialist will support FUJIFILM's Corporate Compliance Program's operations to ensure high ... and implementation of new or updated polices, procedures, or systems to address new risk areas or to improve...action plans, and prepare related reports. + Manage transparency data collection, validation, and reporting process to ensure compliance… more
- Highmark Health (Austin, TX)
- …years with coding languages, analytical software, systems , tools and processes using claims , clinical, enrollment and provider data + 3 years of project ... times per year for scheduled business meetings.** This job creates data -driven insights which identify actionable opportunities and/or create analytics and reporting… more