- Deloitte (Houston, TX)
- …accordance with established medical and legal requirements + Interact with healthcare professionals to provide report-specific feedback and assist in resolving ... / personal health information + Consistently meet individual productivity and quality goals The Team Deloitte's Government and Public Services (GPS) practice… more
- HCA Healthcare (Conroe, TX)
- …Nurses at HCA Houston Healthcare Conroe! **Job Summary and Qualifications** The RN Quality Analyst acts as a consultant to other departments in order to ... you have the career opportunities as a(an) Registered Nurse Quality Analyst you want in your current...to home, in Conroe, Texas. We have been providing high- quality healthcare to the Montgomery County region… more
- Molina Healthcare (Houston, TX)
- …and work PST hours. **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… more
- Molina Healthcare (Houston, TX)
- …Microsoft Azure, AWS or Hadoop. * 3-5 Years of experience with predictive modeling in healthcare quality data. * 5+ Years of experience in Analysis related to ... **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Molina Healthcare (Houston, TX)
- …Microsoft Azure, AWS or Hadoop. + 1-3 Years of experience with predictive modeling in healthcare quality data. + 1-3 Years of experience in Analysis related to ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Molina Healthcare (Houston, TX)
- …up process for monitoring, tracking, and trending department data, including quality measures, effectiveness of communications, and process improvements. + Works ... equivalent combination of education and experience **Preferred Experience** 3-5 year Quality and/or Medicare Stars knowledge highly preferred To all current Molina… more
- Molina Healthcare (Houston, TX)
- …business requirements. Lead and participate in audit initiatives, develop quality control framework, and collaborate cross-functionally to drive continuous ... completion dates with Health Plans. + Develop and maintain audit checklists, quality metrics, and reporting tools. + Identify configuration errors and root causes… more
- Molina Healthcare (Houston, TX)
- …a related field **PREFERRED EXPERIENCE:** 7-9 years of experience as a Business Analyst ; healthcare industry strongly preferred To all current Molina employees: ... **Job Description** **Job Summary** The Sr. Analyst , Advanced Provider Data Management is responsible for...into comprehensive business and functional specifications. * Analyze complex healthcare data sets to identify trends, patterns and insights… more
- Molina Healthcare (Houston, TX)
- …software engineers on multiple projects for project deliverables, assess deliverables' quality , plan, and implement corrective and preventive actions to improve ... application quality . + Perform Business Role Analysis and oversee the...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Molina Healthcare (Houston, TX)
- …areas. + Quality review and submission of deliverables to Molina Healthcare Government Contract and to State Medicaid Agencies. + Tracking all contractual ... complex enrollment issues concerning member eligibility. + QNXT + Healthcare experience + SQL-preferred **Job Qualifications** **Required Education** Associate's… more
- Molina Healthcare (Houston, TX)
- …management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Generates data to support continuous quality of provider data and developing SOPs and/or BRDs. + ... improvement processes to ensure systems are working more efficiently and improve quality . + Assists in planning and coordination of the claim payment system… more
- Molina Healthcare (Houston, TX)
- …data integrity and recommending improvements to enhance system efficiency and quality . **KNOWLEDGE/SKILLS/ABILITIES** + Serves as a subject matter expert (SME) on ... to ensure systems are working more efficiently and improve quality . + Assists in planning and coordination of application...experience in QNXT or NetworX Pricer + Must have healthcare experience. + Experience working with SQL is highly… more
- Molina Healthcare (Houston, TX)
- …Reviews and analyzes gaps to improve organizational processes, and works to improve quality , productivity, and efficiency in partnership with the team and the vendor ... **I** **E** **N** **C** **E:** + 1-3 years of experience in Healthcare (payer experience), Vendor Management, Data Analytics, Contract Terms and Conditions,… more
- Molina Healthcare (Houston, TX)
- …accuracy in a timely manner to meet department standards of turnaround time and quality . + Audit loaded provider records for quality and financial accuracy and ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Molina Healthcare (Houston, TX)
- …improvement processes to ensure systems are working more efficiently and improve quality . + Assists in planning and coordination of application upgrades and ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Molina Healthcare (Houston, TX)
- …and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Audits loaded provider records for quality and financial accuracy and provides documented feedback. + Assists ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Senior (Sr.) Business Analyst is responsible for being a key facilitator within the organization, acting as a bridge between the client, ... stakeholders and assigned team. The Sr. Business Analyst is responsible for large scale projects of advanced complexity and scope. Responsible for identifying the… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Operations Project Analyst position is responsible for providing administrative support to the department by managing strategic projects ... external data sources and software tools, the Operations Project Analyst position serves a vital role in supporting the...of the arts and medicine to life within the healthcare environment. In support of this mission, the Operations… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Application Analyst position is responsible for intermediate level support and configuration of assigned applications. The position entails ... customers with the operation and administration of systems. The Application Analyst position troubleshoots issues and works with vendors on issue resolution… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Supply Chain (SC) Performance Analyst position is responsible for maintaining and performing complex data analysis related to the Supply ... Audit, Clinical Education and entity management or administration. The SC Performance Analyst position works collaboratively with teams and may serve as a liaison… more