- Kelly Services (Houston, TX)
- We're seeking a ** Medical Claims Analyst ** to work at a premier healthcare organization in **Northwest Houston, TX 77092** . **Pay rate:$20 hr** **schedule: ... 8am-5pm** **Job Type: Temp-Perm** **What's a typical day as a Medical Claims Representative? You'll be:** * Maintaining workflow inventory on a day-to-day… more
- Molina Healthcare (Houston, TX)
- …& ABILITIES:** + 1-3 years claims analysis experience + 5+ years medical claims processing experience across multiple states, markets, and claim types + ... **PREFERRED EXPERIENCE:** + 1-3 years claims analysis + 6+ years medical claims processing experience + Project management + Expert in Excel and PowerPoint… more
- Deloitte (Houston, TX)
- …who wants to work in a collaborative environment? As an experienced Epic Billing and Claims Senior Analyst you will have the ability to share new ideas and ... * Certified in Epic Hospital Billing Administration/Professional Billing Administration and Claims * Experience in performing configuration changes and system builds… more
- Molina Healthcare (Houston, TX)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, ... analyses + Provide data driven analytics to Clinical COE, Finance, Claims , Medical Management, Network, and other departments to enable critical decision making… more
- Molina Healthcare (Houston, TX)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical… more
- Elevance Health (Houston, TX)
- **Rating/ Claims System Advisor** **Location:** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and connectivity, while ... and adaptable workplace. Alternate locations may be considered. The **Rating/ Claims System Advisor** will be responsible for providing support,...of study and a minimum of 6 years systems analyst or business analyst experience; or any… more
- Molina Healthcare (Houston, TX)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data… more
- Robert Half Technology (Houston, TX)
- …We are offering an exciting opportunity for a Senior PeopleSoft Functional HCM Analyst in the Energy/Natural Resources industry, based in Houston, Texas. As a Senior ... PeopleSoft Functional HCM Analyst , your role will be crucial in managing and...* Experience with Claim Administration, including processing and managing claims related to the energy/natural resources industry. Call today… more
- Elevance Health (Houston, TX)
- **Cost of Care Analyst Senior** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, while providing ... York, NY or Houston, TX. The **Cost of Care Analyst Senior** provides analytical support to the Cost of...Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing… more
- Molina Healthcare (Houston, TX)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... Economics, Math, or Computer Science **Preferred Experience** Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators: + Proactively… more
- Elevance Health (Houston, TX)
- **Business Information Analyst Senior** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, while ... Norfolk, VA, New York, NY or Houston, TX. The **Business Information Analyst Senior** is responsible for analyzing, reporting and developing recommendations on data… more
- Elevance Health (Houston, TX)
- **Actuarial Analyst II** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our ... Elevance Health PulsePoint locations. The **Actuarial Analyst II** will be responsible for completing projects and performing complex actuarial studies. **How you… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Accounting and Reporting Analyst position is responsible for identifying and compiling information for various governmental reports, ... Medicaid Cost Reports, Annual Tax Returns, Federal Emergency Management Agency (FEMA) claims , etc. Assists in researching government program rules and other complex… more
- Molina Healthcare (Houston, TX)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... Power BI or similar tools **Preferred Experience** Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators: + Proactively identify… more
- Molina Healthcare (Houston, TX)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... Economics, Math, or Computer Science **Preferred Experience** Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators: + Proactively… more
- Molina Healthcare (Houston, TX)
- …sources. + Resource to staff for mentoring, coaching, and analysis questions. + Reviews Medical Economics analyst work products to ensure accuracy and clarity. + ... strategic analysis. **KNOWLEDGE/SKILLS/ABILITIES** Manages and provides direct oversight of Medical Economics Team activities and personnel. Provides technical expertise,… more
- Wolters Kluwer (Houston, TX)
- …by management, as well as the ongoing monitoring/auditing of LBACOE analyst work to ensure compliance with established quality standards. **RESPONSIBLITITES** + ... prior supervisory experience, preferably in a legal billing or claims environment. + 5+ years' experience in the legal...with 3+ years as an attorney, paralegal, legal spend analyst , legal bill auditor, legal bill reviewer, or billing… more
- WTW (Houston, TX)
- …management program design, pharmacy solutions, disability/absence management strategies and claims audit services. Product based solutions such as our pharmacy ... new client organizations. **The Role** As a VB Lead Analyst , You will be responsible for supporting VB sales,...full spectrum of voluntary plans and programs including supplemental medical , permanent life, legal, ID theft, group auto &… more