- Cognizant (Austin, TX)
- …and IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge ... you on our team. **Purpose:** This position is responsible for working with business partners within one business function to align technology solutions with… more
- UTMB Health (Galveston, TX)
- Senior EHR Clin Apps Analyst (Resolute Hospital and Professional Claims ), Remote - ITS-Clin Revenue Cycle **Galveston, Texas, United States** **New** ... Qualifications:** + Certified or Accredited in Epic Resolute Hospital Billing Claims and Remittance Administration and Epic Resolute Professional Billing Claims… more
- TEKsystems (Dallas, TX)
- …of the servicer and/or client * Files respective investor/insurer initial and final claims based on the respective guidelines for allowable limits * Reviews MI claim ... and research curtailment reasons for potential rebuttal * Files Appeal or Supplemental Claims ensuring all allowable advances and interest are recovered from the MI… more
- Centene Corporation (Austin, TX)
- … business process analysis, preferably in healthcare (ie documenting business process, gathering requirements) or claims payment/analysis experience. ... flexibility. **Position Purpose:** Perform various analysis and interpretation to link business needs and objectives for assigned function. Role is focused on… more
- Prime Therapeutics (Austin, TX)
- …and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - ScriptMed - Remote **Job Description** The IT Business Systems ... (SDLC) methodology employed by Prime and partnering with the business , IT, and other project stakeholders to elicit, define,...of security implications of domain + Experience in Prime claims systems + Proficiency in Visio, Microsoft Word, Excel,… more
- Prime Therapeutics (Austin, TX)
- …drives every decision we make. **Job Posting Title** Specialty & Home Delivery Program Analyst - Remote **Job Description** The Specialty & Home Delivery Program ... Analyst is responsible for serving as a subject matter...and Pharmacy Match product which may include implementations, projects, claims & performance guarantee monitoring, and testing. This position… more
- UTMB Health (Galveston, TX)
- Senior Revenue Integrity Analyst (Partial Remote /Local) - Revenue Integrity & Reimbursement **Galveston, Texas, United States** Business , Managerial & ... # 2405494 **Minimum Qualifications:** Bachelor's degree or equivalent in Finance, Business Administration, Health Care Administration, Nursing, or related field and… more
- Molina Healthcare (TX)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, and ... Finance teams through analyzing key business issues related to UM and CM processes and...and manage information from large data sources + Analyze claims and other data sources to identify early signs… more
- Molina Healthcare (San Antonio, 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
- Molina Healthcare (Dallas, TX)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... business issues related to cost, utilization and revenue for...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- Molina Healthcare (Houston, TX)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits,… more
- Molina Healthcare (San Antonio, TX)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive… more
- Elevance Health (Houston, TX)
- …Computer Science or related field of study and a minimum of 6 years systems analyst or business analyst experience; or any combination of education and ... **Rating/ Claims System Advisor** **Location:** This role requires associates...approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. Alternate… more
- The Hartford (San Antonio, TX)
- …by applying them to meaningful work at The Hartford. The Senior Ability Analyst primarily investigates claims to make timely, accurate and customer focused ... Sr Ability Analyst - C409AN We're determined to make a...Work Arrangement: This role can have a Hybrid or Remote work arrangement. Candidates who live near one of… more
- Humana (Austin, TX)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of… more
- Sedgwick (Irving, TX)
- …requirements preferred. **Skills & Knowledge** + Knowledge of third-party administration and claims management business and technology + Oral and written ... their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our… more
- Omnicell (Fort Worth, TX)
- **Job Title: Medical Billing Analyst ** **Location: Fort Worth, TX (Hybrid)** **This is a hybrid position based in Fort Worth, TX. Employees are expected to work ... systems, workflows, and team collaboration.** **Position Summary:** The **Medical Billing Analyst ** plays a key role in delivering top-tier medical billing services… more
- International (San Antonio, TX)
- …sustainable transport solutions. International is looking for an Sr. MES SCADA Analyst to support our Digital Transformation Journey. Supervisory Control and Data ... fast-paced, dynamic Discrete Manufacturing environment. You will collaborate with architects and business associates to create a five year roadmap and set standards… 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
- PNC (Dallas, TX)
- …have an opportunity to contribute to the company's success. As a Loan Support Analyst Senior within PNC's Midland organization, you will be based in office within ... a best in class office environment; and also supports remote and hybrid work environments As a Loan Support... and hybrid work environments As a Loan Support Analyst Senior in PNC Midland's Insurance department you will… more