- Molina Healthcare (TX)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data (SQL and advanced Excel functions) from internal and external sources to ... influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and… more
- Providence (TX)
- …Officers, Employment Practices, Fiduciary, Property, Cyber, Managed Care, and Auto Claims. The Senior Quality Analyst assists the Claims leaders in managing a ... with laws and regulations pertaining to self-insured health care organizations. The Senior Quality Analyst is also responsible for maintaining a claims… more
- Prime Therapeutics (Austin, TX)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Actuarial Analyst - REMOTE **Job Description** The Senior Actuarial ... design and pricing support for all Prime's lines of business (commercial, Medicare and Medicaid). This role...support in complex projects that are highly visible to senior leadership and across the organization. **Responsibilities** + Own,… more
- Prime Therapeutics (Austin, TX)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst - Remote **Job Description** Job Description The ... Senior Compliance Analyst assists in the implementation of Prime's compliance programs...is dedicated to the government program compliance in the Medicare , Medicaid, and the Affordable Care Act (ACA) spaces.… more
- Prime Therapeutics (Austin, TX)
- …fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Risk Assessment and Oversight) - Remote **Job Description** ... **Description:** The Senior Compliance Analyst assists in the implementation...which may include. validating compliance gap closures throughout the business , partnering to facilitate company-wide Compliance Risk Assessment, and… more
- Prime Therapeutics (Austin, TX)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst - Remote **Job Description** The Senior Compliance ... across the organization to validate regulatory requirements are met and that business operations are aligned with expectations of applicable regulatory guidance. +… more
- CVS Health (Austin, TX)
- …And we do it all with heart, each and every day. **Position Summary** As a Senior Database Analyst , you will be responsible for using MS Access, SAS and related ... and for Sales/Clients for all CVS Health adjudication platforms and lines of business ( Medicare Part D, Commercial, Medicaid, etc.). Our Analysts make high… more
- Molina Healthcare (TX)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom ... reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare /MMP. Assists with research, development, and completion of special performance… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate billing and coding compliance with Medicare and ... potential risk areas and revenue potential. The Sr Compliance Coding Analyst position partners with stakeholders to provide feedback regarding documentation and… more
- CVS Health (Austin, TX)
- …**Key Responsibilities** : + Drafting and reviewing product filings: Draft Medicare Supplement and short-term limited duration health insurance products (policies, ... Stay abreast of changes in state and federal regulations related to Medicare supplement insurance. + Record Keeping: Maintain accurate records of product filings… more
- Cognizant (Austin, TX)
- …for the Configuration and IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an ... you on our team. **Purpose:** This position is responsible for working with business partners within one business function to align technology solutions with… more
- Prime Therapeutics (Austin, TX)
- …on trend, benefit design and pricing support for all Prime's lines of business (commercial, Medicare and Medicaid). **Responsibilities** + Build, support, and ... our passion and drives every decision we make. **Job Posting Title** Actuarial Analyst - REMOTE **Job Description** The Actuarial Analyst is responsible for… more
- Evolent (Austin, TX)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote** Evolent is seeking a ... Senior Analyst , Performance Analytics to join our Performance Suite business unit. Our mission is to improve and innovate Evolent's capabilities driving… more
- HCA Healthcare (Dallas, TX)
- …Institute (Kidney, Liver, Pancreas and Heart). + Work with division analyst to evaluate competitive market trends and opportunities. **Operational & Financial ... a financial infrastructure that ensures efficiency, optimizes cost capture for Medicare Cost Reports, and improves reimbursement strategies. + Work with Corporate… more