- Molina Healthcare (San Antonio, TX)
- …cause and resolve outstanding issues. Creates reports and analysis based on business needs and required or available data elements. Collaborates with Health Plans ... is a general role in which employees work with multiple types of business data. Will work cross functionally across multiple business areas.… more
- Microsoft Corporation (San Antonio, TX)
- The **Senior Construction Claims Analyst ** shall work seamlessly with the Global and Regional Claims Lead to play a pivotal role in monitoring and reporting ... EPC, Closed End Lease Agreement (CELA), Quality, Commissioning, and Business Intelligence teams. Regular updates and reports will be...We are currently looking to hire a Senior Construction Claims Analyst for the AMER region, who… more
- Molina Healthcare (San Antonio, TX)
- **Job Description** Job Summary Serves as claims subject matter expert. Assist the business teams with reviewing claims to ensure regulatory requirements are ... appropriately applied. Manages and leads major claims projects of considerable complexity and volume that may be initiated through provider inquiries or complaints,… more
- Molina Healthcare (San Antonio, TX)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...in research, review and audits for adjudication rates of claims + Must be able to work in cross… more
- The Hartford (San Antonio, TX)
- …with Claim Centers and territories in furtherance of and execution on the Claims legal cost containment goals, objectives, and business plan. + Integrate ... The Hartford is seeking to hire a Senior Litigation Analyst to join our Legal team. We are looking...pending invoices for the assigned region and/or line of business through utilization of team resources as well as… more
- Rush Enterprises (New Braunfels, TX)
- …Oversee all activities of the Company's TPAs for Workers' Compensation and internal business partners. + Analyze complex workers' compensation claims data and ... The Senior Risk and Insurance Analyst - Workers' Compensation serves as the central...time and return-to-work program. + Provide strategic guidance on claims progression, settlement strategy, settlement negotiation and authorization, subrogation,… more
- Molina Healthcare (San Antonio, TX)
- …**Job Summary** A successful candidate will have a balance of business insight, critical thinking, strong communication and analytical skills. Possess the ... organizational and technical challenges. Performs research and analysis of healthcare claims data, pharmacy data, and external data to derive proper courses… more
- UIC Government Services and the Bowhead Family of Companies (San Antonio, TX)
- **Overview** MANAGEMENT PROGRAM ANALYST (BAMC-2025-22169): Bowhead seeks aManagement Program Analyst to support the Brooke Army Medical Center (BAMC) in San ... a regular basis. + Serve as a planner and analyst , assisting the Chief, Information Management Division, in gathering...retrieval and reporting software such as General Fund Enterprise Business System (GFEBS) and The Defense Medical Logistics -… more
- Molina Healthcare (San Antonio, 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 (eg authorization) to identify… more
- Molina Healthcare (San Antonio, TX)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to ... influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and… more
- Molina Healthcare (San Antonio, TX)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...Health Plans. + Must have experience with Benefits configuration, claims + The team is responsible for implementation and… more
- Molina Healthcare (San Antonio, TX)
- **Job Description** **Job Summary** The Sr Analyst , Risk Adjustment - Predicitve Analytics role supports Molina's Risk Adjustment Predictive Analytics team. Designs ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and related financial data like risk...overall markets and LOB. + Work in an agile business environment to derive meaningful information out of complex… more
- Molina Healthcare (San Antonio, TX)
- **Job Description** **Job Summary** The Sr. Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality...overall markets and LOB. + Work in an agile business environment to derive meaningful information out of complex… more
- Molina Healthcare (San Antonio, TX)
- **Job Description** **Job Summary** Supports ongoing Claims and Enrollment operations in the management of smaller scale, less complex vendor activities. Provides ... as directed by the Enrollment team . Partners with the vendor to analyze business and vendor performance problems and issues using data from internal and external… more
- Molina Healthcare (San Antonio, TX)
- …used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables ... departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods… more
- Molina Healthcare (San Antonio, TX)
- …analyses on a variety of topics related to the overall support of business operations. + Creates and maintains reports to manage claim inventory, adjustment ... findings and may develop recommendations to solve problems and issues related to business operations. + Follows team coding standards for report design. Works to… 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
- Molina Healthcare (San Antonio, TX)
- …opportunities to support clinical savings initiatives. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze claims and authorization data to identify trends or other issues ... exhibits and data visualizations to illustrate key trend drivers + Work with business owners to track performance indicators of medical interventions + Extract and… 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
- UIC Government Services and the Bowhead Family of Companies (San Antonio, TX)
- …**Responsibilities** Positions available may include: + Graphic Designer + Management Analyst + Application Engineer + Application Programmer + IT Help Desk ... or where a rental car must be obtained for business travel purposes, applicants must have a valid driver...characteristics EOE/AA/M/F/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more