- Molina Healthcare (Houston, TX)
- …information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each ... Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network… more
- Elevance Health (Houston, TX)
- …which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:** + Business Analyst or Business Systems Analyst ... **Epic Professional Billing Analyst (Systems Analyst Senior Advisor)** **Location:**...is responsible for defining and managing the scope of Business Systems projects. **How you will make an impact:**… more
- Elevance Health (Houston, TX)
- ** Business Analyst ** A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of new technologies and a ... of one of our Elevance Health PulsePoint locations. The ** Business Analyst III** is responsible for serving...Analysis, Requirement gathering and execution and/or healthcare operations is required . + Exposure to PBM Claims Adjudication… more
- UT Health (Houston, TX)
- …Professional Billing (PB), and it would be helpful if they are familiar with PB Claims and remittance. The focus of this analyst will revolve around claims ... EPIC Professional Billing Application Analyst III **Location:** Texas Medical Center-Houston, Texas **Hot**...with end users to help communicate improvements needed for business processes and contribute directly to the success of… 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 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 ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule… 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 ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...and knowledge to research and resolve claim/encounter issues, pended claims and update system(s) as necessary. + Works with… 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 ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...in contracts and benefits configuration. + Strong background in claims is required . + Experience working on… more
- Live Nation (Houston, TX)
- …on! THE ROLE Reporting to the Supervisor-Payroll Analysis & Reporting, the Payroll Analyst will research unclaimed property claims related to payroll, contact ... on the repayments to ensure appropriate tax treatment. The Analyst will also assist with the handling of special...WHAT THIS PERSON WILL BRING + Bachelor's degree in Business related field from an accredited college or university… 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 ... organizations. + Maintains SharePoint Sites as needed. **JOB QUALIFICATIONS** ** Required Education** Bachelor's Degree in Finance, Economics, Computer Science **… 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
- Catholic Health Initiatives (Houston, TX)
- …requirements. Reports are produced for Revenue Cycle functions such claims submission, insurance follow‐up, cash management, credits/refunds, charge/payment posting, ... leadership. Strong communication, analytical and critical thinking skills are required for timely report generation/distribution through use of computer‐based… more
- Quanta Services (Houston, TX)
- …out how our people power modern life. About this Role The Risk Analyst supports various activities relating to risk management finance including performing financial ... analysis of Quanta Services' insurance costs and claims , while also assisting with contract reviews and project risk assessments, including appropriate insurance… 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 (Houston, TX)
- …information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each ... Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network… 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 ... Analyzing Financial and Utilization Metrics of Healthcare. **JOB QUALIFICATIONS** ** Required Education** Bachelor's Degree in Finance, Economics, Computer Science **… more
- Molina Healthcare (Houston, 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
- Elevance Health (Houston, TX)
- …and summarizes performance using summary statistical procedures. + Develops and analyzes business performance reports (eg for claims data, provider data, ... **HEDIS Business Information Consultant** **Location:** This position will take...days physically in office per week** . Associates are ** required ** to live within a 50-mile radius and a… more
- Travelers Insurance Company (Houston, TX)
- …1 **What Is the Opportunity?** Travelers' Claim organization is at the heart of our business by providing peace of mind to our business customers during life's ... a team of professional accountants to quantify the financial aspects of customer claims to ensure current, accurate, and complete information. You will leverage your… more
- Ankura (Houston, TX)
- …effective oversight and customized solutions, helping clients manage risk and achieve their business objectives efficiently. As a Risk Advisory Analyst , you will ... and growth. This position supports the Ankura Risk Advisory Business Group - one of six practices focused on...Compliance and ethics programs + Economic sanctions + Insurance claims recovery + International trade controls + Monitorship Ankura… more