- Molina Healthcare (Dallas, TX)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... costs to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired… more
- Molina Healthcare (Dallas, TX)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc. + Analysis and forecasting of trends in… more
- Molina Healthcare (Dallas, TX)
- … healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms ... **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… more
- Molina Healthcare (Dallas, 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 (Dallas, 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 (Dallas, 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 Networx, QNXT… more
- Molina Healthcare (Dallas, 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 (Dallas, 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
- CVS Health (Irving, TX)
- …effective solutions related to the adjudication and processing of pharmacy and medical claims and newly expanded healthcare services. Create and ensure custom ... unit, as needed. + Development of billing/vendor solutions that enable business growth/new healthcare services, working cross-functionally to prioritize,… more
- Elevance Health (Dallas, TX)
- ** Business Analyst ll** **Location** : Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate ... a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The ** Business Analyst ll** is responsible for translating basic business… more
- Molina Healthcare (Dallas, 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
- CVS Health (Irving, TX)
- …And we do it all with heart, each and every day. **Position Summary** As a Analyst , Benefits Test, you will be part of an extremely talented team within our Aetna ... also the members we provide service to. As a Analyst , Benefits Test, you will be accountable for creating...also participate in root cause analysis discussions across multiple business units as required by Client Services leaders. You… more
- Elevance Health (Grand Prairie, TX)
- …and summarizes performance using summary statistical procedures. + Develops and analyzes business performance reports (eg for claims data, provider data, ... **Risk Adjustment Encounters Analyst - Medicare / Medicaid** **Location:** This position...any necessary ad hoc reports. + May require taking business issue and devising best way to develop appropriate… more
- Scottish Rite for Children (Dallas, TX)
- …health, or health services research preferred. + 6+ years of relevant healthcare industry experience working in analytics, reporting, business intelligence, or ... We're committed to giving children back their childhood! Job Posting Title: Data Analyst Lead Location: Dallas - Hospital Additional Posting Details: Monday - Friday… more
- DriveTime (Dallas, TX)
- …which provides quality warranty and ancillary products, and a customer-friendly claims process. SilverRock offers a variety of ancillary products and administrative ... contracts, products, and warranties, and over $300 million in claims . **That's Nice, But What's the Job?** **_This is...for hire at this time._** In long, our Senior Analyst , Strategic Analytics are responsible for: + Innovate on… more