- Molina Healthcare (Dallas, TX)
- JOB DESCRIPTION **Job Summary** Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... inquiries and projects. * Interprets and presents in-depth analysis of claims research findings and results to leadership and respective operations teams. *… more
- Highmark Health (Austin, TX)
- …and claims staff regarding the final adjudication of complex claims . Research and investigate conflicting benefit structures in multi-payor situations. ... is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a liaison between various… more
- Public Consulting Group (Austin, TX)
- …claim issue research . Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist with ... claim issue research . Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist with… more
- Norstella (Austin, TX)
- Sr. Medical Analyst , RWD Company: MMIT Location: Remote, United States Date Posted: Nov 20, 2025 Employment Type: Full Time Job ID: R-1548 **Description** At ... to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, and electronic health records (EHRs)**… more
- Humana (Austin, TX)
- …and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer Business and System Support team ... it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible for maintenance and support of… more
- WTW (Houston, TX)
- …**The Role** We are seeking an organized and detail-oriented Retirement Plan Compliance Analyst to join our team. As a compliance analyst you will ... **Other:** Keep abreast of laws and regulations impacting employee benefits, claims procedures, and notice requirements by using our legal database subscriptions… more
- Highmark Health (Austin, TX)
- …intake of operational objectives and information gathering. May perform routine research and evaluate basic output requirements and formats. Communicate business ... 1 - 3 years of experience in a Business Analyst or Business Process Analyst role or...role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 0 -… more
- Elevance Health (Houston, TX)
- …Coordinates research and responds to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues and ... eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing… more
- Molina Healthcare (Fort Worth, TX)
- … research , financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...basis using SQL, Excel, and other reporting software. * Research , develop, analyze and recommend cost savings opportunities in… more
- Molina Healthcare (Austin, TX)
- … research , financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...basis using SQL, Excel, and other reporting software. + Research , develop, analyze and recommend cost savings opportunities in… more
- Molina Healthcare (San Antonio, TX)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and Identifying targeted Interventions and tracking outcome. Assist with research , development, and completion of special performance improvement projects.… more
- SAS Shoemakers (San Antonio, TX)
- …highly motivated individual to join our Finance Department as an Inventory Analyst . This is an opportunity for an analytical individual that possesses ... to improve the inventory process and decrease inventory leakage. + Research and resolve discrepancies including, but not limited to, researching factory/warehouse… more
- Quanta Services (Houston, TX)
- …opportunities between interns and upper management What You'll Do As a Risk Analyst intern, you will have the opportunity to gain practical experience and contribute ... finance including performing financial analysis of Quanta Services' insurance costs and claims . This position is on site in our Corporate office in Houston,… more
- Citigroup (Irving, TX)
- The Loan Doc & Proc Assoc Analyst is a developing professional role. This role identifies policy and applies specialty knowledge in monitoring and assessing ... + Possible interaction with other counterparties around positions and outstanding balances/ claims + Supports an expansive and/or diverse array of products (risk… more
- CVS Health (Richardson, TX)
- …every day. This is a hybrid position. **Position Summary** As a Rebate Formulary Analyst - Manufacturer Rebates you will perform a critical role in the analysis of ... and collaborating on day-day tasks such as: + Conducting specific formulary research to support Rebate forecasting and underwriting teams during the manufacturing… more
- Academy Sports + Outdoors (Katy, TX)
- …planning and setting goals that utilize extensive experience, judgment, and research Responsibilities: + Analyzing online orders to determine fraudulent activity and ... functions of each different vendor portal used to dispute claims with various financial institutes + Create reports using...weekly Fraud Analysis + Perform dispute review of Fraud claims that may be submitted in error or may… more
- Highmark Health (Austin, TX)
- …with a general understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues and problems. A comprehensive ... data including, but not limited to: medical/surgical physician and institutional claims and encounters, clinical data, prescription drug data, membership data,… more
- Omnicell (Fort Worth, TX)
- …for assigned stores. . Perform root cause analysis on reoccurring issues; perform claims research . . Maintain absolute confidentiality and compliance with HIPAA ... **Reconciliation Lead** The Lead Reconciliation Analyst leads the team that provides reconciliation services...documentation. . Communicate any issues that may arise, including claims disputes. . Oversee development and communication of customer… more
- Lowe's (Desoto, TX)
- …Distribution Centers (BDC). Your day involves reviewing calls, emails, and claims , providing status updates, processing special orders, and monitoring load plans ... well-functioning distribution process. **Key Responsibilities** + Review voicemails, emails, and claims for developing issues, providing status updates to the Bulk… more
- Elevance Health (Houston, TX)
- …American healthcare delivery. The **Senior Health Economist (** Advanced Analytics Analyst Senior) measures financial performance of core Carelon products leveraging ... claims , authorization, and membership data to tell a detailed...as statistics, computer science, cognitive science, economics, or operations research , a minimum of 3 years direct experience programming… more