- Molina Healthcare (Austin, TX)
- **Job Description** **Job Summary** The Senior Claims Research Analyst provides senior -level support for claims processing and claims ... research . The Sr. Analyst , Claims Research serves as a senior -level subject matter expert in claims operations and research , leading the most… more
- Prime Therapeutics (Austin, TX)
- …career? Come build the future of pharmacy with us. **Job Posting Title** Clinical Research Analyst , Senior - Remote **Job Description** The Senior ... Analyst works closely with Prime's Health Outcomes Research team to lead clinical research projects...of relevant Healthcare experience including: analyzing and using healthcare claims data, clinical research study design, and/or… more
- WTW (Houston, TX)
- …looking for someone with a background in tropical cyclones to join the Model Research team within Willis. You will be responsible for the evaluation of natural ... and models to develop adjustments where necessary. You will also undertake wider research on a range of topics, including non-modelled risks, scenario analysis, and… 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 third-party ... potential risk areas and revenue potential. The Sr Compliance Coding Analyst position partners with stakeholders to provide feedback regarding documentation and… 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
- Syms Strategic Group, LLC (SSG) (San Antonio, TX)
- Syms Strategic Group (SSG) is seeking a talented Senior Functional Analyst Location: Remote Department: Veterans Affairs Type: Full Time Min. Experience: ... service skills, and problem-solving abilities + Past experience conducting independent research to support the resolution of complex questions + Must possess… 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
- CVS Health (Austin, TX)
- …day. **Position Summary** CVS Health is looking for an experienced Business Analyst , QA and Technical SME with focus on balancing high-impact business management ... Qualifications** - Healthcare Insurance and PBM knowledge including Prior Authorizations, Claims , Rebates, Network contracting, Sales, Call Center Ops and Pharmacy… more
- Molina Healthcare (Austin, TX)
- …emerging technologies. **KNOWLEDGE/SKILLS/ABILITIES** + With limited supervision, the Sr. Analyst , Data is responsible for data compilation, data management, data ... trends + Works with internal, external and enterprise individuals as needed to research , develop, and document new standard reports or processes + Consolidates data… more
- Evolent (Austin, TX)
- …for the mission. Stay for the culture. **What You'll Be Doing:** **Lead Analyst , Performance Analytics - Oncology & Member Product Focus** **Overview:** Evolent is ... seeking an experienced and strategic **Lead Analyst , Performance Analytics** to lead data-driven initiatives focused on oncology and member-centric products. This… more
- WTW (Dallas, 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)
- …the gap between business needs and the analytical technology team. The Senior Decision Support Consultant will leverage technical, analytical, and business expertise ... of developing technical solutions. The consultant will act as a senior resource within the team, fostering business-to-technical collaboration and providing… more
- Elevance Health (Grand Prairie, TX)
- …healthcare delivery. The ** Senior Health Economist (** Advanced Analytics Analyst Senior ) measures financial performance of core Carelon products leveraging ... ** Senior Health Economist - Managed Care** **Location:** This role requires... claims , authorization, and membership data to tell a detailed story to… more
- CVS Health (Austin, TX)
- …Summary** The Senior Manager Analytic Consultant is an experienced customer-facing analyst who supports the Account Team's ability to craft a compelling story ... data into meaningful and actionable information. This role is responsible for medical claims and economics reporting and analytics for a book of Middle Market and… more
- PNC (Houston, TX)
- …for the business. We are investing in a newly formed Small Business Marketing Analyst role and are seeking an innovative thought leader to build the foundation of ... portfolio strategy design & branding, product value propositions and claims development, integrated go-to-market strategy and planning and launches, in-market… more
- Baylor Scott & White Health (Dallas, TX)
- …analytics to support our organization. + We seek a stakeholder-facing statistical analyst that will be responsible for the extraction, analysis, and interpretation ... cost saving initiatives. + Partnering with their Manager and peers to research and investigate current and new utilization trends with meaningful statistical… more
- Houston Methodist (Houston, TX)
- …**WORK EXPERIENCE** + Seven years IT experience to include five years in a senior level engineer, analyst or consultant role **LICENSES AND CERTIFICATIONS - ... below:** + Resolute Hospital Billing Administration + Resolute Hospital Billing Claims and Remittance Administration + Prelude Administration + Grand Central… more