- Molina Healthcare (TX)
- **JOB DESCRIPTION** **Job Summary** The Senior Business Analyst is responsible for supporting the claims processing teams by supplying regular, timely, ... and accurate reports. As the senior level team member, this role leads efforts to ensure the claims teams and other departments have access to quality claims … more
- Prime Therapeutics (Austin, TX)
- …Posting Title** IT Business Systems Analyst Sr **Job Description** The Business Systems Analyst (BSA) Senior IT is responsible for serving as a ... stakeholders, development team and broader project team. The BSA Sr IT is also responsible for partnering with the...to educate and advance the business systems analyst practice within the Claims IT team… more
- Healthfirst (TX)
- …systems enhancements. + Follow the annual product development processes to manage major claims configuration projects, including claims business rule set up ... + Lead and deliver projects related to the development and configuration of new business , member benefits and products, claims editing, reference data and their… more
- Kiewit (Houston, TX)
- …Project Engineering **Market:** OGC **Employment Type:** Full Time **Position Overview** The Sr . Commercial/Contracts Analyst is an integral member of the energy ... **Requisition ID:** 173870 **Job Level:** Senior Level **Home District/Group:** Kiewit Energy US District...our shared needs. **Responsibilities** The overall responsibility of the Sr . Commercial/Contracts Analyst entails, in general: Contract… more
- Elevance Health (Houston, TX)
- ** Business Information Analyst Sr .** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates must live ... miles of one of Elevance's Pulse Point locations. The ** Business Information Analyst Sr .** is...performance using summary statistical procedures. * Develops and analyzes business performance reports (eg for claims data,… more
- Prime Therapeutics (Austin, TX)
- …we make. **Job Posting Title** Sr . Applied Stars and Quality Analytics Analyst **Job Description** The Senior Health Data Analyst provides information, ... as a champion of the consulting and analytic methodology for designated line of business ; may provide work direction, serve as a mentor or train junior level… more
- Evolent (Austin, TX)
- …to positively contribute to Evolent's broader mission. **Collaboration Opportunities:** The Senior Analyst , Performance Suite Analytics utilizes and develops ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...our value.** **Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based… more
- Acosta Group (Dallas, TX)
- …a claims analyst summary form timely and consistently. + Attend business unit claims reviews as necessary. + Monitor and oversee subrogation files, ... **DESCRIPTION** The Sr . Casualty Risk Analyst will assist...claims reporting, investigation, and depositions. + Workers' Compensation claims resource to corporate and business unit… more
- Molina Healthcare (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...tools to monitor trend drivers and provide recommendations to senior leaders for affordability opportunities. Responsible for conducting complex… more
- Molina Healthcare (Fort Worth, 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 (TX)
- **Knowledge/Skills/Abilities** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive… more
- Molina Healthcare (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
- Deloitte (Austin, TX)
- …to make an immediate impact where you can help our clients solve their business challenges? Deloitte's Core Business Operations (CBO) portfolio operates at the ... center of our client's business . By joining our team, you could help C-suite...testing. This role requires a deep understanding of healthcare claims processing and the ability to update companion guides.… 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...and existing health plans. + Must have experience on claims processing system, benefit configuration. + SQL knowledge is… more
- Molina Healthcare (Houston, TX)
- **Job Description** **Job Summary** The 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
- Intermountain Health (Austin, TX)
- …understanding and knowledge of the concepts and principals outlined within the Business Analyst Body of Knowledge (BABOK) guide. **Physical Requirements:** ... **Job Description:** As a Business Systems Analyst , you will work...projects. Requirements may be specific to healthcare insurance products, claims , sales activities or other service-related processes; all in… more
- CVS Health (Irving, TX)
- …solutions to make health care more personal, convenient and affordable. CVS Health is seeking a Sr . Analyst , Medical Economics to join our team! The Sr . ... including initiation, identification and completion of key deliverables to ensure all business objectives are met + Responsible for the development of provider fee… more
- Prime Therapeutics (Austin, TX)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Senior Pricing Analyst **Job Description** The Senior Pricing Analyst ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Elevance Health (Grand Prairie, TX)
- **Provider Contract Analyst Senior ** **Location:** This position will work a hybrid model (remote and in office one to two days per week). Ideal candidates will ... OH, St. Louis, MO, Grand Prairie, TX or Iselin, NJ. The **Provider Contract Analyst Senior ** is responsible for providing analytical support to the Cost of… more
- Providence (TX)
- **Description** ** Senior Epic Applications Analyst : Resolute Professional Billing and Claims -** Positions at this level demonstrate full use and application ... management with advice and counsel on a variety of business issues. Issues are often highly technical and complex...4 years industry related experience + 7 years Build analyst experience in Epic and/or equivalent healthcare software (may… more