- CVS Health (Austin, TX)
- …career goals. Position SummaryThis position will support the several parts of the Medicaid provider management team with focus on assignment, reporting, project ... coordination and collaboration amongst of work for Network Operations-Intake and triage, provider data assignments, claim pend assignments.Will be lead for work… more
- Mathematica (Austin, TX)
- …related to monitoring and improving the following Medicaid programs: * Medicaid payment and financing policies (fee-for- service base and supplemental ... rigorous analytic thinking to the collection and interpretation of quantitative and qualitative data , including analysis of Medicaid administrative data and… more
- Prime Therapeutics (Austin, TX)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Data & Reporting Business Analyst - Louisiana Medicaid **Job Description Summary** ... empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- Public Consulting Group (Austin, TX)
- …new streamlined modular certification (SMC) and outcomes-based certification (OBC). Our ideal Medicaid Consultant will provide oversight and direction for scope, ... the public sector. To learn more, visit www.publicconsultinggroup.com. **Responsibilities** The Medicaid marketplace is changing, and PCG is at the forefront. We… more
- Humana (Austin, TX)
- …in Virginia is seeking a Strategy Advancement Advisor (FIDE SNP) who will provide data -based strategic direction to identify and address business issues and ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Humana (Austin, TX)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... seeking an experienced healthcare leader to join our team as the Provider Reconciliation Program (PRP) Lead within the Healthcare Quality Reporting and Improvement… more
- Humana (Austin, TX)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus other commercial and… more
- Humana (Austin, TX)
- …experience in Microsoft Excel including formulas, pivots, charts, and graphs, and provider data analysis comparisons + Prior experience with Quest Analytics ... necessary for network build requirements and reporting + Experience in QuickBase provider data loading, creating templates and generating reports **Additional… more
- Humana (Austin, TX)
- …integral part of a cross-functional, collaborative organization which includes Provider Service Experience, Network Optimization, Clinical Services, Value-Based ... course of action. Responsibilities + Leading and managing the Provider Performance team for Ohio Medicaid and...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- Humana (Austin, TX)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... help us put health first** Humana Healthy Horizons (HHH) in Indiana a Senior Data and Reporting Professional generates ad hoc reports and regular datasets or report… more
- Humana (Austin, TX)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... and help us put health first** For this Senior Data Scientist role, we're looking for someone with ...Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet… more
- Humana (Austin, TX)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... put health first** Join us at Humana as a Data Scientist 2, where you'll be a crucial part...Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet… more
- Humana (Austin, TX)
- …in and delivery leaders in Insurance segment to make a major impact on the Medicaid and Specialty space by provide world-class, best of breed solutions! **Job ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Highmark Health (Austin, TX)
- …onboarding of new plans/providers. Translates configuration rules, fee schedules, contract terms, provider data code sets, and benefits into systems parameters ... underlying systems that support the respective business platforms for the Medicaid Business Unit market served by Highmark. Performs configuration change management… more
- Tenderheart Health Outcomes (Austin, TX)
- …local and government/insurance agency regulations. + Enters, updates and maintains data from provider applications. + Prepares issues, electronically tracks ... care, we listen, we respond. + Innovation: We create service enhancements that address healthcare challenges. + Equality: We...acquire a working knowledge of Centers for Medicare & Medicaid (CMS) regulations and Medicaid requirements. +… more
- Evolent Health (Austin, TX)
- …**Collaboration Opportunities:** The Specialist, Credentialing Operations team collaborates with the Provider Data Management (PDM) team through our Jira ticking ... system. **What You Will Be Doing:** + Maintenance of provider data within the credentialing platform. + Ticket intake and triage for internal/externally… more
- Foundation Communities (Austin, TX)
- …program staff are trained in policies that affect the Health Coverage Program, particularly service delivery. * Provide direct supervision to 5 Client Service ... their coverage to access health care. Primary Duties/Responsibilities: Program Management and Service Delivery * Oversee day to day operations of the Health Coverage… more
- Humana (Austin, TX)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... risk adjustment (RA) and quality (Stars) solutions that leverage data and technology to empower members, providers, and Humana....that help support and connect across these member and provider focused efforts. HTA's Member & Provider … more
- Humana (Austin, TX)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... vendors. The work will require the ability to integrate data from multiple sources to produce the requested/required ...vendors who aid in managing medical utilization for Medicare, Medicaid , and Commercial lines of business. + Master the… more
- Mathematica (Austin, TX)
- …policies for people with disabilities and working directly with state agencies and/or service providers that provide services to people with disabilities in ... to organizations implementing new disability programs and policies helping them leverage data and technology to improve service delivery and outcomes *… more