- Humana (Austin, TX)
- …Based Services, Medicaid and Medicare integration, D-SNPs, and Self-Directed Services. The Capture Lead , Medicaid Clinical & Population Health ... put health first** Humana Healthy Horizons is seeking a Capture Lead , Clinical & Population...clients and populations served in target growth markets. The Lead , Medicaid Clinical & Population… more
- Humana (Austin, TX)
- …(MA) and Special Needs Plan (SNP) populations that benefit from payer led clinical services. This role will focus on opportunities to improve member health outcomes, ... member and provider experience, clinical quality, and savings to medical costs. The Strategy...quality, cost, and experience for members and providers + Lead cross-functional teams to define discrete opportunities that are… more
- Sevita (San Antonio, TX)
- …Coordinates and executes pre- and post-payment audits of medical records and associated clinical documentation to ensure proper charge capture and billing in ... the United States. Our extraordinary team offers innovative, quality services and support that lead to growth and new opportunities for the people we serve and for… more
- Humana (Austin, TX)
- …works on problems of diverse scope and complexity ranging from moderate to substantial. The Clinical Strategy Practice Lead is a clinical voice for the ... community and help us put health first** * The Clinical Strategy Advancement Advisor builds strategies for clinical...for improvement. Establish, operate, and improve the systems that capture , track, and regularly report on work in flight,… more
- Houston Methodist (Baytown, TX)
- …a registered nurse (RN) responsible for promoting the achievement of optimal clinical and resource outcomes, accountable for a designated assignment that is ... assures that admission and continued stay are medically necessary, communicating clinical information to payers to ensure reimbursement. The Advanced CM position… more