- Icon VendorPass and Affiliates (San Antonio, TX)
- …requirements. Conduct customer service tasks such as responding to Provider , applicants, administrators, and hospital inquiries, provide documents to ... UT Health and all facilities where the Provider delivers servicesWorks with Provider to prepare and submit Medicare & Medicaid applications to enrollment… more
- TalentBurst, Inc (Irving, TX)
- …accurately utilize approved screening criteria (InterQual/MCG/Centers for Medicare and Medicaid Services "CMS" Inpatient List). They effectively and efficiently ... organizes the financial insurance care of the patients, and relays clinical data to insurance providers and vendors to obtain approved certification for services.… more
- Therapy Staff EDU (Carrollton, TX)
- …and that they provide services to other students as appropriate. * Data Collection and Analysis - SLPs, like all educators, are accountable for student outcomes. ... as to inform instruction and intervention, consistent with EBP. * Intervention - SLPs provide intervention that is appropriate to the age and learning needs of each… more
- 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
- 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 ... This role will work horizontally across the organization, coordinating with Medicaid and Medicare leadership and clinical subject matter experts to synthesize,… 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)
- …Load Professional to support the Wisconsin Medicaid market. This position performs data maintenance for Provider Data Management System and supports ... Development and Credentialing. + Maintains accurate, up to date provider data in the Provider ...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 ... 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)
- …work assignments are often straightforward and of moderate complexity. Humana's Wisconsin Medicaid Data and Reporting Professional: + Integrates data ... Data and Reporting Professional to support the Wisconsin Medicaid market. The Data and Reporting Professional...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- Humana (Austin, TX)
- …to provide actionable recommendations + Translate business requirements into data science solutions + Coordinate with cross-functional teams to ensure timely 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)
- …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
- HCA Healthcare (San Antonio, TX)
- …integrity, collections, payment compliance, credentialing, health information management, customer service , payroll and physician billing. We also provide ... Do you have the career opportunities as a(an) Trauma Data Abstractor I you want with your current employer?...join Parallon which is part of the nation's leading provider of healthcare services, HCA Healthcare. **Benefits** Parallon, offers… more
- Humana (Austin, TX)
- …of diverse scope and complexity ranging from moderate to substantial. The Lead Data Architect is accountable for interpreting the Service business goals and ... community and help us put health first** The Lead Data Architect works in all data environments...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- BrightSpring Health Services (Arlington, TX)
- …OPERATIONS* Checks and Responds to Quickbase assignments concerning issues with Medicaid Eligibility or Service Authorization issues* Completes Medicaid ... Verifies prior to admission, the individual is eligible for Medicaid and has some type of active Medicaid...are present on all planso Enters ALL on going service authorizations into Interactanto Ensures all Data … more
- HCA Healthcare (San Antonio, TX)
- …integrity, collections, payment compliance, credentialing, health information management, customer service , payroll and physician billing. We also provide ... and inclusion thrive? Submit your application for our Trauma Data Abstractor I opening with Parallon today and find...3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off… more
