- Houston Methodist Hospital (Houston, TX)
- …lab data and diagnostic results to transplant physician/health care provider . Implements changes in drug/treatment therapy as ordered by transplant physicians. ... and other health care providers; reports pertinent patient care and family data in a comprehensive and unbiased manner; communicates patient's status; and maintains… more
- Houston Methodist Hospital (Houston, TX)
- …and other health care providers, reporting pertinent patient care and family data in a comprehensive and unbiased manner. Accurately communicates candidate's status ... assistance. Contributes to meeting department score for employee engagement. SERVICE ESSENTIAL FUNCTIONS Coordinates with interprofessional team the evaluation… more
- Humana (Austin, TX)
- …caring community and help us put health first** The Associate Vice President (AVP), Medicaid Data Strategy & Enablement, is responsible for leading the strategic ... Data Visualization and Business Intelligence (BI) Reporting team, transforming Medicaid data into actionable insights to support informed decision-making,… more
- Humana (Austin, TX)
- …of our caring community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and ... financial, and clinical teams to assess and determine optimal data solutions. Provide strategic recommendations on ...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- CVS Health (Austin, TX)
- …all with heart, each and every day. **Position Summary** - Maintains the Provider Data (demographic and contractual) for all network and non-network providers. ... other departments regarding database improvements. - Provides support for baseline provider data transactions that cannot be administered automatically through… more
- Humana (Austin, TX)
- …impact** **Required Qualifications** + Minimum of 2 years' professional experience in Medicaid data management, healthcare operations + Ability to monitor ... for ensuring the accurate and timely submission of encounter data to Medicaid , Medicare, and DSNP states,...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Cayuse Holdings (Austin, TX)
- …pipelines to support the generation of the DAP/PMAS report. + Ensure accurate integration of Medicaid Personal Care Services data within the data hub. ... **Overview** **_JOB TITLE:_** Data Engineer **_CAYUSE COMPANY:_** Cayuse Civil Services...planning, daily stand-ups, sprint reviews, and sprint retrospectives. + Provide input on backlog grooming and sprint goal alignment… more
- Humana (Austin, TX)
- …Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing ... Engineer will be primarily responsible for implementation, maintenance and support of Medicaid provider reimbursement for hospitals and facilities. They will… more
- CVS Health (Austin, TX)
- …And we do it all with heart, each and every day. **A Brief Overview** Provider Data Services Senior Coordinator will have responsibility to support loading ... all Medicaid new and revised participating provider data transactions within Aetna/CVS source systems....Sets + Follows area protocols, standards, and policies to provide effective and timely support. + Ability to learn… more
- Humana (Austin, TX)
- …of the care received by members in the KY, OH, VA, WI and IN Medicaid market populations. May provide cross-coverage for other state Medicaid markets. ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Deloitte (Dallas, TX)
- …work. Recruiting for this role ends on December 15th, 2025.Work You'll Do + Provide strategic and technical consulting services to public sector clients + ... reimbursement, including actuarial rate development across managed care and fee-for- service , Medicaid policy, budget forecasting and fiscal analyses, and… more
- Molina Healthcare (TX)
- …as subject matter expert on developing financial models to evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, ... to cost, utilization and revenue for multiple Molina Healthcare products. Analyzes data and dashboard reports to monitor health plan performance and identify the… 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 ... to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Prime Therapeutics (Austin, TX)
- …passion and drives every decision we make. **Job Posting Title** North Carolina Medicaid Account Manager - Remote Raleigh, NC **Job Description** The Senior Account ... responsible for providing complex level support for the North Carolina Medicaid business by driving communications, client-facing initiatives, and product and… more
- Public Consulting Group (Austin, TX)
- …agency and school district clients in their efforts related to special education, Medicaid reimbursement, data management and use. While a remote role, it ... and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000… more
- Humana (Austin, TX)
- …fraud, waste and abuse within the healthcare industry + Knowledge of the Medicare and Medicaid programs + Experience in data analysis + Must be passionate about ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Austin, TX)
- …Demonstrate ability to problem-solve complex coding issues + Experience with Medicare and Medicaid coding guidelines + Strong data entry and attention to detail ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- HCA Healthcare (Austin, TX)
- …with respect to provider enrollment and billing errors, utilizing proper customer service protocol + Update and maintain data inappropriate Provider ... integrity, collections, payment compliance, credentialing, health information management, customer service , payroll and physician billing. We also provide … more
- Humana (Austin, TX)
- …into provider -friendly insights. + Lead the design and refinement of provider -facing data views (dashboards, insights, performance summaries) to ensure they ... provider workflows. + Work with product leads and data teams to prioritize enhancements that make insights easier...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- CVS Health (Austin, TX)
- …the process for identifying, evaluating, and completing contracting with Specialty and Medicaid provider partners. . Developing relationships with leaders of ... chronic kidney, oncology, polychronic/complex care, and emerging specialty types) or Medicaid provider organizations to design and execute on strategies… more
