- Humana (Austin, TX)
- …processes to ensure that medical record documentation and billing for services rendered is complete, compliant and accurate to support optimal reimbursement. ... 2 validates and interprets medical record documentation to ensure billing for services is complete, accurate and follows all necessary guidelines. Applies clinical… more
- Humana (Austin, TX)
- …to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 ... procedures to provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with providers, members, or other parties… more
- Humana (Austin, TX)
- …and set strategy? Are you interested in directly impacting care management services that help our members lead healthier, independent lives? Are you passionate ... (Special Needs Plan) populations that benefit from Humana's Care Management services . + Identify and operationalize opportunities to improve member health outcomes,… more
- Humana (Austin, TX)
- …the platform is scalable, observable, and resilient. + Utilizing cloud-native tools and services to build and deploy the platform. **Use your skills to make an ... other Anaplan modules + Experience with cloud platforms and services . + Excellent problem-solving and communication skills. + Experience...10mpbs upload) is required. + Satellite and Wireless Internet service is NOT allowed for this role. + A… more
- Humana (Austin, TX)
- …Lead and grow a team of AI engineers building foundational services , frameworks, and tools for agentic AI applications-enabling consistent, scalable, and ... including CI/CD, automated testing, observability, and incident response for all services owned by the team **Strategic Planning:** Define and drive strategic… more
- Humana (Corpus Christi, TX)
- …implements programs to establish high quality standards in clinical products and services . Support, develop and operationalize methods to drive program and ... service consistency. Provide and support training and process management...(collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and… more
- The City of Houston (Houston, TX)
- …social service or public health field or in a high-volume customer service environment are required. SUBSTITUTION: An Associate 's degree may be substituted ... or call ###. If you have questions, need special services or accommodations, call ###. (TTY 7-1-1) If you...directly, should you be selected to advance in our recruitment process. All new and rehires must pass a… more
- AdventHealth (Mansfield, TX)
- …new $150 million community hospital and medical office buildingthat will provide services such as Emergency Services , Medical/Surgical, ICU, Womens Services ... care coordination. The RN Care Manager is knowledgeable of post-hospital care and services available to the patient including, but not limited to the following: Home… more
- CenterWell (Austin, TX)
- …related communication. + Quickly scan documentation to determine patient eligibility for services ( service area, orders, insurance, etc.) + Assists, as needed, ... + Healthcare insurance verification experience preferred + Minimum 1 year customer service or other healthcare related experience; preference working in a home… more
- Humana (Austin, TX)
- …investment scenarios, and ROI considerations. + Provide input to Transition Services Agreements (TSAs) and deal structure assumptions. + Communicate due diligence ... HL7/FHIR understanding + Vendor negotiation and run-rate modeling + Service transition and operational readiness experience + Prosci/ADKAR change-management training… more