- CenterWell (Houston, TX)
- **Become a part of our caring community and help us put health first** The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a ... Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health , Specialists, Quality Based Coders, Referral Coordinators and more. Our… more
- CenterWell (Beaumont, TX)
- **Become a part of our caring community and help us put health first** The Physician serves as a health -care professional and capable of handling a variety of ... health -related problems. The Physician work assignments involve moderately complex...manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by… more
- CenterWell (Dallas, TX)
- **Become a part of our caring community and help us put health first** The Market CMO serves as a health -care professional and capable of handling a variety of ... health -related problems. The Market CMO requires an in-depth understanding...HEDIS quality indicators + Good understanding of best practice coding and documentation in value based environment + Leveraging… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical ... require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient… more
- The Cigna Group (Austin, TX)
- …to aid in identification of gaps in the Medicare Part D Prescription Drug Health market to aid in development of strategies to help close identified gaps Analytics ... revenue optimization and cost-reduction strategies for Medicare Part D Health Plans: PDP, MAPD, and Special Needs Program (SNPs)...skills; written/ verbal proficiency + Strong leadership skills + Coding skills in either SQL, R, SAS, or Python… more
- HCA Healthcare (Austin, TX)
- …by the project team or work group. Develop and maintain knowledge of terminologies and coding procedures used in research and the health care environment. + 40% ... needs into analytic questions, design and conduct rigorous analyses of health -related data, and translate analytic findings into actionable intelligence for our… more
- The Cigna Group (Houston, TX)
- …the marketplace. **Responsibilities** + Provide analytical and strategic support of health care provider rate negotiations + Identify opportunities for medical cost ... execution + Assess the cost and quality efficiency of health care providers + Collaborate with network team to...advanced Microsoft Excel skills + Knowledge of standard medical coding including CPT-IV, ICD-10, DRG, revenue codes, and HCPCS… more
- CenterWell (Dallas, TX)
- **Become a part of our caring community and help us put health first** The Medical Assistant is the first point of contact for patient care. Responsible for ... Value Based Care experience including knowledge of HEDIS, CPT/ICD coding , and CAHPS/HOS Patient Experience * Bilingual proficiency in...offers a variety of benefits to promote the best health and well-being of our employees and their families.… more
- Houston Methodist (Tomball, TX)
- …Provider - Primary Care position is responsible for maintaining and promoting the health of the patient requiring primary care, while practicing medicine under the ... Functions as a quality care provider, coordinating, maintaining, and promoting the health of the patient. Performs functions under physician supervision, such as… more
- The Cigna Group (Houston, TX)
- **POSITION SUMMARY** Expanding access to affordable, high quality health care starts at MDLIVE. At MDLIVE, innovative ideas in healthcare are created every day. The ... reports and coach team to reach their goals + Develops and implements coding RCM procedures by analyzing current procedures, recommending changes, and creating SOP's… more