- CenterWell (Austin, TX)
- **Become a part of our caring community and help us put health first** The E-Referral Specialist is an integral part of the referral process as this role is the ... source to promote the continuity of care. The role is responsible for data collection and documentation, compliance, and consistent follow up on the initial referral… more
- Intermountain Health (Austin, TX)
- …lead targeted projects that support improvements in CMS Star Ratings and member health outcomes. The Coordinator leverages clinical expertise, data insights, and ... initiatives, particularly around key measures such as medication adherence, Medication Therapy Management (MTM), and Statin Use in Persons with Diabetes (SUPD). A… more
- UTMB Health (Galveston, TX)
- …strategic initiatives related to revenue cycle, provider relations, and population health management . **EDUCATION & EXPERIENCE** **Minimum Qualifications** : * ... diem, and capitation reimbursement. * Exceptional negotiation, communication, and relationship management skills. * Proficiency in data analysis, contract… more
- Veterans Affairs, Veterans Health Administration (Dallas, TX)
- …operational, analytical and evaluative support to the VA North Texas Health Care System clinical staff and appropriate clinical committees. Responsibilities Duties ... include but not limited to: Performs Medical Center Program Management and Support: Performs tasks and responsibilities directly supporting the Root Cause Analysis… more
- Molina Healthcare (Fort Worth, TX)
- …subject matter expertise and responsibility for oversight, production, and resolution of Health Plan Payment Integrity (PI) recovery concepts. This role executes and ... monitors Health Plan Scorable Action Items (SAIs) to ensure performance...the role. + Validates findings and test assumptions through data , but lead with contextual knowledge of claims processing,… more
- UTMB Health (Friendswood, TX)
- …or Health Care Transformation orTwo (2) years of relevant experience in the management of population health -related programs such as health system ... for maintaining the CBC system-wide Quality program; to include data collection, aggregating and analyzing data , maintaining...management , health plans, or public health or Project or program management experience,… more
- UTMB Health (Webster, TX)
- …CMC - Clear Lake Center **Webster, Texas, United States** **New** Nursing & Care Management UTMB Health Requisition # 2504557 The mission of Correctional Managed ... 400. + Demonstrates skill in accurately entering required UM data . + Monitors and facilitates appropriate utilization of resources...prevent delays in transfer and transition of care. Case Management + Assists health care providers in… more
- CVS Health (Richardson, TX)
- …an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, ... At CVS Health , we're building a world of health...to evolving priorities and a commitment to delivering innovative, data -driven business solutions. This role will also involve taking… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …of assigned area. Responsibilities include collecting, analyzing and developing data relative to area, making recommendations and assisting in implementation ... and other regulatory requirements + Meets with Senior Director - Project Management to discuss compliance standards and audit outcomes Documents and maintains audit… more
- Highmark Health (Austin, TX)
- …or Risk Committees and the Audit & Compliance Committee meetings of the Board. Gathers data and prepares reports for senior management and Board of Directors as ... the development, implementation and maintenance of an effective compliance and risk management program for the supported entities. This includes, but is not limited… more