- Evolent (Austin, TX)
- …Codes, CPT Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...health, biology) + 1+ years of professional experience in claims -based healthcare analytics with a payer, provider,… more
- Highmark Health (Austin, TX)
- …experience within one or more Epic modules. **Preferred** + 2+ years of Healthcare Revenue Cycle experience ( Claims , Patient Access, Billing) + Epic ... supporting the Epic Resolute Hospital Billing application. Responsibilities include business /systems analysis, requirements definition and documentation, system design, and… more
- Elevance Health (Grand Prairie, TX)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- Capgemini (El Paso, TX)
- …and career. For eligible employees, we offer: + Flexible work + Healthcare including dental, vision, mental health, and well-being programs + Financial well-being ... Groups + Disaster Relief **About Capgemini** Capgemini is a global business and technology transformation partner, helping organizations to accelerate their dual… more
- Catholic Health Initiatives (Houston, TX)
- …requirements. Reports are produced for Revenue Cycle functions such claims submission, insurance follow‐up, cash management, credits/refunds, charge/payment posting, ... Indicator (KPI) dashboards, reimbursement and payer mix analyses and clinic/ business operational reports; 2) interpreting/explaining report findings to clinic… more
- CVS Health (Austin, TX)
- …**Required Qualifications** + 3-5 years of data interpretation and analysis experience. + Healthcare background. + Experience with internal claims data and ... for the validation of existing fraud waste and abuse business rules and leads designed to detect aberrant billing...to determine the impact of the scheme on Aetna business . + Keep current with new and emerging fraud,… more
- Intermountain Health (Austin, TX)
- …Classification of Diseases ICD-10 and Diagnosis Related Groups (DRG) codes for claims concurrently while a patient is in a hospital. It ensures accurate ... codes in support of the provision of value-based care by Intermountain Healthcare to appropriate populations. It ensures compliance and accurate submission of… more
- Molina Healthcare (Houston, TX)
- …or team leadership experience + 10 years' work experience preferable in claims processing environment and/or healthcare environment + Strong knowledge of ... strategic analysis. **KNOWLEDGE/SKILLS/ABILITIES** Manages and provides direct oversight of Healthcare Analytics Team activities and personnel. Provides technical expertise,… more
- CVS Health (Austin, TX)
- …Experience in healthcare fraud, waste and abuse + Knowledge of Medicaid healthcare claims adjudication (QNXT) & regulatory reporting + Experience with data ... We are seeking a highly analytical and detail-oriented Data Analyst to join our Special Investigation Unit within a...skills in SQL and Python who can transform complex healthcare data into actionable insights to support fraud, waste,… more
- Highmark Health (Austin, TX)
- …degree + 10-15 years experience in support of a Marketing function or Data Analyst role or in a business environment with responsibility for application of ... Support Analyst or equivalent training and experience in a business , specialty pharmacy, clinical pharmacy or clinical environment with direct responsibility for… more