- Molina Healthcare (Fort Worth, TX)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst, Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities ... include developing risk score reporting with Databricks and Power BI, organizing...organizing and managing large and varied data sets, analyzing healthcare data for decision support, and communicating findings. Qualified… more
- Molina Healthcare (Austin, TX)
- …of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data to evaluate healthcare intervention program performance. ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst, Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment… more
- Baylor Scott & White Health (Plano, TX)
- …experience. + TX RN license if an RN + Certified Professional in Healthcare Risk Management (CPHRM) preferred. **Belonging Statement** We believe that all ... communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live...on position type and/or level **Job Summary** The Clinical Risk Manager (CRM) directs and coordinates clinical risk… more
- Community Health Systems (Lufkin, TX)
- … Risk Management, or related field preferred + 3-5 years of experience in healthcare risk management, compliance, or quality assurance required + 1-2 years of ... experience preferred **Knowledge, Skills, and Abilities:** + In-depth understanding of healthcare risk management and regulatory compliance + Strong skills… more
- UTMB Health (Galveston, TX)
- …obtain CPHRM within 18 months of hire. **Preferred Education:** + Master's degree in healthcare or risk management. + RN experience is highly desirable. **Job ... Senior Risk Management Specialist (Partially Remote) - Department of...2504693 **Minimum Qualifications:** Bachelor's Degree in Nursing or a healthcare -related field. Five (5) years of clinical experience and/or… more
- Texas Health Resources (Arlington, TX)
- …Professional in Healthcare Quality or CPHRM - Certified Professional in Healthcare Risk Management preferred upon hire **Skills** Knowledge of industry ... **Director Quality Patient Safety and Risk ** _Are you looking for a rewarding career...healthcare field inclusive of quality, patient safety, and/or risk management required **Licenses and Certifications** RN - Registered… more
- Highmark Health (Austin, TX)
- …related field **EXPERIENCE** **Required** + 7 years in compliance, privacy, government affairs, healthcare operations, risk , audit, or legal functions + 5 years ... role **Preferred** + 10 years in compliance, privacy, government affairs, healthcare operations, risk , audit, or legal functions + 5 years in Healthcare … more
- Evolent (Austin, TX)
- …team looking for dedicated team members with a passion for improving healthcare . **Collaboration Opportunities:** Our Risk Adjustment coding support team offers ... efficiently. + Compliance knowledge, understanding industry standards and regulations in healthcare coding, specifically Risk Adjustment and all HCC models… more
- Molina Healthcare (Dallas, TX)
- …* Familiarity with running queries in Microsoft Azure or SQL server * Healthcare experience and functional risk adjustment and/or quality knowledge * Mastery ... **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support...highly matrixed organization * SQL proficiency * Knowledge of healthcare claim elements: CPT, CPTII, LOINC, SNOMED, HCPS, NDC,… more
- HCA Healthcare (Houston, TX)
- …in a healthcare setting required + 4+ years experience in healthcare quality/ risk management with demonstrated leadership required + Currently licensed as ... on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny… more
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