- NASCO (Austin, TX)
- …with product and engineering teams to deliver data-driven SaaS solutions that enhance healthcare payer operations, risk management , and member engagement. ... and AI architecture to enhance our industry leading SaaS healthcare payer products and corporate data management ...SaaS products and platform models + Familiarity with US Healthcare payer analytics use cases (eg, risk … 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. ... complex experience in quantifying, measuring, analyzing, and reporting financial/performance management metrics + Demonstrate Healthcare experience in… more
- HCA Healthcare (Houston, TX)
- …RN License within 90 days of hire date) + One-year recent experience in healthcare and/or Quality/Patient Safety/ Risk Management required. + Strong critical ... **Description** **Introduction** HCA Houston Healthcare Northwest is committed to investing in the...clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at HCA… more
- Texas Health Resources (Arlington, TX)
- …culture for action. **Background, Qualifications and Experience:** + Bachelor's degree in risk management , Healthcare , Business Administration, or related ... the authority to make decisions on police, security, business continuity, physical security risk management , threat management in collaboration with Human… more
- 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 ... increasingly complex experience in quantifying, measuring, and analyzing financial/performance management metrics + Demonstrate Healthcare experience in… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …working in the fields of healthcare quality, patient safety, and/or risk management . Experience working with Epic. **License(s)** Required: Licensed RN in ... **Responsibilities** Sr. Healthcare Quality Specialist RN is responsible for evaluating...expertise with quality improvement methodologies to ensure compliance with healthcare standards, promote best practices, and achieve optimal patient… more
- Molina Healthcare (Dallas, TX)
- …**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years of ... running queries in Microsoft Azure or SQL server * Healthcare experience and functional risk adjustment and/or quality knowledge * Mastery of Microsoft Office… more
- HCA Healthcare (Houston, TX)
- …Maintain requirements from OSHA, CMS, AAAHC and federal agencies related to quality improvement, risk management and quality of care for your centers + You will ... Houston Metro Urology Surgical Center, you come first. HCA Healthcare has committed up to $300 million in programs...of experience in a clinical setting, preferably ambulatory care, risk management and/or quality improvement + One… more
- Molina Healthcare (Houston, TX)
- …: + Experience in healthcare provider engagement or payer-provider program management . + Familiarity with clinical, quality, or risk adjustment program ... - Provider Engagement** plays a key role in driving risk adjustment and quality performance outcomes through effective program...SKILLS & ABILITIES** : + 3-5 years of program/project management or healthcare operations experience. + Strong… more
- Molina Healthcare (Fort Worth, TX)
- …Condition Categories) Risk Adjustment Model + Background in supporting risk adjustment management activities and clinical informatics + Experience with ... codes are reported accurately to maintain compliance and to minimize risk and denials. **KNOWLEDGE/SKILLS/ABILITIES** + Performs on-going chart reviews and abstracts… more