- CenterWell (Baytown, TX)
- …years MA experience + Value Based Care experience including knowledge of HEDIS , CPT/ICD coding, and CAHPS/HOS Patient Experience. + Bilingual proficiency in English ... and Spanish - must pass proficiency exam prior to foreign language communication **Working hours** : Monday to Friday 8AM-5PM PLEASE MAKE SURE YOU ATTACH YOUR RESUME TO YOUR APPLICATION (PDF or Word format) **Use your skills to make an impact** **Additional… more
- Molina Healthcare (Fort Worth, TX)
- …sources. + Knowledge of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare ... financial terms (eg, PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts and provider reimbursement principles such… more
- CenterWell (Rockport, TX)
- …environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators **Additional Information:** + Guaranteed base salary + bi-annual ... bonus incentive + Minimal Call + Comprehensive benefit package - _health insurance is effective on your first day of employment_ + CME Allowance/Time + Occurrence Based Malpractice Insurance + Generous Relocation Assistance + Physician position - based on… more
- Evolent (Austin, TX)
- …+ Experience with value-based care, utilization management, or regulatory reporting (eg, HEDIS , NCQA, Milliman). **To comply with HIPAA security standards (45 CFR ... sec. 164.308 (a) (3)), identity verification may be required as part of the application process. This is collected for compliance and security purposes and only reviewed if an applicant advances to the final interview state. Reasonable accommodations are… more
- Molina Healthcare (El Paso, TX)
- …(CPHQ) + Nursing License (RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested ... in applying for this position, please apply through the intranet job listing Molina Healthcare offers a competitive benefits and compensation package Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V \#PJCorp \#LI-AC1 Pay Range: $54,922 -… more
- Centene Corporation (Austin, TX)
- …+ Intermediate Excel experience + Experience with Agile Software Development + HEDIS and Quality experience preferred **Soft Skills:** + Intermediate - Seeks to ... acquire knowledge in area of specialty + Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions + Intermediate - Ability to work independently Pay Range: $62,400.00 -… more
- Elevance Health (Houston, TX)
- …members on medication adherence-related topics to align closely with STARs Ratings and HEDIS quality measures. + Conducts outreach to members or providers to close ... care gaps and improve outcomes, while also facilitating the scheduling of preventive tests or screenings and providing access to medication resources or assistance programs for members. **Minimum Requirements:** + Requires an active, professional license, if… more
- Molina Healthcare (Austin, TX)
- …* Maintain fluency in healthcare data types (eg, ICD/CPT codes, HEDIS measures, member eligibility) to guide technical decisions. **JOB QUALIFICATIONS** **Required ... Education** * Bachelor's or Associate's degree in Data Science, Computer Science, Analytics, Information Systems, Engineering, or other technology-related fields **Required Experience** + 3-5 years of experience working with **healthcare data** in an analytics… more
- CenterWell (San Antonio, TX)
- …1+ years MA experience + Value Based Care experience including knowledge of HEDIS , CPT/ICD coding, and CAHPS/HOS Patient Experience. **Work Schedule:** Full Time / ... 40 Hours / M-F / 8a-5p **Job Type** : Medical Assistant **Specialty** : Primary Care for Seniors **Position Type:** Clinic / On-site **Additional Information** This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program.… more
- CenterWell (New Braunfels, TX)
- …1+ years MA experience + Value Based Care experience including knowledge of HEDIS , CPT/ICD coding, and CAHPS/HOS Patient Experience. **Work Schedule:** Full Time / ... 40 Hours / M-F / 8a-5p **Job Type** : Medical Assistant **Specialty** : Primary Care for Seniors **Position Type:** Clinic / On-site **Additional Information** This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program.… more