- Molina Healthcare (San Antonio, TX)
- …operations. + Maintain fluency in healthcare data types (eg, ICD/CPT codes, HEDIS measures, member eligibility) to guide technical decisions. REQUIRED EDUCATION: + ... Bachelor's or Associate's degree in Data Science, Computer Science, Analytics, Information Systems, Engineering, or other technology-related fields **REQUIRED EXPERIENCE / SKILLS:** + 3-5 years of experience working with **healthcare data** in an analytics or… more
- CenterWell (Houston, TX)
- …+ Previous experience with medical "front office" responsibilities + Experience with HEDIS + Experience with Electronic Medical Records + Previous experience in a ... geriatric setting + Rad Tech License (AART) **Please note:** This is a **_FLOAT_** position and will require you to work between offices as business needs require. Mileage will be reimbursed for travel between clinics. Medical Assistant Certification: Please… more
- CenterWell (Austin, TX)
- …required pharmacy or clinical management systems + Support CMS Stars and HEDIS quality measures for successful clinic performance + Maintain accurate and thorough ... documentation of clinical interventions and patient care activities + Conduct in-service education and training sessions for healthcare staff as well as develop and disseminate educational materials related to pharmacotherapy + Stay current with advancements… more
- CenterWell (El Paso, TX)
- …environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators + Bilingual in English and Spanish **Additional Information:** + ... Guaranteed base salary + bi-annual bonus + Excellent benefit package - _health insurance effective on your first day of employment_ + CME Allowance/Time + Occurrence Based Malpractice Insurance + 401(k) with Employer Match + Life Insurance/Disability + Paid… more
- CenterWell (Austin, TX)
- …Hands-on professional + Experience with Electronic Medical Records + Experience with HEDIS + Knowledge of primary care medicine requirements (state specific). + ... Working knowledge of clinical operations **Additional Information** **Work Schedule:** Full Time / 40 Hours / M-F / 8a-5p **Job Type** : Licensed Practical Nurse - Licensed Vocational Nurse **Specialty** : Primary Care for Seniors **Position Type:** Clinic /… more
- CenterWell (Arlington, TX)
- …experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS , meeting local and organizational goals + Personally deliver high-quality primary ... care and demonstrating a high degree of patient care ownership and clinical excellence in age-friendly senior primary care including health promotion & prevention, disease management, effective specialist & hospital co-management, and complex care management +… more
- Molina Healthcare (Fort Worth, TX)
- …+ 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
- Molina Healthcare (Fort Worth, TX)
- …and Claims applications -_** **which underpin essential business functions such as HEDIS reporting, Risk Adjustment (RA), and Health Plan Reporting.** + **_Azure ... Databricks._** + **_Python._** + **_Spark._** + **_QNXT._** **Preferred License, Certification, Association** Microsoft Technology, Mobility, ITIL To all current Molina employees: If you are interested in applying for this position, please apply through the… more
- Datavant (Austin, TX)
- …+ Previous Medicare Advantage Risk Adjustment, CDI, Medicaid, Commercial RA, and HEDIS experience. + Familiarity with HIPAA patient privacy requirements. + Excellent ... communication and organizational skills. + Keen attention to detail. + Advanced problem-solving skills. + Proficient in Microsoft Office and G-Suite applications. Excel skills are a must. We are committed to building a diverse team of Datavanters who are all… more
- CenterWell (San Antonio, TX)
- …management, population health, data sharing, connectivity, documentation and coding, HEDIS and STARs performance, operational improvements and other areas as ... they relate to provider performance, member experience, market growth, provider experience and operational excellence. Understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions regarding own… more