- Cognizant (Dallas, TX)
- **Intelligent Process Automation Service Line Specialist ( IPA SLS)** **Work Model:** Hybrid - US and are comfortable with up to 50% travel. **Level:** Associate ... follow us @Cognizant. **About the role:** Our Intelligent Process Automation (" IPA ") practice focuses on providing Robotic Process Automation, Machine learning and… more
- Cognizant (Dallas, TX)
- **Intelligent Process Automation Service Line Specialist ( IPA SLS) - Healthcare** **Work Model:** Hybrid - Desired candidates reside in United States (Central - Mid ... highly skilled Service Line Specialist for our Intelligent Process Automation ( IPA ) practice. Our IPA team helps clients rethink how they create value, innovate… more
- Molina Healthcare (Austin, TX)
- …with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management, Group/ IPA practice, capitation, HMO regulations, managed healthcare systems, quality ... improvement, medical utilization management, risk management, risk adjustment, disease management, and evidence-based guidelines. + Experience in Utilization/Quality Program management + HMO/Managed care experience **PREFERRED LICENSE, CERTIFICATION,… more
- Centene Corporation (Mcallen, TX)
- …management, or clinical operations. Project management experience at a medical group, IPA , or health plan setting. Proficient in HEDIS/Quality measures, cost and ... utilization.Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to… more
- Marathon Petroleum Corporation (Texas City, TX)
- …to project management. + Enforce the project closeout process. + Ensure IPA benchmarking is in accordance with Refining Standard Practice requirements. EDUCATION & ... EXPERIENCE Minimum Qualifications: + Bachelor's degree in Construction/Project Management, Engineering, Business Administration, Finance/Accounting or related field. (Education must be obtained/completed prior to start date) + Minimum of 10 years of experience… more
- CenterWell (Austin, TX)
- …+ A minimum of three years Medical Coding experience or similar (including IPA and Offshore coding management) + RHIA, RHIT, CCS, or CPC Certification + ... Ability to travel both locally and overnight. **Preferred Qualifications:** + Comprehensive knowledge of all Microsoft Office applications, including Word, Excel, and PowerPoint + Ability to communicate effectively and sensitively with clinicians and team… more
- CenterWell (Corpus Christi, TX)
- …range of people including physicians, office staff, hospital executives, medical groups, IPA 's, community organizations and other health plan staff. * Job is ... considered patient facing and is part of Humana's Tuberculosis (TB) screening program. Candidates selected for this job will be required to be screened for TB. * Candidates selected for this job will be required to adhere to Humana's flu vaccine policy. *… more
- HCA Healthcare (Round Rock, TX)
- …coding requirements for major payers such as Medicare, Medicaid, HMO's, PPO's, IPA 's, employers, etc. + Demonstrate and share knowledge of medical terminology, ... International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding for multiple specialty areas. + Provide relevant coding guidance for customers and other departments to resolve issues. + Provide subject matter expertise in the… more
- Cardinal Health (Austin, TX)
- …new Payor contracts with Health Insurance companies (ex. Blue Cross, Blue Shield, IPA , etc). Reporting to the Director of Managed Care, the Manager of Contracting ... is responsible for managing legal review, policy compliance, contract retention and administrative tracking of all various managed care payors. Advances company payor strategy and aligns negotiation with strategy. **Essential Functions:** + In collaboration… more