- Mass Markets (TX)
- …partner in the industry. We are looking for a proactive and detail-oriented Real-Time Analyst to join our workforce management team. This role is crucial in ensuring ... applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition,… more
- CVS Health (Austin, TX)
- …activities on performance **Required Qualifications** * At least 5 years experience in managed care , hospital, or similar healthcare environment * Must have ... internal and external stakeholders **Preferred Qualifications** * Medicaid and/or Medicare managed care experience **Education** * Master's degree or equivalent… more
- Evolent (Austin, TX)
- …experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care , or related healthcare consulting entity + Ability to ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...we seek to connect the pieces of fragmented health care system and ensure people get the same level… more
- Catholic Health Initiatives (Houston, TX)
- …operations within the CIN team leads. Evaluates ongoing performance of all managed contracts through metrics, supports effective work stream operations within the ... activities. **Qualifications** **_Education and Licensure Required:_** Bachelors in health care related field, business, health care administration, business… more
- Catholic Health Initiatives (Houston, TX)
- …successful reporting of revenue cycle AR Work with IT, Financial Data Warehouse, and Managed Care to develop dashboards and metrics tracking. Other duties as ... Initiatives (CHI) and Dignity Health. With more than 700 care sites across the US & from clinics and...the US & from clinics and hospitals to home-based care and virtual care services CommonSpirit is… more
- Highmark Health (Austin, TX)
- …+ High school diploma /GED + 3 years of experience required in health care / managed care + 3 years of experience in credentialing/re-credentialing of ... practitioners/providers + 3 years of experience with NCQA and other regulatory standards **Substitutions** + None **Preferred** + Bachelor's degree. + Certified Provider Credentialing Specialist (CPCS) certification **Skills** + None **SCOPE OF… more
- Ascension Health (Hutto, TX)
- …items and to recognize and resolve billing inconsistencies. + Collaborate with managed care department to code billable items for reimbursement. Collaborate ... national health system made up of over 134,000 associates and 2,600 sites of care , including more than 140 hospitals and 40 senior living communities in 19 states.… more
- Molina Healthcare (Fort Worth, TX)
- …**Required Experience** + 5-7 years of business analysis experience, + 6+ years managed care experience. + Demonstrates proficiency in a variety of concepts, ... practices, and procedures applicable to job-related subject areas. **Preferred Education** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** + 3-5 years of formal training in Project Management + Experience… more
- Molina Healthcare (San Antonio, TX)
- …and experience **Required Experience** + 3-5 Years of business analysis + 4+ years managed care experience + Demonstrates familiarity in a variety of concepts, ... practices, and procedures applicable to job-related subject areas. **Preferred Education** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** + 1-3 years formal training in Business Analysis and/or Systems Analysis… more
- Molina Healthcare (Fort Worth, TX)
- …**Required Experience** + 5-7 years of business analysis experience, + 6+ years managed care experience. + Demonstrates proficiency in a variety of concepts, ... practices, and procedures applicable to job-related subject areas. **Preferred Education** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** + 3-5 years of formal training in Project Management + Experience… more