• Senior Technology Lead Anaplan OWP

    Humana (Austin, TX)
    …organization focused on continuously improving consumer experiences **Preferred Qualifications** + PMP Certified + Anaplan Experienced + Six Sigma Certified + ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ​… more
    Humana (08/15/25)
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  • Epic Payer Platform Sr. Technology Leader

    Humana (Austin, TX)
    …**Preferred Qualifications** + Epic Payer Platform Experience + Epic Bridges Certification + PMP Certified + Six Sigma Certified + MBA or another Advanced Degree ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ​… more
    Humana (08/13/25)
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  • Revenue Cycle Specialist - Plastics (Medical…

    Houston Methodist (Houston, TX)
    …and serves as the subject matter expert with all payers, including Medicare , Medicaid and commercial payers, and applicable department's revenue cycle operations. ... REQUIRED** + N/A **LICENSES AND CERTIFICATIONS - PREFERRED** + CRCP - Certified Revenue Cycle Professional (AAHAM) -- Technician **KNOWLEDGE, SKILLS, AND ABILITIES**… more
    Houston Methodist (08/13/25)
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  • Acute Care Nurse Practitioner - Cardiovascular

    Baylor Scott & White Health (Dallas, TX)
    …call, no weekends Mix of Inpatient and Outpatient - NPs must be acute care certified . **About Us** Here at Baylor Scott & White Health we promote the well-being of ... The NP CV/CT Surgery - Non-Operative is a licensed, certified healthcare provider. They render direct patient care and...credentialed, privileged, and billed as an independent provider by Medicare and Medicaid. This is in accordance with the… more
    Baylor Scott & White Health (08/08/25)
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  • Admissions Specialist I - ED - PRN

    Texas Health Resources (Bedford, TX)
    …required. + 2 Years Professional office/healthcare experience preferred. + CHAA - Certified Healthcare Access Associate Upon Hire preferred. + CPI - Crisis ... elements are completed correctly, particularly the MSPQ, Important Message from Medicare (IMM) and medical necessity checking (ABN and Letter of Non-Coverage).… more
    Texas Health Resources (08/08/25)
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  • Auditor, HCC Risk Adjustment Coding - Full Time…

    Datavant (Austin, TX)
    …of HCC Auditing experience + High school diploma or GED equivalent + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, ... + Proficient in ICD-10 coding. + Experienced in HCC coding across Medicare , commercial, and Medicaid sectors. + In-depth knowledge of medical terminology,… more
    Datavant (08/08/25)
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  • Program Director, Quality Improvement (Remote)

    Molina Healthcare (Fort Worth, TX)
    …experience with HEDIS programs. + 2 years Medicaid experience + 2 years Medicare experience + 3 years management experience + Operational knowledge and experience ... Quality program leadership and direction **Preferred License, Certification, Association** + Certified Professional in Health Quality (CPHQ) + Nursing License (RN… more
    Molina Healthcare (08/02/25)
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  • Admissions Specialist - FT - Weekend Nights

    Texas Health Resources (Fort Worth, TX)
    …Professional office/healthcare experience preferred. **Licenses and Certifications** . CHAA - Certified Healthcare Access Associate Upon Hire preferred. . CPI - ... elements are completed correctly, particularly the MSPQ, Important Message from Medicare (IMM) and medical necessity checking (ABN and Letter of Non-Coverage).… more
    Texas Health Resources (07/30/25)
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  • Director - Perioperative Services

    Texas Health Resources (Frisco, TX)
    …Texas Health Frisco is a designated Baby-Friendly facility, a Joint Commission- certified hospital, and recognized as a Pathway to Excellence organization. **Job ... **Licenses and Certifications** RN - Registered Nurse Upon Hire Required Other Certified in nursing administration/clinical specialty with in 12 Months of hire… more
    Texas Health Resources (07/30/25)
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  • System Accreditation Specialist

    Houston Methodist (Houston, TX)
    …REQUIRED** + N/A **LICENSES AND CERTIFICATIONS - PREFERRED** + CPHQ - Certified Professional in Healthcare Quality (NAHQ) -- Related quality, accreditation or health ... care certifications **OR** + CQA - Certified Quality Auditor (ASQ) -- Related quality, accreditation or health care certifications **OR** + HACP - Healthcare… more
    Houston Methodist (07/25/25)
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