- Centene Corporation (Austin, TX)
- …of government-sponsored healthcare coverage, providing access to affordable, high-quality services to Medicaid and Medicare members, as well as to individuals ... and families served by the Health Insurance Marketplace. Looking for a compelling opportunity to move beyond patient encounters and drive meaningful change in the community? **Qualifications for this role include:** + Licenses MD or DO without restrictions +… more
- Molina Healthcare (Austin, TX)
- …current and future contract rate proposals. + Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of ... reimbursement changes, educate/consult the health plans on the financial impact. + Work independently to support and validate Provider Network contracting and unit cost management activities through financial and network pricing modeling, analysis, and… more
- HCA Healthcare (Jourdanton, TX)
- …has been nationally recognized as a Five-Star rated facility by the Centers for Medicaid and Medicare Services and by its grade A Leapfrog Hospital Safety ... score. The hospital is also a recipient of the Excellence in Patient Safety Across the Board Award and is designated as a Level IV trauma center and Ambulatory Services Sleep Center. Beyond offering Methodist-quality emergency care, our comprehensive services… more
- HCA Healthcare (Jourdanton, TX)
- …has been nationally recognized as a Five-Star rated facility by the Centers for Medicaid and Medicare Services and by its grade A Leapfrog Hospital Safety ... score. The hospital is also a recipient of the Excellence in Patient Safety Across the Board Award and is designated as a Level IV trauma center and Ambulatory Services Sleep Center. Beyond offering Methodist-quality emergency care, our comprehensive services… more
- HCA Healthcare (Jourdanton, TX)
- …has been nationally recognized as a Five-Star rated facility by the Centers for Medicaid and Medicare Services and by its grade A Leapfrog Hospital Safety ... score. The hospital is also a recipient of the Excellence in Patient Safety Across the Board Award and is designated as a Level IV trauma center and Ambulatory Services Sleep Center. Beyond offering Methodist-quality emergency care, our comprehensive services… more
- HCA Healthcare (Jourdanton, TX)
- …has been nationally recognized as a Five-Star rated facility by the Centers for Medicaid and Medicare Services and by its grade A Leapfrog Hospital Safety ... score. The hospital is also a recipient of the Excellence in Patient Safety Across the Board Award and is designated as a Level IV trauma center and Ambulatory Services Sleep Center. Beyond offering Methodist-quality emergency care, our comprehensive services… more
- HCA Healthcare (Jourdanton, TX)
- …has been nationally recognized as a Five-Star rated facility by the Centers for Medicaid and Medicare Services and by its grade A Leapfrog Hospital Safety ... score. The hospital is also a recipient of the Excellence in Patient Safety Across the Board Award and is designated as a Level IV trauma center and Ambulatory Services Sleep Center. Beyond offering Methodist-quality emergency care, our comprehensive services… more
- Molina Healthcare (San Antonio, TX)
- …is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule knowledge is required + Medicaid and Duals experience ... CA DOFR, DME, capitation, Physician pricing is required. + Must have knowledge on Medicare payment methods + Experience on Hospital payment methodology & processing… more
- Molina Healthcare (Austin, TX)
- …as automated analytical as well as Reporting modules related to Quality/HEDIS for Medicaid , Marketplace and Medicare /MMP. + Analysis and reporting related to ... Interventions tracking for at least one line of business among Medicaid , Marketplace and Medicare /MMP. + 3+ Years of experience in working with increasingly… more
- Molina Healthcare (TX)
- …Review tracking, Interventions tracking for at least one line of business among Medicaid , Marketplace and Medicare /MMP. * 5+ Years of experience in working ... with increasingly complex data problems in quantifying, measuring, and analyzing financial/performance management and utilization metrics. * 5+ Years of experience in Statistical Analysis and forecasting of trends in HEDIS rates to provide analytic support for… more