- Zelis (Plano, TX)
- …claim data, with a focus on various pricing methodologies including Medicare , Medicaid, and commercial reimbursements. This role involves leveraging data to ... What you'll do: + Analyze and interpret healthcare claim data to support /recommend decision-making processes. + Analyze and interact with data in SQL tables.… more
- Humana (Austin, TX)
- …stored procedures + Designing and implementing scalable data models to support business intelligence and analytics requirements + Utilizing Power Platforms (Power ... Mentoring junior team members and provide technical guidance and support as needed **Use your skills to make an...as SSRS or SSIS + Knowledge of Medicaid or Medicare services + Advanced data analytics skills and reporting… more
- CenterWell (Arlington, TX)
- …the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their ... care supported by analytics and tools, and deep community relationships. This robust support allows our PCP to see fewer patients and spend more time with… more
- HCA Healthcare (Austin, TX)
- …Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny and adoption assistance. ... banking partnerships + Education assistance (tuition, student loan, certification support , dependent scholarships) + Colleague recognition program + Time Away… more
- HCA Healthcare (San Antonio, TX)
- …Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny and adoption assistance. ... banking partnerships + Education assistance (tuition, student loan, certification support , dependent scholarships) + Colleague recognition program + Time Away… more
- Adecco US, Inc. (Irving, TX)
- …highly visible environment as well as collaboratively with the internal program hub support services to ensure all customer needs are met. FRM will frequently ... trainings, and educational training venues. Must have a solid working knowledge of Medicare and Commercial insurance plans and benefit structures in order to relay… more
- Prime Therapeutics (Austin, TX)
- …related partner/customer relationships including pharmaceutical manufacturers, with specific emphasis on Medicare Part D and Managed Medicaid. The Sr Director, Pharm ... + Direct the oversight of Trade formulary strategies for Commercial, Exchange, Medicare Part D and/or Medicaid template formularies, including items such as… more
- CenterWell (El Paso, TX)
- …care supported by analytics and tools, and deep community relationships. This robust support allows our PCPs to see fewer patients and spend more time with ... role, you will be required to be screened for TB **Preferred Qualifications:** + Medicare Provider Number + Medicaid Provider Number + Minimum of two to five years… more
- Houston Methodist (Houston, TX)
- …handles resolution of complex problems and issues. Serves as an escalation support for novice staff. Implements and leads to initiatives to improve documentation ... service focus and application of positive language principles + Knowledge of Medicare , Medicaid, and Managed Care requirements + Knowledge of community resources,… more
- Humana (Austin, TX)
- …best practices, and design clinical solutions for members who have Medicare and Medicaid. The Lead Product Manager partners across various multi-disciplinary ... improved health outcomes for our dual members - members that qualify for both Medicare and Medicaid. The Lead Product Manager sits in the center of strategy, design,… more