- Christus Health (Irving, TX)
- …as a patient advocate, providing proactive outreach to CHRISTUS Health value-based payer patients. The RN Navigator makes recommendations to primary care providers ... of Leaders. Stays abreast of current CMS and other payer guidelines for Home Health services. Receives and evaluates...up for patient needs. Based on CMS or other payer guidelines, patient assessment, and case conferences, makes recommendation… more
- Baylor Scott & White Health (Dallas, TX)
- …direction of the Vice President, Revenue Cycle Support Services, the Director, Payer Performance leads Revenue Cycle's strategic efforts to identify and correct ... Revenue Cycle leadership and Managed Care leadership to support and streamline payer communications. The Director will also be responsible for developing tools to… more
- Cognizant (Austin, TX)
- **Health Payer Business Analyst, Senior Consulting Manager** **About the Role:** As a Sr. Consulting Manager you will make an impact by driving client engagement, ... projects and digital transformation initiatives * Deep understanding of payer functions and Medicaid plan implementations, including enrollment, billing, claims,… more
- Wolters Kluwer (Austin, TX)
- …a solid understanding of risk adjustment in the Healthcare Technology space, experience with Payer , Provider, and Vendor, and be a true hunter, as this role covers ... equivalent experience + Experience in the healthcare technology space either in payer , vendor, or risk assessment. + Experience working with risk adjustment… more
- Highmark Health (Austin, TX)
- …+ Plans, designs/builds, tests, implements, and supports the needs of Epic Payer Platform software. + Analyzes and determines system requirements and specifications. ... Performs and documents workflow analysis while evaluating user experience. Supports and maintains environments or applications using domain knowledge. Creates and maintains documentation and training materials regarding the implementation of applications. +… more
- ServiceNow, Inc. (Addison, TX)
- …Fast forward to today - ServiceNow stands as a global market leader, bringing innovative AI-enhanced technology to over 8,100 customers, including 85% of the Fortune ... 500(R). Our intelligent cloud-based platform seamlessly connects people, systems, and processes to empower organizations to find smarter, faster, and better ways to work. But this is just the beginning of our journey. Join us as we pursue our purpose to make… more
- Cardinal Health (Austin, TX)
- …and strategic individual contributor responsible for developing and securing transformative payer contracts for Edgepark and Advanced Diabetes Supply Group (ADSG). ... high-impact, data-driven presentations to C-suite and executive leaders within payer organizations, translating complex clinical and operational data into clear… more
- Caris Life Sciences (Irving, TX)
- …to staff, while partnering cross-functionally to optimize workflows and resolve payer issues. **Job Responsibilities** + Lead and manage the Eligibility team, ... metrics, ensuring goals are met for turnaround time, accuracy, and payer compliance. + Collaborate with payers to resolve eligibility discrepancies, denials,… more
- Baylor Scott & White Health (Dallas, TX)
- …and managed care payers, ensuring all processes comply with regulatory and payer requirements. The Director, Provider Enrollment guides the management team and staff ... to ensure facility enrollment applications are submitted promptly and payer provider numbers are obtained timely, supporting accurate and efficient payer … more
- Merck (Austin, TX)
- …with internal stakeholders to support seamless patient access to therapy * Monitor payer trends to address access barriers * Provide access information to HCP ... design (Commercial, Medicare, Medicaid) * Answer questions about coverage, including payer -specific access questions * Maintain deep knowledge of regional and… more
