- Caris Life Sciences (Irving, TX)
- …building skills to maintain long-term associations with third party payer representatives. **Job Responsibilities** + Responsible for auditing employees + ... Train new hires + Monitor billing department and workflow + Run and review daily reports + Manage employee's timecards and PTO + Participate in the process to hire, promote, and terminate employees. **Required Qualifications** + 3+ years of experience of… more
- Leidos (San Antonio, TX)
- …inherited + Explain how funding is applied to task orders + Understand how AWS payer accounts are linked to tenant accounts & task orders **What Sets You Apart ... (Required):** + Current / Active TS/SCI security clearance + Bachelor's Degree and 8+ years of relevant experience OR Master's Degree & 10+ years of relevant experience. Additional experience may be considered in lieu of degree. + Current DoD 8570 IAT Level II… more
- TEKsystems (San Antonio, TX)
- …to support the teams in missing collection/ billing gaps for each facility and payer ! T Responsible recording rates on account on a timely basis, resolving payment ... variances and completing month-end close in accordance with CBO policies for facilities assigned. Performs other related duties as assigned or requested. Additional Skills & Qualifications + Proficient in use of Microsoft Word, Excel, Access and Outlook. +… more
- Baylor Scott & White Health (Temple, TX)
- …and virtual-first care models + Knowledge of ACOs, value-based contracts, or payer -provider partnerships + Experience managing patient panels in the primary care ... setting **Who You Are** + A forward-thinking clinician with a passion for innovation and equity + A proven leader who thrives in dynamic, startup-like environments + Committed to delivering compassionate, high-quality, patient-centered care + Skilled in… more
- Molina Healthcare (Dallas, TX)
- …within complex data sets and analytics ideally in the Healthcare or Payer field + 3-5 years' experience managing/supervising employees or leadership capacity + ... Strong executive-level client facing skills and the ability to communicate complex analytical concepts with confidence to a non-technical executive audience + Ability and willingness to take a hands-on execution role where required to support client needs and… more
- Merck (Austin, TX)
- …therapeutically assigned areas + Coordinates with Outcomes Research through the USMA Payer Access Teams (PATs) to ensure team support of therapeutic aligned ... real-world evidence + Coordinates strategy, planning, and execution of scientific congress responsibilities comply with all company policies and applicable laws, regulations, and ethical standards **Education:** + Doctoral degree (MD, PharmD, PhD) with… more
- HCA Healthcare (San Antonio, TX)
- …thorough working knowledge of the rules of Medicare, Medicaid, and private payer regulations and processes. You will possess a thorough understanding of managed-care ... concepts and length-of-stay management relating to patient and organizational fiscal responsibility. + You will perform thorough assessments and develop appropriate discharge plans for high-risk patients with discharge planning or psychosocial needs. + You… more
- Elevance Health (Grand Prairie, TX)
- …design and execution of Value Based Payment Models strongly preferred + Prior Payer experience. For candidates working in person or virtually in the below ... location(s), the salary* range for this specific position is $116,256 to $199,296. Locations: Woodland Hills, CA; Denver, CO; District of Columbia (Washington, DC); Chicago, Il; Iselin, NJ; Hanover, MD; Mendota Heights, MN; Las Vegas, NV; New York City, NY;… more
- Centene Corporation (Austin, TX)
- …management activities to ensure compliance with current state, federal, and third-party payer regulators + Provides and/or facilitates education to members and their ... families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits + Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in… more
- CVS Health (Austin, TX)
- …Relations teams. **Required Qualifications** + A minimum of 7 years of healthcare payer experience, with at least 5 years in provider operations or compliance. + ... A minimum of 2 years of experience in provider data management and contracting support. + A minimum of 3 years managing, mentoring and growing a team. + Demonstrated expertise in interpreting contracts and regulatory requirements. + Proven ability to lead… more