• Medical Trend Analytics Developer I

    Baylor Scott & White Health (Dallas, TX)
    …+ VBC Analytics is an independent organization covering BSW Health Plan ( Payer ) and BSW Quality Alliance (ACO Provider) analytical needs. Domain verticals connect ... directly to core stakeholders and operational structures while aligning with internal SMEs and current capacities. We have over 1 million lives across multiple blocks of business and industry-leading analytics to support our organization. + We seek a… more
    Baylor Scott & White Health (01/05/26)
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  • Accounts Receivable Representative III - On Site

    US Anesthesia Partners (Austin, TX)
    …various payers. + Identifies and communicates trends to leadership. + Provides peer payer and system training support. + Gathers data and reports out in partnership ... with leadership. + All other duties assigned. Qualifications KNOWLEDGE/SKILLS/ABILITIES (KSAs): + Highschool graduate or equivalent. + Associate or bachelor's degree in business administration or related field of study is preferred. + 1-3 years… more
    US Anesthesia Partners (01/03/26)
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  • Verification Authorization - Associate

    Caris Life Sciences (Irving, TX)
    …and apply acquired knowledge of Medicare, Medicaid, and other Third-Party Payer requirements **Job Responsibilities** + Proficient in and exceeding job ... responsibilities of Verification/ Authorization Personnel -Specialist either through Caris or with a former employer in a similar industry. + Identify ways to improve and promote quality and monitor your own work to ensure quality standards are met. + Answers… more
    Caris Life Sciences (01/03/26)
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  • Social Worker MSW PRN

    HCA Healthcare (Round Rock, 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
    HCA Healthcare (01/01/26)
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  • Financial Counseling Representative I

    R1 RCM (Cedar Park, TX)
    …of the top 100 US health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare ... organizations unlock greater long-term value. To learn more, visit: https://www.r1rcm.com . more
    R1 RCM (01/01/26)
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  • Cardiologist

    ChenMed (Houston, TX)
    …+ Prescribes medication and treatment in accordance with patient condition, payer coverage/guidelines and industry standards. + Reviews PCP requests for external ... cardiology referrals and participates in delegated utilization authorizations; determines level of urgency of follow-up, referral/consultation appointments. + May have responsibility for cardiology clinical operations of 2-4 centers in the market, under the… more
    ChenMed (01/01/26)
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  • Financial Counseling Rep I

    R1 RCM (Austin, TX)
    …of the top 100 US health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare ... organizations unlock greater long-term value. To learn more, visit: https://www.r1rcm.com . more
    R1 RCM (01/01/26)
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  • Social Worker MSW PRN

    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
    HCA Healthcare (01/01/26)
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  • Lead Clinical and Population Health Analyst…

    Highmark Health (Austin, TX)
    …data + 5 years of project leadership in a complex, matrixed environment ( payer and/or provider preferred) + 5 years of providing analytical consultation to clinical, ... administrative, operational and financial stakeholders **Preferred** + Experience with medical policy and utilization management functions + Medical coding experience **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + Medical coding certificate… more
    Highmark Health (12/31/25)
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  • Senior Analyst Net Revenue

    Intermountain Health (Austin, TX)
    …related to net revenue and net accounts receivable. + Produces analyses of payer performance and provides various analyses and reports specific to net revenue ... performance. + Prepares plan and forecast models for all assigned companies. + Performs balance sheet reconciliations for all assigned companies, accounts, and worktags. + Manages multiple projects and deadlines effectively and communicates risks and issues to… more
    Intermountain Health (12/31/25)
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