- Cognizant (Austin, TX)
- …will** . Gather, analyze, and document business requirements for healthcare Payer processes and Salesforce implementations. . Collaborate with stakeholders to ... understand workflows, pain points, and improvement opportunities. . Translate business needs into functional specifications and user stories for Salesforce Health Cloud and related modules. . Work closely with Salesforce developers and architects to ensure… more
- Oracle (Austin, TX)
- …with key healthcare accounts, including hospitals, healthcare networks, and payer organizations. Identify opportunities for new business and expand existing ... contracts by introducing Oracle's comprehensive CSS portfolio. + **Solution Development & Proposal:** Work closely with customers to understand their unique healthcare challenges and digital transformation goals. Develop comprehensive solution proposals that… more
- Integrative Emergency Services (Dallas, TX)
- …collections, and compliance + Strong knowledge of healthcare regulations, payer requirements, reimbursement methodologies, and industry best practices. + Expertise ... in financial reporting, budgeting, and performance metrics related to revenue cycle management. + Exceptional leadership and strategic planning skills to drive operational efficiency and revenue optimization. + Advanced analytical and problem-solving skills… more
- Highmark Health (Austin, TX)
- …combination of experience and education **Preferred** + 6 years of experience in payer , hospital system, or care delivery industry + Experience influencing change in ... complex organizational systems **SKILLS** + Ability to solve complex conceptual and operational problems; potential ability to lead teams in problem-solving exercises + Strong quantitative and analytical skills + Demonstrated influencing, and teamwork skills +… more
- Cognizant (Austin, TX)
- …and academic/university-level cases Hospital. + Strong knowledge of federal, state, and payer regulations. + Ability to interpret medical records, reports, and chart ... entries accurately. + Demonstrated ability to work independently and collaboratively. + Strong judgment and decision-making skills. + Proficiency in **MS Office** (Word, Excel, Outlook). + Ability to manage workload and multiple projects effectively. +… more
- Centene Corporation (Austin, TX)
- …care management activities to ensure compliance with current state, federal, and third-party payer regulators + May perform home and/or other site visits to assess ... member's needs and collaborate with healthcare providers and partners + Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare… more
- Datavant (Austin, TX)
- …Capacity will provide strategic leadership and long-term planning for all Payer WFM programs supporting multi-site, multi-channel and Global contact center ... operations. This leader will own the end-to-end forecasting, capacity planning, scheduling strategy, and workforce technology ecosystem to ensure the organization can meet service, efficiency, and growth objectives. The Director will oversee a high-performing… more
- Highmark Health (Austin, TX)
- …data + 3 years of project leadership in a complex, matrixed environment ( payer and/or provider preferred) + 3 years of providing analytical consultation to clinical, ... administrative, operational and financial stakeholders **Preferred** + Applied experience analyzing Social Determinants of Health (SDOH) data + Experience developing analytic applications or dashboards (eg,RShiny, Tableau) to support self-service analytics +… more
- R1 RCM (Kyle, 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
- TEKsystems (Dallas, TX)
- …will be looking at what the Provider send and coded for payment and what the Payer sent and coded for payment. They will be reviewing the case to decide which one ... is correct, is the correct code being used, and make a determination of what code and payment is recommended by MCMC. Then they pass it off to QA for review. They will do these cases over and over again to push them through. All of the cases are going to be… more