- Cardinal Health (Austin, TX)
- …need for a better quality of life. Our diverse expertise in pharma, payer , and hub services allows us to deliver best-in-class solutions-driving brand and patient ... markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas,… more
- The Cigna Group (Austin, TX)
- …Functions:** + Lead a team of attorneys supporting pharmacy operations, product, payer relationships, and arrangements with 340B covered entities and others + ... Provide strategic legal counsel on regulatory, operational and transactional matters involving our pharmacies and other affiliates + Work cross-functionally in analyzing complex transactions to identify and navigate issues impacting the organization + Support… more
- Highmark Health (Austin, TX)
- …combination of experience and education **Preferred** + 6 years of experience in payer , hospital system, or care delivery industry + Experience with hospital M&A + ... 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… more
- Oracle (Austin, TX)
- …bring products to market quickly, navigate the regulatory pathway and negotiate payer reimbursement and coverage. KEY OUTCOMES As a Senior Research Consultant, you ... will: + Be the Principal Investigator, lead the design and execution of health outcomes studies including writing research proposals, designing questionnaires, overseeing statistical analysis plan (SAP) development, overseeing data analysis, providing… more
- Aveanna Healthcare (Dallas, TX)
- …and state payers relevant to your open balances. * Review each payer 's specific guidelines (rates, filing/appeal deadlines, forms, etc.) as needed. * Promptly ... reply to inquiries made by Aveanna employees regarding your assignments. Requirements * High school diploma is required * Proficient computer skills including experience with Microsoft Excel and the internet * Experience with Kantime Preferences *… more
- Texas Health Resources (Arlington, TX)
- …and other relevant departments on regulatory requirements (CMS/Medicaid) and payer guidelines, ensuring compliance with evolving policies. Billing & Documentation ... Policy Feedback - Provide feedback on billing and documentation procedures, addressing conflicting or vague documentation issues. Recommend coding education, training, and best practices for areas vulnerable to compliance errors. Denial Support & Case Review -… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- …Word and Excel. + Has knowledge of governmental and managed care payer requirements. + Demonstrates understanding of the various "Self Pay" account classifications ... and their applicable patient statement processes. + Understands the data elements required to generate a clean bill. + Understands the importance of maintaining confidentiality; able to maintain confidentiality under HIPAA standards. + Must have the ability to… more
- 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
- 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
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