- 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
- 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
- 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
- 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
- Walgreens (Dallas, TX)
- …pharmacy department employees are trained on all required functions regarding payer and pharmaceutical contractual requirements (adverse event reporting, data and ... inventory reporting, clinical management). Reaffirms with all pharmacy department personnel, on a regular basis, their obligations regarding the dispensing of prescriptions only in good faith. **Training & Personal Development** + Develops department employees… more
- Cognizant (Austin, TX)
- …ability to operate effectively in a team environment. + Familiarity with healthcare payer systems and related business processes. We're excited to meet people who ... share our mission and can make an impact in a variety of ways. Don't hesitate to apply, even if you only meet the minimum requirements listed. Think about your transferable experiences and unique skills that make you stand out as someone who can bring new and… more
- Datavant (Austin, TX)
- …Knowledge:** In-depth knowledge of RWE market trends, regulatory guidance, and payer evidence needs is essential. + **Collaborative Team Player:** Comfortable ... working with cross-functional science, data, and product teams in a fast-paced, mission-driven environment. + **Communication Skills:** Strong written and verbal communication skills, capable of translating complex RWE concepts into impactful narratives for… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …substance registrations, board certifications, hospital privileges, and third party payer enrollments in good standing + Supervises residents and participates ... in teaching activities for medical students and/or residents + Engages in advancement of scientific knowledge through research and/or scholarship + Serves the academic community through participation in institutional governance, such as committee work and… more
- Adecco US, Inc. (Tyler, TX)
- …federal, state, and local pharmacy regulations, including DEA policies and third-party payer rules. . Supervise pharmacy production staff to maintain proper order ... entry, workflow, and adherence to delivery schedules. . Check accuracy of all new and refill labels, drug packaging, and sterile IV preparations. . Assist with ordering, handling, receiving, documentation, and storage of controlled substances, including… more
- Humana (Austin, TX)
- …reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related ... group (DRG) assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related… more