- UTMB Health (Galveston, TX)
- …. Implement evidence-based guidelines, internal policies, and applicable external payer or regulatory requirements to ensure appropriate, safe, and cost-effective ... therapy selection. . Partner with physicians, nurses, case managers, and other healthcare professionals to support coordinated, patient-centered care. . Participate in patient care rounds, case conferences, and interdepartmental meetings as assigned. . Serve… more
- AbbVie (Dallas, TX)
- …in these forums are on-label. + Remain current on all clinical, market, and payer developments, trends, and issues specific to oncology and disease areas. + Complete ... all AbbVie required training and maintain adherence to all company policies and OEC/Legal procedures. + Within assigned accounts and geography, seeks out important information and articulate implications to our business and to our customers' business'. +… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …applicable licenses, controlled substance registrations, hospital privileges, and third payer enrollments in good standing + Supervises residents, participates in ... teaching activities for medical student and/or residents + Participates in research and or scholarly activities in the department + Participates in committees and other administrative duties as assigned + Ensures compliance with HIPAA and billing regulations +… more
- Parexel (Austin, TX)
- …**Access and HTA** , clinical research and development methods, and international payer evidence requirements. + Skilled in research design and statistical methods, ... such as **Generalized Linear Models, Survival Analysis, Network Meta-Analysis, and Bayesian statistics** . + Proficient in **R** and **GitLab** (experience with SAS, Python, WinBUGS, JAGS, or other relevant statistical software is a plus). + Strong strategic,… more
- San Antonio Behavioral Health (San Antonio, 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
- Oracle (Austin, TX)
- …all levels of the organization. 8. Strong knowledge of federal, state, and payer -specific regulations and policies. 9. Ability to work in a fast-paced environment ... and manage multiple priorities. **Responsibilities** Analyzes business needs to help ensure Oracle's solution meets the customer's objectives by combining industry best practices and product knowledge. Effectively applies Oracle's methodologies and policies… more
- Datavant (Austin, TX)
- …and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow operations reviews. In this ... role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare… more
- HCA Healthcare (Dallas, TX)
- …the established chain of command + Makes appropriate referrals to third party payer , disease and case management programs for recurring patients and patients with ... chronic disease states + Facilitates patient throughput with an ongoing focus on an effective care transition, quality and efficiency + Documents professional recommendations, discharge plan, care coordination interventions, and case management activities to… more
- Caris Life Sciences (Irving, TX)
- …market and competitive analysis to identify growth opportunities, customer needs, payer dynamics, and emerging trends in myeloid malignancy diagnostics. + Partner ... with Product Management, Medical Affairs, and Commercial Strategy to align marketing plans with clinical data releases, product updates, and pipeline priorities. Brand Positioning & Messaging: + Create compelling, clinically accurate messaging that… more
- HCA Healthcare (Plano, 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
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