- Highmark Health (Austin, TX)
- …Business Solutions leadership in strategic activities to expand IT capabilities for Medicaid growth in the dental market by: Applying SME knowledge to analytical ... strategic thinking to identify business needs for growing and sustaining the Medicaid business. Apply SME knowledge and oversee multiple teams' activities related to… more
- Molina Healthcare (Houston, TX)
- …accuracy and auditing configuration and outgoing payments + Focuses on process improvement , organizational change management, program management and other ... : + 3-5 years of Program and/or Project management experience. + Operational Process Improvement experience. + Healthcare experience. + Experience with Microsoft… more
- Molina Healthcare (San Antonio, TX)
- **Job Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan ... Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits,… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** As a Lead AI/ML DevOps Engineer at Humana, you will be responsible for leading the development, ... of AI/ML solutions. Additionally, you will focus on streamlining the deployment process , ensuring the scalability and reliability of AI/ML models, and monitoring… more
- HCA Healthcare (Georgetown, TX)
- …to join an organization that invests in you as a Facility Outpatient Coder Team Lead ? At Parallon, you come first. HCA Healthcare has committed up to $300 million in ... are looking for a dedicated Facility Outpatient Coder Team Lead like you to be a part of our...+ Ensures rebill requests are entered timely through the system/ process outlined in company/HSC policy + Answers coding related… more
- Methodist Health System (Dallas, TX)
- …8X5 Day (United States of America) **Job Description :** **Your Job:** The Team Lead (AR III) specializing in Professional Billing to join our team at our Central ... and the ability to foster a collaborative and innovative environment. The Team Lead will guide the team in meeting performance goals while maintaining a positive… more
- Humana (Austin, TX)
- …enablement across the marketing ecosystem. ** Process Discovery & Optimization** + Lead and support process improvement initiatives across regulated ... field or equivalent work experience + 3+ years of experience in process improvement , operations, or project coordination + Strong analytical, facilitation,… more
- Molina Healthcare (Fort Worth, TX)
- …in collaboration with the clinical lead , the medical director, and quality improvement staff. + Facilitates conformance to Medicare, Medicaid , NCQA and other ... necessity. + Participates in and maintains the integrity of the appeals process , both internally and externally. Responsible for the investigation of adverse… more
- Humana (Austin, TX)
- …+ 3 or more years of experience in sales strategy, business optimization, or process improvement , ideally within an omnichannel or transformation environment + 3 ... productivity, increase conversion rates and/or elevate member satisfaction + Lead continuous improvement programs, working cross-functionally to...or more years of experience with continuous improvement , business process mgmt., process … more
- Providence (TX)
- …+ Set strategic and performance goals for the departments, monitor results, and drive process improvement . **Innovation Driver:** + Lead and participate in ... then we have the perfect opportunity for you to lead our Financial Counseling team! **The Role:** As the...efficiency and effectiveness of Financial Assistance Programs and the Medicaid submission process for 51 Providence and… more