- Humana (Austin, TX)
- …processes + Possess 10+ years of progressive experience leading continuous improvement efforts, evaluating existing systems and implementing process ... and performance. As well as standing up a governance process to ensure the necessary controls needed are in...working closely with CMS guidelines. + **People Management** : Lead a large team with a focus on employee… more
- Humana (Austin, TX)
- …committed to inclusive communication-and we're looking for a product manager to lead the development of capabilities that support alternate formats for members with ... and audit readiness for accessibility-related communications **Accessibility Innovation & Process Optimization** + Advise on process improvements and… more
- Caris Life Sciences (Irving, TX)
- …Associate is responsible for reviewing outstanding denied claims with Medicare, Medicaid and Commercial insurance companies. This role involves following up with ... and implementing processes to prevent future issues. + Identifying and communicating process errors to optimize revenue cycle management. + Utilize payor portals to… more
- Humana (Austin, TX)
- …interrelate across department(s). The Associate Director; Software Renewals will lead the strategic oversight and execution of software renewal activities ... renewal strategies with business and IT priorities. **Key Responsibilities** + Lead the end-to-end software renewal lifecycle for enterprise applications and… more
- Evolent (Austin, TX)
- …executive responsible for leading oncology-related utilization management, quality improvement , and clinical operations across Evolent's value-based care platform. ... excellence, product innovation, clinical partnerships, and financial impact assessment + Lead provider and member engagement strategies to improve the quality of… more
- Humana (Austin, TX)
- …ability to create and present story-driven analytics presentations. + Knowledge of process improvement and development of metrics. + Creative and proactive ... will utilize various tools, technologies, applications, and data resources. The role will lead a team of up to approx. 7-9 direct associates. **Key Responsibilities… more
- CVS Health (Austin, TX)
- …post-mortems to capture and apply lessons learned to identify areas for improvement and shares process enhancements to optimize project management practices. ... enforcing payment and policy rules for healthcare services. + Lead and manage key strategic projects related to implementation...essential. An understanding of the Centers for Medicare & Medicaid Services (CMS) or other regulatory bodies is a… more
- Caris Life Sciences (Irving, TX)
- …accurate, follow up on requests, and apply acquired knowledge of Medicare, Medicaid , and other Third-Party Payer requirements **Job Responsibilities** + Adheres to ... resolution. + Drive for Results (Service, Quality, and Continuous Improvement ) - Ensure procedures and processes are in place...Ensure procedures and processes are in place that will lead to delivery of quality results and continually reassess… more
- Cardinal Health (Austin, TX)
- …insurance claims. This role leads strategy development, performance monitoring, and process improvement initiatives to optimize cash flow, reduce aging ... accounts, and ensure compliance with payer and regulatory requirements. **Responsibilities:** + Lead and manage the daily operations of the insurance follow-up team,… more
- Datavant (Austin, TX)
- …to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process . (We can only see aggregate responses, not ... ability to ingest different data types and streamline the process to ingest both structured and unstructured data. You...and management of client data for MA, ACA, and Medicaid plans, ensuring HIPAA and CMS compliance + **Standard… more