- Highmark Health (Austin, TX)
- …+ 3 years Value-based reimbursement , through managed care contracting, provider reimbursement , consulting, population health delivery or related areas + 4 ... ACO), alternative reimbursement models (eg, bundled payments), and provider / health plan quality programs (eg pay for performance) + 5 years Familiarity with… more
- Elevance Health (Grand Prairie, TX)
- …of legislative mandates to support draft development and/or revision of enterprise reimbursement policy . + Translates medical policies into reimbursement ... code and fee schedule updates, analyzing each new code for coverage, policy , reimbursement development, and implications for system edits. + Coordinates… more
- Highmark Health (Austin, TX)
- …and maintenance of a self-service platform for providers, entities, and health systems within the Organization's value-based reimbursement programs for ... the overall conceptualization, strategy alignment, and high-level design of new value-based reimbursement models for PCPs, specialists, and health systems across… more
- Elevance Health (Grand Prairie, TX)
- …partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior** will support our ... onboarding and skill development._ Please note that per our policy on hybrid/virtual work, candidates not within a reasonable...and Medicaid Services (CMS) division of the Department of Health and Human Services). The Audit and Reimbursement… more
- UTMB Health (Galveston, TX)
- Associate Director of Finance - Government Reimbursement **Galveston, Texas, United States** Executive - Business Professional UTMB Health Requisition # 2504131 ... The Associate Director ensures accurate and appropriate government payor reimbursement -related calculations and estimates and ensures UTMB compliance with Medicare… more
- Sanofi Group (Dallas, TX)
- …business-related issues for T1D. In addition, they will help support product reimbursement through compliant support of the PA policy requirements supporting ... Physician reimbursement experience + Experience with complex medical payer policy requirements and coordination of multiple prior authorization needs + Infusion… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and… more
- J&J Family of Companies (Dallas, TX)
- …and biotechnology products + Excellent technical knowledge and expertise in payer policy , including all elements of reimbursement (coding, coverage, and payment) ... At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented,… more
- J&J Family of Companies (Dallas, TX)
- …and biotechnology products . Excellent technical knowledge and expertise in payer policy , including all elements of reimbursement (coding, coverage, and payment) ... At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented,… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …degree required + Minimum 5 years of pharmaceutical industry experience, with focus on payer policy and reimbursement + At least 3 years of experience in benefit ... **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert...Otsuka Pharmaceutical Development & Commercialization, Inc., and Otsuka Precision Health , Inc. ("Otsuka") does not accept unsolicited assistance from… more
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