- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Humana Integrated Business Advancement (IBA) - BI (Business Intelligence) team is a high ... large complex data sets within large organizations + Experience working with Claims , Billing and Reconciliation or related healthcare data + Expertise in Microsoft… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Encounter Data Management Lead supports the Encounter Data Management team within the ... in Medicare and/or Medicaid product management or support. + Familiarity with Claims Adjudication Systems (CAS). + Knowledge of X12 transaction sets and standards.… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Fraud and Waste Professional 2 is responsible for conducting comprehensive investigations ... Certifications, CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + Experience in a corporate… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data ... individual Medicare Advantage plans. This includes: + Owning and improving our ESRD claims forecast process + Reviewing input assumptions and outputs of the ESRD… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the ... closely with IT, the pricing software vendor, CIS BSS, claims operations, and other business teams involved in the...PHI / HIPAA information Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- Western Digital (Austin, TX)
- …sick leave; medical/dental/vision insurance ; life, accident and disability insurance ; tax-advantaged flexible spending and health savings accounts; employee ... chargebacks, late deliveries, labeling errors, incorrect shipments. Review and validate claims received from retail partners to determine legitimacy and compliance… more
- Centene Corporation (Austin, TX)
- …per year Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid ... one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national… more
- Centene Corporation (Austin, TX)
- …per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....performance in areas of Quality, Risk Adjustment and Operations ( claims and encounters). + Identifies specific practice needs where… more