- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of ... data requires an in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis… more
- Prime Therapeutics (Austin, TX)
- …every decision we make. **Job Posting Title** Clinical Pharmacist (Algo), Professional - Senior - REMOTE **Job Description** Maintains the inventory of clinical ... based upon relevant source data (eg clinical criteria, client criteria, Medicare LCD). Provides support for clinical client inquiries and internal partners.… more
- Highmark Health (Austin, TX)
- …relevant audiences. + High-level of skill in leading interdepartmental and cross-functional strategy development. + Experience with managed care, Medicare and ... have the highest level of integrity and ethics and demonstrate professional representation of the company. **ESSENTIAL RESPONSIBILITIES** + Matrixed working… more
- CenterWell (Austin, TX)
- …The Senior RX Clinical Programs Pharmacist oversees medication therapy, strategy on comprehensive medication reviews, and prescription drug optimization in cases ... part of our caring community and help us put health first** The Senior RX Clinical Programs Pharmacist integrates programs developed to improve overall health… more
- Datavant (Austin, TX)
- …complex problems with technology-forward solutions. Datavanters bring a diversity of professional , educational and life experiences to realize our bold vision for ... work environment. + Keep up to date with current coding policies for ICD-10, Medicare Advantage, HHS (ACA), and other markets. + Provide guidance and make strategic… more
- Houston Methodist (Houston, TX)
- …is responsible for supporting accurate billing and coding compliance with Medicare and third-party payments and internal policies. Responsibilities for this position ... industry and practices. Shares learnings with team. + Proactively manages own professional development. Completes My Development Plan. This job description is not… more
- Humana (Austin, TX)
- …part of our caring community and help us put health first** The Senior Program Delivery Professional strategically identifies, develops, and implements programs ... market leadership towards value-based relationships and/or improved quality metrics. The Senior Program Delivery Professional work assignments involve moderately… more
- CenterWell (Arlington, TX)
- …Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating 340 centers across fifteen ... care team supporting patient's physical, emotional, and social wellness. At CenterWell Senior Primary Care, we want to help those in the communities we… more
- CenterWell (Corpus Christi, TX)
- …Care Organization (PCO) is the largest and fastest growing value-based care, senior -focused primary care network in the country. The Primary Care Physician (PCP) ... Refers the patient to specialists as needed. Begins to influence department's strategy . Makes decisions on moderately complex to complex issues regarding technical… more
- CVS Health (Austin, TX)
- …leadership team as a Director, Pharmacy Benefit Management (PBM) Underwriting, Analysis and Strategy . In this role, you will lead a critical segment supporting a ... and maintaining a deep understanding of PBM financial levers within Commercial, Medicaid, Medicare Part D, and Public Exchange lines of business. + Conduct market… more