- Humana (Austin, TX)
- …our organization's standing within the Medicaid markets. **Complex Ad-Hoc Requests:** The Data and Reporting Professional 2 will address complex ad-hoc ... caring community and help us put health first** The Medicaid Data and Reporting Analyst...operating objectives, including their linkages to related areas. The Data and Reporting Professional 2… more
- Humana (Austin, TX)
- …etc. Partner with actuarial, financial, and clinical teams to align on data definitions, methodologies, and reporting . Identify cost drivers, utilization ... patterns, and anomalies in Medicaid medical claims data . Maintain dashboards to...degree, recent and relevant work experience, and/or other relevant professional designations. + MAAA + Strong communication skills +… more
- Humana (Austin, TX)
- …of our caring community and help us put health first** The Senior Agency Professional ; Finance & Accounting supports data analysis related to compliance and ... determine the best course of action. The Senior Agency Professional ; Finance & Accounting provides support for handling and...Finance & Accounting provides support for handling and analyzing data that pertains to the compliance and commissions of… more
- Humana (Austin, TX)
- …our caring community and help us put health first** The Supply Chain Budget Professional reports to the Director of Enterprise Print Management (EPM) and plays a key ... Print and Postage operations through effective budget development, management, financial reporting , and cost tracking. This position ensures accuracy and efficiency… more
- Humana (Austin, TX)
- …and overall market sales support. The ideal candidate will be able to summarize reporting data and present ideas and results. If you are detail oriented ... and help us put health first** The Sales Support Professional 1 will provide sales support to the Large...high level of accountability + Synthesizing and analyzing financial data (ex. budgets and income statement forecasts) with consideration… more
- Molina Healthcare (Austin, TX)
- …coordination, and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership** ... 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
- CVS Health (Austin, TX)
- …with our Provider Engagement responsibilities as provided within the State Medicaid contractual requirements. + This role is responsible for managing distinct ... strategic Growth Partner initiatives as appropriate. + Manage and deploy the Medicaid National Provider Engagement Program through the Local Market. + Manage and… more
- Centene Corporation (Austin, TX)
- …outcomes based on reported data from the state agency including internal data reporting . + The role will participate during the product Utilization Review, ... 3 years preferred in Managed Care and Quality experience. Experience with data analytics and reporting . **License/Certificates:** Required, RN, NP, LPC, LSW,… more
- Molina Healthcare (Austin, TX)
- …of programs for members in accordance with prescribed quality standards; conducts data collection, reporting and monitoring for key performance measurement ... wide. These functions include, but may not be limited to: Quality Reporting , HEDIS Performance Measurement, Clinical Quality Interventions, and QI Compliance. +… more
- Cardinal Health (Austin, TX)
- …leaders and employees and proactively provides guidance and trainings on policies. Reporting to the Director, Ethics & Compliance, this position supervises and ... manages audits to determine organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including: detection and… more
- Molina Healthcare (Austin, TX)
- …(SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting , and when appropriate, recovery of money related to health care ... investigations, including but not limited to witness interviews, background checks, data analytics to identify outlier billing behavior, contract and program… more
- Option Care Health (Austin, TX)
- …compliance with Option Care Infusion Centers policies and procedures, professional standards and local, state, federal regulations/guidelines. + Identify urgent ... and emergent situations and intervene appropriately. + Support compliance reporting through rigorous clinical notes. + Responds promptly and appropriately to patient… more
- Molina Healthcare (Austin, TX)
- …+ Prior professional experience utilizing Microsoft Excel (eg, performing basic data analysis in excel and utilizing pivot tables and various functions such as ... troubleshooting. **Job Duties** + Research, review, and decipher state-specific Medicaid and Medicare reimbursement methodologies for providers, including hospitals… more
- US Anesthesia Partners (Austin, TX)
- …processing, guidelines, laws, and EOBs. + Knowledge of managed care, Medicare, and Medicaid guidelines. + Data entry skills with high accuracy. + Knowledge ... related field of study is preferred. + 1-3 years professional /healthcare preferred. + Excellent verbal and written skills to...and attention to detail. + Skill in gathering and reporting information. + Ability to work effectively with staff,… more