• Medicaid Provider Data

    CVS Health (Austin, TX)
    …affordable. Position Summary- This position will support the several parts of the Medicaid provider management team with focus on assignment, reporting, project ... coordination and collaboration amongst of work for Network Operations-Intake and triage, provider data assignments, claim pend assignments.-Will be lead for work… more
    CVS Health (05/16/24)
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  • Medicaid Researcher (Remote Eligible)

    Mathematica (Austin, TX)
    …related to monitoring and improving the following Medicaid programs: * Medicaid payment and financing policies (fee-for- service base and supplemental ... rigorous analytic thinking to the collection and interpretation of quantitative and qualitative data , including analysis of Medicaid administrative data and… more
    Mathematica (05/01/24)
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  • Medicaid Certification Consultant

    Public Consulting Group (Austin, TX)
    …new streamlined modular certification (SMC) and outcomes-based certification (OBC). Our ideal Medicaid Consultant will provide oversight and direction for scope, ... the public sector. To learn more, visit www.publicconsultinggroup.com. **Responsibilities** The Medicaid marketplace is changing, and PCG is at the forefront. We… more
    Public Consulting Group (03/21/24)
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  • Lead Product Manager - Provider Engagement

    Humana (Austin, TX)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... existing live product features. Proactively work to mitigate risk + Inform data requirements with business rationale. Work with relevant partners to develop plans… more
    Humana (06/01/24)
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  • Encounter Data Management Professional

    Humana (Austin, TX)
    …errors and problems within the encounter process between Humana and CMS and Duals Medicaid using data analysis, claims research, and other resources to ... provide insight. Encounter Data Management Professional ensures encounter submissions meet or exceed...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
    Humana (06/07/24)
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  • Data Reporting Analyst

    Humana (Austin, TX)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... of our caring community and help us put health first** The Data Reporting Analyst understands department, segment, and organizational strategy and operating… more
    Humana (06/08/24)
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  • Senior Data and Reporting Professional

    Humana (Austin, TX)
    …& Medicaid ), operations reporting, and expert consultation around new data projects. Successful candidate will be expected to learn Humana's HCPR business ... community and help us put health first** The Senior Data and Reporting Professional generates ad hoc reports, regular...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
    Humana (06/05/24)
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  • Data Visualization Engineer

    Humana (Austin, TX)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... us put health first** Join our team as a Data Visualization Engineer 2 and revolutionize how we interact...Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet… more
    Humana (06/08/24)
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  • Lead Data Scientist

    Humana (Austin, TX)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... to optimizing talent outcomes and improving the associate experience. We provide advanced analytic products and consulting to our Enterprise business leaders… more
    Humana (05/30/24)
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  • Senior Data Scientist

    Humana (Austin, TX)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... and help us put health first** For this Senior Data Scientist role, we're looking for someone with ...Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet… more
    Humana (05/25/24)
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  • Sr Data Quality/Integrity Engineer

    Humana (Austin, TX)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... part of our caring community and help us put health first** The Senior Data Quality/Integrity Engineer understands end-to-end master data processes and flows and… more
    Humana (06/01/24)
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  • Field Data Collector - MCBS

    NORC (Austin, TX)
    Field Data Collector - MCBS Job no: 502356 Work type: Intermittent Location: Austin, TX Capability Area: Field, Field Interviewer Who We Are NORC at the University ... that informs critical decisions facing society. + NORC Field Data Collectors, internally known as field interviewers, play a...to the residents. + Has interviewing, sales, or customer service experience. Requirements For Employment: + Must be at… more
    NORC (05/18/24)
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  • Director, Long-Term Supports and Services Strategy

    Humana (Austin, TX)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... Services (LTSS) Strategy who will oversee day-to-day operations of the Medicaid Program Transformation, LTSS program, implementing strategic plans and fostering key… more
    Humana (06/08/24)
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  • Associate Director, STARS Improvement

    Humana (Austin, TX)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... STARS Improvement develops, implements, and manages oversight of the company's Medicare/ Medicaid Stars Program. Directs all STARS quality improvement programs and… more
    Humana (06/09/24)
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  • Customer Service

    Sutherland Global Services (Austin, TX)
    …+ Status Inquiries + Interpreting Medical Benefit Grids + Verification of Provider Participation + Credentialing Inquiries + Documentation + Provider Inquiries ... provided on the phone call + Routing Pathways + Self- Service Options + Assisting providers with education on available...+ 1-2 years of experience with healthcare insurance + Medicaid experience highly favored + 1-2 years of experience… more
    Sutherland Global Services (05/23/24)
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  • Financial Analyst (Actuarial Focus)

    Humana (Austin, TX)
    data analysis + Analyzes and forecasts financial data , medical and pharmacy claims data , and other data to provide accurate and timely information for ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
    Humana (06/04/24)
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  • Market Finance Lead - New York, NY

    Humana (Austin, TX)
    …Actuarial, Clinical, Medicare Risk Adjustment, Provider Contracting, and Provider Engagement internally + Leverages data analytics, business insights, ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
    Humana (06/04/24)
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  • Senior Business Intelligence Engineer

    Humana (Austin, TX)
    …and help us put health first** The Senior Business Intelligence Engineer supports data , reporting and analytics, across Provider and Network Operations team.Job ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
    Humana (06/07/24)
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  • Program Manager - Health Coverage

    Foundation Communities (Austin, TX)
    …program staff are trained in policies that affect the Health Coverage Program, particularly service delivery. * Provide direct supervision to 5 Client Service ... their coverage to access health care. Primary Duties/Responsibilities: Program Management and Service Delivery * Oversee day to day operations of the Health Coverage… more
    Foundation Communities (05/25/24)
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  • Senior Business Intelligence Engineer

    Humana (Austin, TX)
    …of our caring community and help us put health first** The Consumer & Provider Services and Solutions (CPSS) Data and Analytics Business Intelligence team within ... on data , data visualization and data science supporting Humana's Service Operations. The...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
    Humana (06/01/24)
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