- Childrens Health System of Texas - TRINITY TOWERS (Dallas, TX)
- …of Texas - TRINITY TOWERS Job Type Local Offering Non-Clinical Profession Professional Specialty Finance Job ID 16916795 Job Title Managed Care Contract Analyst ... depth within a specialized, critical discipline and/or breadth of substantive professional knowledge that crosses disciplines within the professional field… more
- 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
- Health Care Service Corporation (Richardson, TX)
- …clients., large employers, brokers, or consultants. + 7 years experience requiring data analysis and information reporting relating to healthcare data ... and be part of a purpose-driven company that will invest in your professional development. **Job Summary** This position is responsible for planning, managing and… more
- Houston Methodist (Houston, TX)
- …reports, Federal Tax Returns Health and Human Services (HHS)/Centers for Medicare and Medicaid Services (CMS) reporting , Federal and State Charity Reporting , ... At Houston Methodist, the Director Governmental Reporting is responsible for ensuring that Houston Methodist...standard information systems and improvements by which all budget data will be accumulated, shared and summarized. + Directs… more
- Zelis (Plano, TX)
- …Medicare, Medicaid , and commercial reimbursements. This role involves leveraging data to ensure accurate and efficient claim processing, offer insights into ... You You bring a unique blend of personality and professional expertise to your work, inspiring others with your...data in SQL tables. + Utilize Excel for data manipulation, analysis, and reporting . + Understand… 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
- Kelly Services (Boerne, TX)
- …a career in the pharmaceutical or biomanufacturing industry. **Key Responsibilities** + ** Data Analysis & Reporting :** Process and analyze clinical and ... **Clinical Data Analyst (Entry Level)** **Boerne, TX** Are you...This is a great entry-level opportunity for a motivated professional with strong computer skills who is eager to… more
- CVS Health (TX)
- …abuse + Knowledge of Medicaid healthcare claims adjudication (QNXT) & regulatory reporting + Experience with data visualization tools (eg, Tableau, Power BI ... a full time role and is ideal for a data professional with strong coding skills in...to support fraud, waste, and abuse (FWA) detection and Medicaid regulatory & compliance reporting . This is… 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 (San Antonio, 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 (Pearland, 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
- Houston Methodist (Houston, TX)
- …appropriate management and staff. + Implements quality improvement projects involving data collection, validation, analysis, and reporting . Offers innovative ... Transplant/VAD services including organizing, collecting validating compiling, analyzing, and reporting results of these services/programs. The Transplant Quality Coordinator… more
- Banner Health (TX)
- …processes, as well as, transitions back to the community. Leads monitoring and reporting of facility Clinical Practice performance. Uses data to identify ... as a subject matter expert in compliance with voluntary, mandatory and contractual reporting requirements for data acquisition, analysis, reporting and… more
- Community Hospital Corporation (Plano, TX)
- …all data to prepare and assist with annual cost reports and insurance reporting . Manage all financial and statistical data requested from outside vendors and ... but not limited to Uncompensated Care, Disproportionate Share (Medicare and Medicaid ), American Hospital Association (and state) annual reporting . Gathers… more
- Houston Methodist (Houston, TX)
- …governmental reporting requirements, and proper quality outcomes monitoring. These data requirements include, but are not limited to units of service, recovery ... critical events of recovery and transplantation. Collects the appropriate data necessary for decision-making regarding organ acceptance/rejection for transplant and… more
- CVS Health (TX)
- …systems and data warehouses. **Education** + Bachelor's Degree or equivalent professional work experience required. + Advanced degree in a relevant field, such ... and maintaining a deep understanding of PBM financial levers within Commercial, Medicaid , Medicare Part D, and Public Exchange lines of business. + Conduct… more
- Houston Methodist (Katy, TX)
- …meetings, resources and equipment, to ensure staff competency and professional pathway progression. + Communicates updates/changes to processes, managed care ... systems to enhance operations; supports entity-specific performance improvement and data management/analysis functions. + Employs a proactive approach in the… more
- Houston Methodist (Houston, TX)
- … for hospital-based statistics and regulatory agencies such as OPTN/UNOS/CMS and Medicaid to ensure compliance with all governmental reporting requirements, and ... practice. The Post-Transplant Coordinator position interacts with all members of inter- professional transplant team to ensure coordination of care for the… more
