- Mathematica (Austin, TX)
- …related to monitoring and improving the following Medicaid programs: Medicaid payment and financing policies (fee-for- service base and supplemental payments, ... rigorous analytic thinking to the collection and interpretation of quantitative and qualitative data , including analysis of Medicaid administrative data and… more
- 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 ... caring community and help us put health first** Humana Medicaid is seeking exceptional candidates to join our ...federal and state government to define health plan covered service packages and eligible cohorts. + Communicate covered services… more
- 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 ... This role will work horizontally across the organization, coordinating with Medicaid and Medicare leadership and clinical subject matter experts to synthesize,… more
- 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, ... achieve strategic goals to serve the public better. We provide the full spectrum of technology consulting services to...Business Enablement + Business Solutions + Project Assurance The Medicaid marketplace is changing, and PCG is at the… more
- Humana (Austin, TX)
- …The key responsibilities of the role include: + Refresh Medicaid inpatient data and tool monthly to provide best estimate utilization/PMPMs for the month ... for Medicaid markets The Actuarial Analyst 2, Analytics/Forecasting ensures data integrity by developing and executing necessary processes and controls around… more
- Humana (Austin, TX)
- …The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic ... and operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence....a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- 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 complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Position...services, requested level of care, or requested site of service should be authorized, with all work occurring within… more
- Centene Corporation (Austin, TX)
- …and objectives for assigned function. + Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of ... field or equivalent experience. 0-2 years of business process analysis or data analysis experience. Advanced knowledge of Microsoft Applications, including Excel and… more
- Highmark Health (Austin, TX)
- …to evaluate the medical necessity and appropriateness of the requested treatment of service . Depending on the nature of the case, telephonic peer to peer discussions ... as assigned. Compose clear and concise rationales for member and provider determination notifications all while adhering to required compliance standards (NCQA,… more
- Humana (Austin, TX)
- …and interpreting and adapting procedures, processes, and techniques. **Additional Responsibilities:** + Provider data auditing for compliance + Data ... first** The Provider Contracting Coordinator initiates and maintains behavioral health provider contracts and contract data for the Kentucky Market. The … more
- 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 ... caring community and help us put health first** The Supervisor, Provider Engagement develops and grows positive, long-term relationships with physicians, providers… more
- Humana (Austin, TX)
- …with data analytics teams to use insights in enhancing provider visibility and member decision-making + Manage the product backlog, prioritize features ... us put health first** The Lead Product Manager - Provider Directory helps identify, validate, and implement improvements to...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- 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 ... accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus other commercial and… more
- Humana (Austin, TX)
- …and data management to support the market's Quality team within the Medicaid product line. Integrates data from multiple sources to produce requested or ... community and help us put health first** The Senior Data and Reporting Professional generates ad hoc reports and...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- BrightSpring Health Services (Austin, TX)
- …8am-3pm Weekends Our Pharmacy group focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation hospitals, ... care hospitals, and other specialized care centers nationwide. If your passion is service excellence and top-quality care come join our team and apply today!… more
- 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...the US without Humana sponsorship as Humana does not provide work visa sponsorship for this role._** **Location/Work Style:**… more
- 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 ... **Become a part of our caring community and help us put health first** The Data Manager 2 supports all aspects of configuration control, data management, and… more
- 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 ... health first** The role of the Vice President, Enterprise Data Governance & Protection is to lead Humana's ... capabilities are effectively integrated into business execution. + Provide expertise, consult and lead innovation, tap into new… more
- 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 work in optimizing testing strategies and ensuring robust data accuracy, making you the cornerstone of successful software...achieve their best health - delivering the care and service they need, when they need it. These efforts… more
- 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 ... **Become a part of our caring community and help us put health first** The Data and Reporting Professional 2 generates ad hoc reports and regular datasets or report… more