- Zelis (Plano, TX)
- …gained, and the personal interests that shape who you are. Position Overview The Sr . Medicaid Reimbursement Regulatory Analyst will collaborate with ... timely fashion. What you'll do: + Research and decipher regulatory sources such as legislative rules, state registers, waiver...a related field + Five+ years of experience in Medicaid billing, reimbursement , claim payment or cost… more
- Methodist Health System (Dallas, TX)
- …days **Work Shift :** **Job Description :** Your Job: The SR REIMBURSEMENT (MEDICARE) ANALYST will assist the Manager of Regulatory Compliance, the Manager of ... 5. Assist CBO and other department managers to resolve Medicare/ Medicaid reimbursement , billing, and compliance issues as...the assignment + Job Title Default Job Title Default SR REIMBURSEMENT ANALYST + Restrict to Country… more
- UTMB Health (Galveston, TX)
- …degree in accounting, business, or related field. and ten (10) years Medicare and Medicaid reimbursement experience, with at least six years of reimbursement ... senior management, staff, and other departments related to changing regulatory reimbursement requirements and related to appropriate compliance with Medicare… more
- Baylor Scott & White Health (Dallas, TX)
- **JOB SUMMARY** The Healthcare Compliance Consultant Sr performs ongoing activities related to the development, implementation, maintenance of, and adherence to ... to ensure compliance with BSWH policies and CMS and Texas Medicaid regulations, providing reports, recommendations, and corrective action follow-up. Monitors trends… more
- Gentiva (Lubbock, TX)
- …ill patients and their families. + Thorough knowledge of managed care principles, regulatory guidelines (ie, Medicare, Medicaid , JCAHO, ACHC, and human resource) ... day. **Overview** We're looking for a **Patient Care Manager Senior ** to join our team. You will report directly...and compliance with local, state, and federal regulations and regulatory agencies. + Preparing for, serving on, and facilitating… more
- Robert Half Finance & Accounting (Plano, TX)
- … Revenue Accountant, you will play a pivotal role in managing revenue recognition and reimbursement processes across private healthcare practices. This position ... working with a dynamic healthcare company to hire a Senior Revenue Accountant for a newly created role with...requires a deep understanding of varying reimbursement rates, payer systems, and regulatory requirements… more
- Banner Health (TX)
- …records and/or areas assures compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services ... communities we serve. As a **f** **ully** **remote Physician Coding Surgical Pediatric Senior Coder** you will be coding Surgical procedures for Pediatric team. This… more
- CVS Health (Austin, TX)
- …role? Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager. In this role, you will manage negotiations, conduct high-level reviews ... and the review and analysis of reports as part of negotiation and reimbursement modeling activities. * Responsible for identifying and managing cost issues and… more
- Centene Corporation (Austin, TX)
- …Positions Purpose: In this role you will be a key member of the Regulatory Reporting Group which is responsible for all statutory financial reporting including the ... quarterly and annual NAIC filings, ensuring compliance with NAIC and other regulatory requirements. Entities cover various combinations of members across single and… more
- Texas Health Resources (Arlington, TX)
- …safety-net services through various supplemental payment programs. The VP Government Reimbursement Medicaid Payments has the following duties and ... in negotiations with the fiscal intermediary. + Sets annual Medicare and Medicaid reimbursement rates for budget and extended forecasting. Estimates and… more
- Methodist Health System (Dallas, TX)
- …and state laws relating to healthcare, including but not limited to Medicare/ Medicaid reimbursement , HIPAA, AKS, self-referral prohibitions, and fraud and abuse. ... management, health information management, litigation support related to operations and regulatory matters, medical staff services, marketing, and supply chain. This… more
- Abbott (Austin, TX)
- …ensuring support for long-term business growth. + Ensure strict compliance with Medicaid , Medicare, and other relevant regulatory programs, and provide guidance ... retirement savings plan with high employer contribution + Tuition reimbursement , the Freedom 2 Save (https://www.abbott.com/corpnewsroom/strategy-and-strength/tackling-student-debt-for-our-employees.html) student debt program… more
- Houston Methodist (Houston, TX)
- …the development, negotiation, and maintenance of payer relations contracts for reimbursement billed through managed care including hospital, physician contracts for ... commercial, Medicare Medicaid , all products including but not limited to all...and mentorship as needed. This position collaborates with all senior leadership to meet the organization's objectives, ensuring operational… more
- Humana (Austin, TX)
- …teams in support of Humana's Insurance Business. This position reports to the Senior Vice President, Provider Experience and will lead an organization of 300+ ... of primary care, specialty and ancillary services for Humana to meet both regulatory and sales support need. + Align strategy and priority between different… more
- Cardinal Health (Austin, TX)
- …VP, Revenue and Payor Operations **Location** Nationwide, US **Position Summary** Senior executive leader responsible for leading all aspects of Navista's Physician ... understands the trends that affect current and future healthcare business models and reimbursement to make short and long term strategies. Will serve as an executive… more
- Banner Health (TX)
- …records and/or areas assures compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services ... as appropriate. Ensures ethical and accurate coding in accordance with all regulatory requirements and AHIMA Standards of Ethical Coding. CORE FUNCTIONS 1. Analyzes… more
- Gentiva (Jasper, TX)
- …join our team.You will report directly to the Executive Director, Administrator, or Senior Patient Care Manager. You will be responsible for maintaining a high ... procedures and compliance with local, state, and federal regulations and regulatory agencies. + Overseeing and managing rescheduled, declined, missed, and reassigned… more