- Molina Healthcare (Houston, TX)
- **JOB DESCRIPTION** **Job Summary** Responsible for analysis of Medicaid and Medicare financial reports, trend, and opportunities. Includes evaluation of and ... recommendations relating to business opportunities, Medicare bids, investments, financial regulations, and similar financial projects or programs. Duties include… more
- Houston Methodist (Katy, TX)
- …procedures, and provides quality reviews. Reports results of key performance metrics to director on a timely basis. ** FINANCE ESSENTIAL FUNCTIONS** + Assists in ... needed to ensure operational billing compliance with government/regulatory agencies and the Medicare and Medicaid programs. + Ensures optimization of timely cash… more
- Houston Methodist (Houston, TX)
- … cost reports, Federal Tax Returns Health and Human Services (HHS)/Centers for Medicare and Medicaid Services (CMS) reporting, Federal and State Charity ... At Houston Methodist, the Director Governmental Reporting is responsible for ensuring that...Report. + Directs the coordination, review and filing of Medicare and Medicaid cost reports and associated… more
- Houston Methodist (Houston, TX)
- …managed care payers include commercial payers, separate transplant contracts, Medicare Advantage, Medicaid Health Maintenance Organizations (HMOs), ... At Houston Methodist, the Director Managed Care Contracting position is responsible for...a voice for the department. + Provides assistance to finance , accounting, operations teams regarding interpretation of contracts and… more
- Molina Healthcare (Houston, TX)
- …and oversight of processes that track, evaluate, and submit encounter deletions for Medicare Advantage, ACA, and Medicaid lines of business. This role has ... in Director level role or above. + Extensive understanding of Medicare Advantage, ACA and Medicaid risk adjustment processes, including encounter data… more