- Humana (Austin, TX)
- …interpretation and independent determination of the appropriate courses of action. The Finance Professional 2 will support Medicaid /Duals and continue ... caring community and help us put health first** The Finance Professional 2 analyzes and forecasts financial,...membership, and premium related data to provide reports to Medicaid Finance CFOs as well as assist… more
- UTMB Health (Galveston, TX)
- Director of Finance Government Reimbursement (Medicare, Medicaid ) - Government Reimbursement **Galveston, Texas, United States** Executive - Business ... Professional UTMB Health Requisition # 2501823 **Minimum Qualifications:** Bachelor's...or related field. and ten (10) years Medicare and Medicaid reimbursement experience, with at least six years of… more
- Molina Healthcare (San Antonio, TX)
- …coordination and communication of timelines, deliverables, and process updates with Medicaid regional actuarial teams, FP&A ( Finance , Planning and Analytics), ... and Finance . + Produce reporting and ad hoc analyses of enterprise Medicaid forecast results to key Finance stakeholders and leadership. + Collaborates with… more
- Humana (Austin, TX)
- …from the data exchange between Humana and its trading partners, Medicare and Medicaid . The Senior Encounter Data Management Professional will work with ... and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful submission and reconciliation of… more
- Humana (Austin, TX)
- …community and help us put health first** The IFG Senior Compliance Professional ensures compliance with Health Plan contracts and governmental requirements. The ... Senior Compliance Professional work assignments involve moderately complex to complex issues...and reporting **Preferred Qualifications** + Bachelor's degree in Business, Finance , Law, Healthcare Administration, or a related field +… more
- Houston Methodist (Houston, TX)
- …and compiling information for various governmental reports, including Medicare & Medicaid Cost Reports, Annual Tax Returns, Federal Emergency Management Agency ... Assists in researching government regulations (ie Centers for Medicare and Medicaid Services (CMS), Internal Revenue Service (IRS), Federal Emergency Management… more
- Prime Therapeutics (Austin, TX)
- …flows, process change and/or project management in supporting Compliance with Medicaid requirements. + Provide direct, or indirect leadership to other compliance ... + Advise internal clients regarding compliance with State and Federal Medicaid regulatory and contractual requirements + Provides leadership to the business… more
- Texas Health Resources (Dallas, TX)
- …of and comply with federal and state laws and regulations including Medicare/ Medicaid program requirements. Lead and/or work with appropriate resources to ensure ... federal and state regulations related to coding, documentation, billing practices, Medicare/ Medicaid and privacy. Experience to also include experience working with… more
- Providence (TX)
- …operates a self-administered claims program for General and Healthcare Professional Liability, Directors and Officers, Employment Practices, Fiduciary, Property, ... and technical support for caregivers regarding Centers for Medicare and Medicaid Services (CMS) Medicare Secondary Payer reporting, applicable laws, insurance… more
- Houston Methodist (Houston, TX)
- …Federal Tax Returns Health and Human Services (HHS)/Centers for Medicare and Medicaid Services (CMS) reporting, Federal and State Charity Reporting, Federal tax ... all hospitals to ensure proper valuation of patient accounts receivable. ** FINANCE ESSENTIAL FUNCTIONS** + Develops and manages department operational and capital… more
- Houston Methodist (Katy, TX)
- …meetings, resources and equipment, to ensure staff competency and professional pathway progression. + Communicates updates/changes to processes, managed care ... Reports results of key performance metrics to director on a timely basis. ** FINANCE ESSENTIAL FUNCTIONS** + Assists in the development of department budget and… more
- Elevance Health (Denison, TX)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement II** ... Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services).… more
- Houston Methodist (Houston, TX)
- …account reviews, aging) as demonstrated on weekly Key Performance Indicator. ** FINANCE ESSENTIAL FUNCTIONS** + Follows up on assigned delinquent insurance claims. ... knowledge of claims reimbursement and collection efforts for Managed Care, Medicare, Medicaid , Workers Comp, Commercial plans, etc.; knowledge of how to interpret a… more
- Humana (Austin, TX)
- …& Clinical Innovation + Corporate Strategy & Transformation Office + Medicare & Medicaid Market Operations + Provider Relations & Network Performance + Marketing & ... Customer Engagement (including MarketPoint) + Finance , Accounting & Risk Management + Human Resources &...in a Master of Business (MBA) or other advanced professional degree (eg MPH, MD, JD, Ph.D.), with a… more
- Houston Methodist (Houston, TX)
- …patient or patient guardian/representative. Ensures all Centers for Medicare & Medicaid Services (CMS) regulatory items are completed properly, including Medicare ... properly noted in the account and all printed material for their visit. ** FINANCE ESSENTIAL FUNCTIONS** + Collects patient payments and negotiates as needed to meet… more
- Providence (TX)
- …as the efficiency and effectiveness of Financial Assistance Programs and the Medicaid submission process for 51 Providence and Affiliate hospitals, over 1,000 ... + Oversee Patient Financial Counseling functions, including the insourcing of the Medicaid eligibility program and vendor strategy. + Set strategic and performance… more
- Robert Half Accountemps (Spring, TX)
- …A client of ours is currently seeking a Senior Accountant to join their finance team on a contract-to-hire basis. This position plays a critical role in supporting ... non-profit organization. The ideal candidate is a detail-oriented and self-motivated professional with a strong background in accounting and financial analysis,… more
- Houston Methodist (Houston, TX)
- …billed through managed care including hospital, physician contracts for commercial, Medicare Medicaid , all products including but not limited to all acute care ... Directly and indirectly overseeing management staff with the goal of enhancing professional development and personal growth, this position forms and leads internal… more
- Houston Methodist (Houston, TX)
- …all phases of transplantation. The Clinical Communication Coordinator position provides professional nursing care to a diverse patient population and interacts with ... family-centered care standards, as outlined in the Houston Methodist Professional Nursing Practice document. Coordinates with interprofessional healthcare team, the… more
- BrightSpring Health Services (Austin, TX)
- …are being processed and managed as per applicable policies + Partners with finance and accounting support team members with special projects + Supports operations in ... all laws, regulations, and standards of ethical conduct + Maintains professional / technical competencies and proficiencies for the job responsibilities + Complies… more