- Humana (Austin, TX)
- …part of our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the ... Pricer Business and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team continue… more
- Baylor Scott & White Health (Austin, TX)
- + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position analyzes ... data, submission requirements and performance metrics per the regulatory and health plan guidelines. + Performs analysis and reporting activities related to… more
- CVS Health (Austin, TX)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...heart, each and every day. **Position Summary** A Sr. Analyst , Project Management (IC) role, reporting to the AVP… more
- CenterWell (Austin, TX)
- …us put health first** We are seeking a detail-oriented and experienced Home Health Facility Licensure & Regulatory Compliance Analyst to join our team. The ... and support our agency's commitment to delivering compliant, high-quality home health services. **Key Responsibilities:** + Ensure compliance with federal, state,… more
- UTMB Health (Galveston, TX)
- Clinical Trials Coverage Analyst (Research Administration - Galveston) Medical billing and coding **Galveston, Texas, United States** Research Academic & Clinical ... UTMB Health Requisition # 2505124 **EDUCATION & EXPERIENCE** **Minimum Qualifications:**...knowledgeable and up to date with current FDA and Medicare guidelines for clinical trial billing + Maintains a… more
- Prime Therapeutics (Austin, TX)
- …passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal - Remote **Job Description** The Compliance Principal is responsible ... participates inclient and stakeholder meetings + Reviews proposedfederal and state public policy and rule changes and prepares position papers for internal and… more
- Centene Corporation (Austin, TX)
- …one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national ... Opportunity**_** **_The ideal candidate will have:_** + **_Deep knowledge of the Medicare Advantage program, with hands-on experience in Dual Eligible Special Needs… more
- Prime Therapeutics (Austin, TX)
- …our passion and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Senior Compliance Analyst assists in ... and maintained. **Responsibilities** + Executes compliance procedures and enforces policy governance across the organization to validate regulatory requirements are… more
- CVS Health (Austin, TX)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...and maintaining the SOP library within the Medical Pre-Payment Policy and Pre-Certification Management team. This role is essential… more
- Catholic Health Initiatives (Lufkin, TX)
- …productive duties in absence of guidance; is a self-starter. + Adheres to Policy - follows CHI ST. Luke's Memorial Hospital rules, policies, procedures and ... with respect to government payer reimbursement methodology changes (ie Traditional Medicare /Medicaid/Tricare). + Other duties: * Assist National Tax team in the… more