- Methodist Health System (Dallas, TX)
- …preferred - Two to four years of experience in healthcare revenue cycle management . - Proficiency in medical billing software EPIC and electronic health record (EHR) ... fast-paced environment. - Certification in medical coding (eg, CPC) or revenue cycle management (eg, CRCR) is a plus. - Position requires 6 months probationary… more
- Compass Group, North America (Fort Worth, TX)
- …coordinating and directing all patient experience activities within the assigned system . Monitors ongoing, and selectively negotiates as needed, matters relating to ... system /account patient satisfaction initiatives in order to assure highest...HCAHPS Committee, etc.) Ensures compliance with all regulatory agencies ( CMS , JCAHO) Increases regional patient satisfaction performance by promoting… more
- Kelsey-Seybold Clinic (The Woodlands, TX)
- …of 5-out-of-5-stars as part of the Centers for Medicare and Medicaid CMS annual assessment for eight consecutive years, including 2024. Kelsey-Seybold has been ... recognized by the National Committee for Quality Assurance (NCQA) as the nation's first accredited Accountable Care Organization and a Level 3 (highest) Patient-Centered Medical Home. Kelsey-Seybold has many physicians in the Greater Houston area certified for… more
- Baylor Scott & White Health (Buda, TX)
- …quality based on evidence, regulations, and data testing. + Identifies regional, system , and industry best practices, providing feedback to managers and team ... and data testing + Extensive knowledge of Texas, Joint Commission and CMS standards + Extensive knowledge of trends, developments, and research in providing… more
- Kelsey-Seybold Clinic (Houston, TX)
- …of 5-out-of-5-stars as part of the Centers for Medicare and Medicaid CMS annual assessment for eight consecutive years, including 2024. Kelsey-Seybold has been ... recognized by the National Committee for Quality Assurance (NCQA) as the nation's first accredited Accountable Care Organization and a Level 3 (highest) Patient-Centered Medical Home. Kelsey-Seybold has many physicians in the Greater Houston area certified for… more
- Centene Corporation (San Antonio, TX)
- …or equivalent experience. 2+ years of experience in Sales, Healthcare, Medicare, CMS Regulations and/or Management . Prior experience working with brokers/agents ... of the book of business. + Participates in product training with Sales Management for Health Plan's commercial sales segments. + Assists with supporting Health… more
- Humana (Austin, TX)
- …care or other pharmacy related field + Experience in Formulary strategy/development and CMS Part D guidance + Experience in analysis and problem-solving + Excellent ... and communicating with staff in different positions and all levels of management positions. + Ability to prioritize, organizes, and executes effective time … more
- ISC2 (Austin, TX)
- …Implement and manage source control, SSO, environment strategy, and release management pipelines using Bitbucket, Git, CI/CD tools, and secure deployment frameworks. ... to ensure compliance with security policies, threat modeling, and vulnerability management . + Partner with business stakeholders to translate complex functional… more
- Molina Healthcare (Dallas, TX)
- …Action Items (SAIs) including assisting and executing projects and tasks to ensure CMS and State regulatory requirements are met for pre-pay edits, post payment ... (CPT), International Classification of Diseases (ICD), Healthcare Common Procedure Coding System (HCPCS), Revenue Codes), and federal/state Medicaid payment rules. +… more
- Molina Healthcare (Houston, TX)
- …analysis. Performs research and deep-dive analysis of complex healthcare claims data, CMS return files, and financial cost, revenue, and vendor data. Collaborates ... understand, modify, and communicate models and results. Makes recommendations to management based on relevant findings. Utilizes Power BI to display relevant… more