- Kelsey-Seybold Clinic (Sugar Land, 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
- Texas Health Resources (Arlington, TX)
- …through AACN for Cardiac Telemetry and CVICU. We are also 5 star rated through CMS . + We specialize in CABG and Valve surgeries, TAVR, Impella, IABP, and Lung ... procedures. As well as general cardiac including heart failure, cardiomyopathies, AMI, post heart catheterization including angioplasty, stenting, electrophysiology studies, and device implantation **Here's What You Need** + Nursing Degree, or Associate Degree… more
- HCA Healthcare (San Antonio, TX)
- …expense reimbursement **About Methodist Hospital - Stone Oak & Methodist Healthcare System :** + Where high-tech and high-touch come together + 242-bed facility, 16 ... operating suites + 4-star CMS Rating, Overall Quality & Patient Safety Measures + Methodist Healthcare System is the largest provider of health care in South and… more
- Prime Healthcare (Weslaco, TX)
- …to integrity reliability review, medical chart reviews, data abstraction for CMS Core Measures and other quality outcomes studies, employing evidence-based practice; ... integrating best research with expertise & patient values for optimal care; working in interdisciplinary teams; application of performance improvement methodologies to minimize waste, decrease errors, increase efficiency and ultimately improve care and… more
- Molina Healthcare (Dallas, TX)
- …EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 2+ years of program and/or project management experience in risk adjustment and/or quality * 2+ years of experience ... and experience **PREFERRED EXPERIENCE:** * Knowledge of, and familiarity with, NCQA, CMS , and State regulatory submission requirements * Experience working in a… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical ... denial management and appeals process, as applicable, in collaboration with...determinations and, denial reason and trending as appropriate, Monitors CMS , managed care and payor communications for updates/alerts/releases and… more
- Amazon (Austin, TX)
- …and production environment. Our Manufacturing Engineers work closely with our ODMs, CMs , internal AWS hardware and software development teams, and with upstream ... with manufacturing suppliers on quality improvement initiatives and supplier quality management - Minimum 5 years demonstrated success in optimizing production… more
- STG International (Temple, TX)
- …medication QM's to assist in achieving a rating 4 star or greater in CMS 5 Star ratings. 27. Participates in performance goals as relates to antipsychotic medication ... workforce solutions company providing comprehensive healthcare delivery, Head Start and management consulting services and human capital solutions help our clients.… more
- Highmark Health (Austin, TX)
- …Highmark Health Solutions, Health Plan Operations. **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities to include, but are not limited to: involved ... termination decisions, coaching and development, rewards and recognition, performance management and staff productivity. Plan, organize, staff, direct and control… more
- Texas Health Resources (Fort Worth, TX)
- …accredited Breast Center. Texas Health Southwest has received Magnet designations, plus a CMS 5-Star rating, the US News & World report top hospital award, and ... 100 Best Companies to Work For(R) (10th consecutive year & we're the only health system in Texas recognized.) . 2023 "20 Best Workplaces in Health Care" by Great… more