- Pearl Interactive Network (El Paso, TX)
- …GovWin, FedBizOpps (FBO), Federal Procurement Data System (FPDS), and the System for Award Management (SAM). + Strong leadership skills with experience ... Develop and refine a 3-year growth roadmap covering target federal agencies ( CMS , VA, HHS, SSA, DOD), state agencies (including Medicaid/Exchange programs) and… more
- Datavant (Austin, TX)
- …combines strategic thinking, clinical product development expertise, and people management responsibilities. You'll be accountable for ensuring our products deliver ... customer outcomes, regulatory drivers, and market trends in risk adjustment, care management , and provider enablement. + Identify and prioritize use cases that… more
- Humana (Austin, TX)
- …by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, ... of decisions to internal associates, and possible participation in care management . The clinical scenarios predominantly arise from inpatient or post-acute care… more
- Ensono (Houston, TX)
- …Interchange (EFI), Next Generation Desktop (NGD), Electronic File Interchange (EFI), and the CMS Identity Management System (IDM). **Why Ensono?** Ensono is ... and FIPS 140-2, as applicable. + Maintain and renew certifications required for system access and management , ensuring continued compliance and eligibility. +… more
- American Heart Association (Dallas, TX)
- …in CRM, CMS and CDP systems. Has experience in defining content frameworks, taxonomies, and workflows that enable scalable, omnichannel content delivery ... Leads content segmentation and taxonomy development for dynamic content delivery across CMS and marketing automation platforms. + Coach and development lead… more
- Houston Methodist (Houston, TX)
- …compliance; promotes continual improvement in compliance with standards, including ISO 9001 Quality Management System . + Conducts internal surveys across the HM ... for improvement; reports aggregate results and analysis through appropriate entity and system venues. + Coordinates content development and implementation of … more
- Apex Health Solutions (Houston, TX)
- …part D oversight, coverage determination and re-determination (appeal) process, workflow management and direct communication to all applicable parties (internal and ... Eligibility Reconciliation, coverage determination and redetermination based on specific CMS required guidelines. Leads and support the creation, maintenance, and… more
- The Cigna Group (Fort Worth, TX)
- …Provider Network, Provider Contracting, Provider Data** + **Knowledge of DOI or CMS guidelines, preferred** + **Project management experience, preferred** + ... Departments of Insurance (DOIs) and the Centers for Medicare & Medicaid Services ( CMS ). This position plays a key role in ensuring the accuracy, completeness, and… more
- ZOLL Medical Corporation (Austin, TX)
- …Medizinprodukte und Softwarelosungen dazu bei, Leben zu retten. Unser Geschaftsbereich Cardiac Management Solutions ( CMS ) entwickelt Produkte zum Schutz und zur ... CMS Die ZOLL Medical Corporation tragt als eines...gerettet. Wir alle tragen mit unserer Arbeit bei ZOLL CMS dazu bei, dass Herzpatienten diese lebensrettende Therapie erhalten.… more
- Baylor Scott & White Health (Dallas, TX)
- …families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: ... level **Job Summary** The Manager of Environmental Safety & Emergency Management will lead and oversee the development, implementation, and continuous improvement… more