- CVS Health (Austin, TX)
- …resolving Medicare complaints received via the Centers for Medicaid and Medicare Services ( CMS ). In this role, you will manage a queue of Medicare complaints. These ... in place that include, but not limited to quality and productivity. Time management is very important in order to maintain compliancy with Medicare. **Required… more
- Molina Healthcare (TX)
- …average hold time are compliant with Centers for Medicare and Medicaid Services ( CMS ) regulations. + Ensures that adequate staffing coverage is present at all times ... for review. + Assures that activities and processes are compliant with CMS and National Committee of Quality Assurance (NCQA) guidelines and Molina policies… more
- Capgemini (Dallas, TX)
- …leading provider of professional technology services, specializing in Application Management , Infrastructure Management and High-Tech Engineering. Sogeti offers ... building eCommerce web applications, with familiarity integrating payment gateways, CMS platforms, or headless commerce solutions.- **Leadership:** Experience mentoring… more
- Arrow Electronics (Plano, TX)
- …Drive net new Commercial, Mid-Market, & Small & Medium size business ( CMS ) pipeline with DMP partners through demand generation, sales enablement, and services ... goal being to grow the DMP partner base across CMS , ASA, AFF, FAST quotes, & other strategic growth...to grow sales/market share with NetApp and conduct stakeholder management with key constituents in other departments to enable… more
- Prime Therapeutics (Austin, TX)
- …Operations **Job Description Summary** This position provides administrative oversight and management of rebate operations team and is responsible for directing day ... department. Solution issues and communicate issues and recommended solutions to upper management . Enforces teamwork across all internal departments, as well as with… more
- Fresenius Medical Center (Baytown, TX)
- …Identifies clinical quality improvement opportunities in the assigned area to achieve CMS Conditions for Coverage and FMS quality program requirements. + Manages the ... development and other meetings as appropriate. Collaborates with appropriate management staff as needed to achieve effective inter-disciplinary, intra-disciplinary… more
- Gentiva (Paris, TX)
- …certification or recertification of a patient's terminal diagnosis, in accordance with CMS requirements. **As a Hospice Nurse Practitioner, You Will:** + Perform and ... and treatment plans to support hospice eligibility + Adhere to the CMS -mandated timeframe for F2F assessments + Ensure all documentation meets hospice regulatory… more
- Providence (TX)
- …Analyst is also responsible for maintaining a claims quality assurance program, management of projects and continual learning, data integrity, settlement and excess ... support for caregivers regarding Centers for Medicare and Medicaid Services ( CMS ) Medicare Secondary Payer reporting, applicable laws, insurance regulations, and… more
- Deloitte (Austin, TX)
- …have any combination of Application Management Services (AMS), Infrastructure Management Services (IMS), Cloud Managed Services ( CMS ), or Business Process ... development and analyzing data to drive decisions + Knowledge of AMS/IMS/ CMS /BPaas solution tenets, estimation approaches, and solution integration + Top-notch… more
- Highmark Health (Austin, TX)
- …SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current ... be required. The incumbent ensures compliance to NCQA, URAC, CMS , DOH, and DOL regulations at all times. In...member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases,… more