- Methodist Health System (Dallas, TX)
- …8X5 Day (United States of America) **Job Description :** Methodist Health System is currently seeking a practicing Obstetrician/Gynecologist to join the teaching ... the clinical supervision and educational milestones of the program at Methodist Health System . Participate in and support the clinical and academic mission of the… more
- Sedgwick (Dallas, TX)
- …strategies for maintaining JURIS data and application integration. + Collaborates with management and colleagues throughout CMS and develops overall designs and ... maintain robust, scalable software architecture for one or more elements of CMS software systems; to oversee programming, implementation and maintenance revisions of… more
- ASM Research, An Accenture Federal Services Company (Austin, TX)
- …meet call center target metrics + Ensures complete and accurate documentation in case management system ( CMS ) + Assists direct reports to deescalate callers, ... Cyber Awareness and PII to ensure access to the CMS system is maintained **Minimum Qualifications** +...to type 50 wpm + Excellent organization and time management skills + Comply with all HIPAA regulations +… more
- Insight Global (Austin, TX)
- …team. This role involves working on high-priority projects related to CMS regulatory requirements, including hip and knee surgery scheduling and post-surgery ... and maintain backend APIs for clinical transformation projects. * Work on CMS regulatory requirement projects, including hip and knee surgery scheduling. * Integrate… more
- Apex Health Solutions (Houston, TX)
- …experience preferred Strong ability to demonstrate knowledge of ACO initiatives and care management processes Understanding of NCQA and CMS care management ... auto; mso-margin-bottom-alt: auto; line-height: normal;"> Summary Responsible for providing case management services and support to improve health outcomes via a… more
- Centene Corporation (Austin, TX)
- …years of experience working with large databases, data verification, and data management or 2+ years of IT experience. Healthcare analytics experience preferred. ... Experience in risk adjustment, clinical coding, financial reporting/analysis, or CMS /State encounters and regulatory file submissions preferred; Experience with data… more
- Centene Corporation (Austin, TX)
- …and execute Payment Integrity strategies, end-to-end process automation, optimization and management . + Oversee various functions of the Payment Integrity department ... + Master's Degree preferred. + 10+ years of Managed Care or CMS related experience, including compliance, claims, payment integrity, or special investigation… more
- Centene Corporation (Austin, TX)
- …skills._** + **_Solid audit experience_** + **_Hands-on experience with CMS Program Audits (including SNP) and training development._** + **_Ability ... to work with regulators and present to agencies._** + **_Excellent organizational and communication skills._** + **_Proven leadership experience._** **Position Purpose:** Oversees and supports the Dual Eligible Special Needs Plans (D-SNP) compliance functions.… more
- HCA Healthcare (Houston, TX)
- …trending of patient satisfaction survey feedback + Maintain requirements from OSHA, CMS , AAAHC and federal agencies related to quality improvement, risk ... management and quality of care for your centers +...experience in a clinical setting, preferably ambulatory care, risk management and/or quality improvement + One year of supervisory… more
- Cisco (TX)
- …+ Custom application development on the ServiceNow platform including Custom UI Pages and content in the CMS . + Experience managing CMDB + Experience with ... and maintains, tests and integrates application components. + Ensures that system improvements are successfully implemented. + Handles incidents per published SLAs,… more