- Elara Caring (Dallas, TX)
- …Health, and Personal Care Services (PCS) agencies at Elara Caring to ensure compliance with Medicare and Medicaid regulations and billing rules. Areas of ... in the Right Place. **Job Description:** **Remote Position** The Billing Compliance Auditor performs comprehensive audits within the Skilled Home Health, Hospice,… more
- Humana (Austin, TX)
- …clinical group practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed ... **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The … more
- Alight (TX)
- …Health Solutions is a business unit that provides customer service assistance to Medicare and Pre- Medicare eligible retirees and assist with selecting the ... not limited to health, prescription drug, vision, dental plans, and advising Pre- Medicare eligible recipients of their options. This is done primarily through… more
- Humana (Austin, TX)
- …(DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus ... other commercial and Medicare Advantage value based programs. DVACO is a joint...starting your FIRST day of employment. Benefits include: + Medical Benefits + Dental Benefits + Vision Benefits +… more
- Providence (TX)
- …more years of experience reporting third party liability settlements to Centers for Medicare and Medicaid Services (CMS), and federal and state licensing and/or ... valued - they're invaluable. Join our team at Integrity Compliance Audit Services and thrive in our culture of...aides and technical support for caregivers regarding Centers for Medicare and Medicaid Services (CMS) Medicare Secondary… more
- Evolent (Austin, TX)
- …is preferred + Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified ... non-clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology… more
- Evolent (Austin, TX)
- …is preferred + Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified ... culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of...the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review… more
- Evolent (Austin, TX)
- …Computer Proficiency + Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified ... Doing: + Serve as the Physician match reviewer in Medical Oncology and imaging cases, that do not initially...the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review… more
- Evolent (Austin, TX)
- …Computer Proficiency . Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified ... the culture. **What You'll Be Doing:** As a Field Medical Director, Oncology, you will be a key member...the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review… more
- Houston Methodist (Houston, TX)
- …all internal and external financial and governmental reporting requirements. Requirements include Medicare cost reports, Federal Tax Returns Health and Human ... Services (HHS)/Centers for Medicare and Medicaid Services (CMS) reporting, Federal ...for employee engagement, adequate staffing levels, budget development and compliance , staffing decisions such as hiring and terminating employment,… more