- UTMB Health (Galveston, TX)
- …**Galveston, Texas, United States** Executive - Business Professional UTMB Health Requisition # 2504131 **Summary:** The Associate Director ensures accurate ... and estimates and ensures UTMB compliance with Medicare and Medicaid regulations. **Scope:** Institutional **Responsibilities:** + Responsible for technical aspects,… more
- Humana (Austin, TX)
- …care management, provider relations, quality of care, audit, grievance and appeal and policy review. The Behavioral Health Medical Director will develop and ... **Become a part of our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care… more
- UTMB Health (Galveston, TX)
- Medical Assistant I - Center Interdisciplinary Resource in Women's Health (Bilingual) **Galveston, Texas, United States** Patient Care UTMB Health Requisition # ... on EMR. + Determine eligibility for the federal Vaccine for Children Program and Medicaid ; instruct families on this benefit, as needed. + Collaborate with UTMB and… more
- UTMB Health (Galveston, TX)
- Vocational Nurse (LVN) - Women's Health **Galveston, Texas, United States** Nursing & Care Management UTMB Health Requisition # 2405323 **Minimum ... on EMR. + Determine eligibility for the federal Vaccine for Children Program and Medicaid ; instruct families on this benefit, as needed. + Collaborate with UTMB and… more
- UTMB Health (Galveston, TX)
- Coordinator II, Center for Interdisciplinary Research in Women's Health (Onsite) (Bi-lingual) **Galveston, Texas, United States** Clerical & Administrative Support ... UTMB Health Requisition # 2503192 **Minimum Qualifications:** Associate's degree or...eligibility for the federal Vaccines for Children Program and Medicaid ; instruct families on this benefit. + Collect contact… more
- Highmark Health (Austin, TX)
- …CHIP, Medicaid DE) and Enterprise Quality, Safety, and Values ( Health Outcomes Measures). Provide actionable opportunities in provider transformation aimed at ... Medicaid HEDIS, risk revenue value streams, and population health management. **Preferred** + 7 years of experience in...all areas of the corporation, by understanding corporate strategies, policy , and scope of authority + Because of the… more
- Elara Caring (San Antonio, TX)
- …preferred home setting. Wherever our patients call home and wherever they are on their health journey, we care. Each team member has a part to play in this mission. ... number. Implements an effective budgeting and accounting system that promotes the health and safety of the agency's patients. + Ensures adequate staffing levels… more
- Humana (Austin, TX)
- …Nursing experience + Previous experience in utilization management with ASAM knowledge + Health Plan experience + Previous Medicare/ Medicaid Experience a plus + ... part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …billing compliance requirements. Regularly reviews JH-MAC website and Texas Medicaid policies. Demonstrate knowledge of compliance documentation and coding ... and opportunities to assist in appeals. + Assists and standards of policy development. Review and provide input during development of billing compliance standards;… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure ... successful submission and reconciliation of encounter submissions to Medicaid /Medicare. Ensures encounter submissions meet or exceed all compliance standards via… more