- Houston Methodist (Houston, TX)
- …compliance with ethical and legal business practices and accreditation/ regulatory /government regulations. **PEOPLE ESSENTIAL FUNCTIONS** + Directs, develops and ... At Houston Methodist, the Director Managed Care Contracting position is responsible for the...for employee engagement, adequate staffing levels, budget development and compliance , staffing decisions such as hiring and terminating employment,… more
- NTT DATA North America (Dallas, TX)
- …services, and industry vertical solutions to include things like regulatory compliance solutions, digital solutions, mobile solutions, transformational ... apply now. We are currently seeking a IT Sales Managed Services/Professional Services/Life Sciences (Remote) to join our team...acquire net new logos + A passion for improving healthcare and patient outcomes and recognized as an expert… more
- Molina Healthcare (Fort Worth, TX)
- …provider contract, network development and management, or project management experience in a managed healthcare setting. **Required Experience** + 2 - 3 years ... in a managed care setting. + Working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare… more
- Highmark Health (Austin, TX)
- …healthcare operations, risk, audit, or legal functions + 5 years in Healthcare Compliance or Privacy **LICENSES or CERTIFICATIONS** **Required** + None ... rules as well as a solid working knowledge of managed care operations, compliance program structures, information...(CIA) + Certified Fraud Examiner (CFE) + Certified in Healthcare Compliance (CHC) + Certified Compliance… more
- Molina Healthcare (TX)
- …network development and management, or project management experience in a managed healthcare setting. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : ... in a managed care setting. * Working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare… more
- Molina Healthcare (Austin, TX)
- …Participate in process improvement initiatives to improve operations + Understands the compliance and regulatory guidelines for each state + Maintains ... coaching, production and appropriate terminations. + Ensures staff is compliant with regulatory and company guidelines, including HIPAA compliance . + Responsible… more
- Molina Healthcare (San Antonio, TX)
- …in resolving complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional ... trends, payment integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement… more
- Molina Healthcare (Dallas, TX)
- …in resolving complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional ... trends, payment integrity issues, and process gaps. + Apply understanding of healthcare regulations, managed care claims workflows, and provider reimbursement… more
- NTT America, Inc. (Plano, TX)
- …services, and industry vertical solutions to include things like regulatory compliance solutions, digital solutions, mobile solutions, transformational ... adaptable, and forward-thinking organization, apply now. We are currently seeking a ** Healthcare Sales Executive - IT Services sales for Payer Vertical** to join… more
- Iron Mountain (Austin, TX)
- …preferred. + Strong understanding of healthcare data standards, interoperability, and regulatory compliance (eg, HIPAA, GDPR). + Proven ability to define and ... to improve patient care and reshape how information is managed and delivered in a clinical setting? Iron Mountain...Leverage your deep understanding of EHRs, the exchange of healthcare information, regulatory requirements (eg, HIPAA), and… more