- Molina Healthcare (Austin, TX)
- …and in compliance with all relevant federal, state, and local regulatory requirements. **Job Duties** + Supports strategy development, vision and direction for ... + Coordinates accountabilities between duals office and shared service to drive compliance and efficiency as well as provide oversight, including service level… more
- Molina Healthcare (Fort Worth, TX)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and ... management, and/or transition of care activities to assist Molina Healthcare members with their healthcare needs. Care...align with the model of care and that meet regulatory requirements. + Manages staff caseloads and assigns cases… more
- Prime Therapeutics (Austin, TX)
- …(corporate governance, dispute resolution, contract negotiation, employment law, audits/investigations, regulatory compliance ) + 3 years of experience advising ... visa or residency sponsorship **Additional Qualifications** + Advanced knowledge of PBM regulatory frameworks and healthcare law, with demonstrated ability to… more
- Houston Methodist (Katy, TX)
- … compliance with ethical and legal business practices and accreditation/ regulatory / government regulations. **Ideal candidates will have the following:** + ... Access Services, and Utilization Review as needed to ensure operational billing compliance with government/ regulatory agencies and the Medicare and Medicaid… more
- University of Texas Rio Grande Valley (Edinburg, TX)
- …budgeting, financial reporting, oversight of managed care contracts, and to ensure compliance with regulatory standards. The CFO plays a critical role in ... driving financial performance, sustainability, and operational efficiency across the healthcare enterprise. Description of Duties * Leads all aspects of financial… more
- Humana (Austin, TX)
- …site of service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include ... medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements,… more
- UTMB Health (Galveston, TX)
- …Strong knowledge of healthcare reimbursement models, contract terms, and regulatory compliance . * Knowledgeable of professional and hospital physician ... clinical operations to ensure contract terms align with organizational capabilities and compliance standards. * Monitor regulatory and market changes affecting… more
- Houston Methodist (Cypress, TX)
- …service line. This position works with the physicians and interprofessional healthcare team to facilitate and maintain compassionate, efficient quality care and ... + Collaborates with the physician and all members of the interprofessional healthcare team to facilitate care for designated assignment; monitors the patient's… more
- Truist (Dallas, TX)
- …** Compliance and Regulatory Knowledge:** In-depth understanding of compliance in regulated industries (eg, financial services, healthcare ). Experience ... Planning & Governance:** Define and implement observability governance frameworks, ensuring compliance with regulatory requirements (eg, FFIEC, OCC, Basel III,… more
- Humana (Austin, TX)
- …site of service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include ... thinking and authorship. Exercises independence in meeting enterprise expectations and compliance timelines. This is a full-time work from home opportunity.… more