- 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 ... on various behavioral health topics to the clinical operations team and healthcare organization. The Medical Director's work includes computer based review of… more
- Deloitte (San Antonio, TX)
- …troubleshooting bottlenecks, and implementing improvements for reliability and scalability. + Healthcare Regulatory & Data Standards (Preferred):Minimum 7 years ... with healthcare data standards (such as HL7, FHIR) and understanding of regulatory requirements (such as HIPAA compliance ) is highly desirable. + Bachelor's… more
- Robert Half (Dallas, TX)
- …and other relevant accounting standards. + Identify ing audit findings, regulatory compliance risks, and operational inefficiencies, and provide recommendations ... to be more effective and efficient in a way that is risk-sensitive, regulatory compliant, well controlled, and enabled by leading technologies. What You Can Expect:… more
- CVS Health (Austin, TX)
- …data management, promote data-driven insights, and enhance the delivery of healthcare services. Provides support in completing regulatory reporting requirements ... activities on performance **Required Qualifications** * At least 5 years experience in managed care, hospital, or similar healthcare environment * Must have… more
- Houston Methodist (The Woodlands, TX)
- …continued stay and resource use, appropriate level of care and program compliance . Identifies when services no longer meet InterQual/Millman l criteria, initiates ... Performs post-discharge review by analyzing the inpatient record to ensure that compliance with quality indicators are met. Intervenes and takes appropriate action… more
- Baylor Scott & White Health (Temple, TX)
- …It also involves vendor selection, productivity, performance standards, patient safety, regulatory compliance , and continuing education. Establishes and monitors ... communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live...Identifies and implements best practice programs and processes. Ensures compliance with all regulatory areas and legal… more
- Community Health Systems (Longview, TX)
- …role ensures optimal resource utilization, efficient service delivery, regulatory compliance , and financial sustainability across all managed practices. The ... in alignment with organizational goals. + Ensures compliance with regulatory agencies, accreditation bodies, and healthcare laws governing physician practice… more
- Houston Methodist (Houston, TX)
- …and learning opportunities for staff members. + Participates in and ensures compliance within regulatory and Houston Methodist policies, practices and standards; ... and supervises staff while maintaining adequate staffing levels and budget compliance . The supervisor position contributes to staffing decisions such as hiring,… more
- Houston Methodist (Houston, TX)
- …state, local and federal programs + Skill-specific areas include: regulatory requirements, pathway development/ implementation, ethics/ healthcare law, clinical ... comprehensive manner. + Works with physician leadership and the interprofessional healthcare team for defined patient populations to develop clinical pathways,… more
- Houston Methodist (Katy, TX)
- …compliance with ethical and legal business practices and accreditation/ regulatory / government regulations. **PEOPLE ESSENTIAL FUNCTIONS** + Performs management ... position provides guidance to staff and is responsible for staffing, budget compliance , contributing to staffing decisions such as hiring and terminating employment,… more