- Baylor Scott & White Health (Austin, TX)
- …to ensure compliance with BSWH policies and CMS and Texas Medicaid regulations, providing reports, recommendations, and corrective action follow-up. Monitors trends ... in a timely way. . Responds to inquiries utilizing applicable Medicare and Medicaid guidance. Serves as a compliance resource to BSWH departments and entities on… more
- Elara Caring (San Antonio, TX)
- …to meet patient needs. + Ensures compliance of current Medicare, Medicaid , and third-party reimbursement regulations and changes. Identifies and reports potential ... may include, but not be limited to the following topics: + a. Medicare and Medicaid regulations; + b. management practices; + c. labor laws; + d. Occupational Safety… more
- Humana (Austin, TX)
- …to advancing predictive modeling and analytics in support of our Medicare and Medicaid business. The HQRI team plays a pivotal role within Humana, delivering ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Humana (Austin, TX)
- …to advancing predictive modeling and analytics in support of our Medicare and Medicaid business. The HQRI team plays a pivotal role within Humana, delivering ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Humana (Austin, TX)
- …in interviews and working sessions with leaders within Medicare and Medicaid and across the broader organization + Conducting industry, market, competitor, ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Elevance Health (Houston, TX)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement II** ... Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services).… more
- Humana (Austin, TX)
- …flexibility in care manager's schedule. **Duties:** + Telephonically assess Medicare, Medicaid , and/or and Group Account members and create actionable and measurable ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Danaher Corporation (Houston, TX)
- …national, regional and local coverage and reimbursement issues for Medicare, Medicaid and Commercial payers through internal meetings, payer research, and customer ... (preferred) + Demonstrated knowledge of all payer segments (eg Commercial, Medicare, Medicaid ) + Demonstrated and presentation skills It would be a plus if… more
- CVS Health (Austin, TX)
- …insights, and enhance the delivery of healthcare services * Support Medicaid markets on analysis of key improvement activities and interventions, including ... external stakeholders **Preferred Qualifications** * Master's degree preferred * Medicaid managed care experience **Education** Bachelor's degree or equivalent work… more
- Humana (Austin, TX)
- …delivering high plan quality as rated by the Centers for Medicare and Medicaid Services (CMS). The CMS Stars quality rating system evaluates Medicare Advantage and ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more