- University of Texas Rio Grande Valley (Edinburg, TX)
- …health. * Ensures alignment of financial strategies with UTRGV Chief Finance Officer. * Manages relationships and negotiations with payers; evaluates, negotiates, ... budgets, monitor variances, and implement corrective actions. * Leads and mentors finance staff to foster a culture of accountability, accuracy, and continuous… more
- Houston Methodist (Houston, TX)
- …include commercial payers, separate transplant contracts, Medicare Advantage, Medicaid Health Maintenance Organizations (HMOs), International, behavioral health, ... committees as a voice for the department. + Provides assistance to finance , accounting, operations teams regarding interpretation of contracts and applied billing. +… more
- Houston Methodist (Houston, TX)
- …keeps up-to-date with government regulations (ie Centers for Medicare and Medicaid (CMS), Internal Revenue Service (IRS), Federal Emergency Management Agency (FEMA), ... learns new concepts/rules/regulations and independently manages projects as assigned. ** FINANCE ESSENTIAL FUNCTIONS** + Utilizes strong analytical skills and the… more
- Humana (Austin, TX)
- …& Clinical Innovation + Corporate Strategy & Transformation Office + Medicare & Medicaid Market Operations + Provider Relations & Network Performance + Marketing & ... Customer Engagement (including MarketPoint) + Finance , Accounting & Risk Management + Human Resources &...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Molina Healthcare (Houston, TX)
- …objectives. + Collaborate with cross-functional teams including Product, Sales, Compliance, Finance , and Clinical Operations to align strategy with execution. + ... or equivalent combination of relevant education and experience + Medicare and/or Medicaid Managed Care experience + Quantitative aptitude + Strong leadership in a… more
- Robert Half Management Resources (Dallas, TX)
- …and coordinators to verify resident levels and ensure proper billing. * Monitor Medicaid room and board rates, updating the hospice billing system monthly. * Partner ... billing experience, with hospice billing expertise preferred. * Proficiency in Medicare, Medicaid , insurance, and private pay billing related to hospice care. *… more
- Houston Methodist (Katy, TX)
- …Reports results of key performance metrics to director on a timely basis. ** FINANCE ESSENTIAL FUNCTIONS** + Assists in the development of department budget and ... operational billing compliance with government/regulatory agencies and the Medicare and Medicaid programs. + Ensures optimization of timely cash collections and… more
- Houston Methodist (Katy, TX)
- …account reviews, aging) as demonstrated on weekly Key Performance Indicator. ** FINANCE ESSENTIAL FUNCTIONS** + Follows up on assigned delinquent insurance claims. ... knowledge of claims reimbursement and collection efforts for Managed Care, Medicare, Medicaid , Workers Comp, Commercial plans, etc.; knowledge of how to interpret a… more
- Providence (TX)
- …as the efficiency and effectiveness of Financial Assistance Programs and the Medicaid submission process for 51 Providence and Affiliate hospitals, over 1,000 ... + Oversee Patient Financial Counseling functions, including the insourcing of the Medicaid eligibility program and vendor strategy. + Set strategic and performance… more
- Molina Healthcare (Fort Worth, TX)
- …with other Core Ops areas of responsibilities) within Medicare and Medicaid . Role is predicated on building relationships with vendors, stakeholders, functional ... Level Agreements between the parties. **Job Duties** + Develops Medicare and Medicaid vendor strategies aligned with CMS and State regulations, including contract… more