• Chief Operating Officer (COO)

    Community Health Systems (Victoria, TX)
    …+ _An inpatient rehabilitation facility recognized by the Centers for Medicare and Medicaid and offering round-the-clock nursing care and at least three hours of ... cross-functional initiatives. + Advanced knowledge of hospital operations, including finance , facilities, ancillary services, and regulatory compliance. + Exceptional… more
    Community Health Systems (08/30/25)
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  • Insurance Verifier - (Telecommute - Must reside…

    Houston Methodist (Houston, TX)
    …and account notations are made in the appropriate system(s) timely and accurately. ** FINANCE ESSENTIAL FUNCTIONS** + Notifies the payer of the patient's admission or ... of electronic health record software (EPIC preferred) + Knowledge of Medicare, Medicaid , and managed care reimbursement methodologies + Ability to manage multiple… more
    Houston Methodist (08/29/25)
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  • Managed Care Credentialing Specialist - (Museum…

    Houston Methodist (Houston, TX)
    …in governmental and commercial managed care plans and medicare and medicaid . The Managed Care Credentialing Specialist position has consistent interaction with ... provider files annually in preparation for re-credentialing of current providers. ** FINANCE ESSENTIAL FUNCTIONS** + Provides the Central Business Office and Managed… more
    Houston Methodist (08/29/25)
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  • Utilization Review Nurse, Evening shift

    Houston Methodist (Houston, TX)
    …avoidable days due to failure of the progression of the care process ** FINANCE ESSENTIAL FUNCTIONS** + Contributes to meeting department financial targets, with a ... insurance company providing utilization review services + Knowledge of Medicare, Medicaid , and Managed Care requirements + Progressive knowledge of community… more
    Houston Methodist (08/29/25)
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  • Director of Development and Marketing

    Devereux Advanced Behavioral Health (League City, TX)
    …relationships with referral sources, including school districts, state agencies, Medicaid programs and MCOs, healthcare professionals, and advocacy organizations. * ... referral volume in alignment with organizational goals. * Collaborate with finance , admissions, and contracting to develop new funding partnerships. **Admissions and… more
    Devereux Advanced Behavioral Health (08/28/25)
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  • Financial Analyst Lead - NGS

    Elevance Health (Denison, TX)
    …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Financial Analyst Lead** is ... financial analysts. **Minimum Requirements:** + Requires a BA/BS in accounting or finance and a minimum of 3 years general accounting, financial planning, and… more
    Elevance Health (08/28/25)
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  • Insurance Biller FT-Katy

    Houston Methodist (Houston, TX)
    …+ Demonstrates understanding of fundamentals of all payors, including Medicare, Medicaid and commercial payors, and applicable revenue cycle operations. + Maintains ... Accountability Act (HIPAA) and Payment Card Industry (PCI) compliance regulations. ** FINANCE ESSENTIAL FUNCTIONS** + Ensures claims are submitted within payor… more
    Houston Methodist (08/28/25)
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  • Case Manager Advanced - Transition in Care

    Houston Methodist (Houston, TX)
    …documentation. Tracks and trends performance and reports to department leadership. ** FINANCE ESSENTIAL FUNCTIONS** + Oversees the management of specific patient ... Knowledge of community resources, health care financial and payer issues, Medicare, Medicaid and Managed Care requirements and eligibility for state, local and… more
    Houston Methodist (08/27/25)
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  • Strategy Advancement Advisor - Distribution…

    Humana (Austin, TX)
    …in strategy consulting, investment banking, corporate/business unit strategy, or finance + 2+ years of project/program leadership experience + Demonstrated ... 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 (08/27/25)
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  • Case Manager Certified - Transition in Care

    Houston Methodist (Cypress, TX)
    …collaborates with unit leadership to implement evidence-based patient engagement strategies. ** FINANCE ESSENTIAL FUNCTIONS** + Monitors Length of Stay (LOS) for ... application of positive language principles + Comprehensive knowledge of Medicare, Medicaid and Managed Care requirements + Comprehensive knowledge of community… more
    Houston Methodist (08/27/25)
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