• Medicare Program Manager IV

    Centene Corporation (Austin, TX)
    …of contract and rate negotiations, developing complex benefits that support Medicaid -Medicare, and maintaining a competitive, innovative portfolio. + Lead large ... project managers/business analysts who are managing the individual workgroups (Operations, Finance , Benefit Operations, etc.) involved in the project. + Create… more
    Centene Corporation (08/02/25)
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  • Profee Medical Coder Complex Surgical Pediatric

    Banner Health (TX)
    …wide array of disciplines. Whether your background is in Human Resources, Finance , Information Technology, Legal, Managed Care Programs or Public Relations, you'll ... with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General… more
    Banner Health (07/30/25)
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  • Sr Consultant

    Public Consulting Group (Austin, TX)
    …agency and school district clients in their efforts related to special education, Medicaid reimbursement, data management and use. While a remote role, it is ... work experience. + Experience in the areas of information technology, finance /business operations, k-12 education, and special education is highly desirable.… more
    Public Consulting Group (07/29/25)
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  • System Accreditation Specialist

    Houston Methodist (Houston, TX)
    …system-wide documents or materials with a regulatory or accreditation impact. ** FINANCE ESSENTIAL FUNCTIONS** + Utilizes efficient and cost-effective work practices ... care regulatory and accreditation requirements (such as Centers for Medicare/ Medicaid Services/CMS, CMS approved hospital accreditation organizations and State… more
    Houston Methodist (07/25/25)
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  • Facility Coding Inpatient Complex Coder

    Banner Health (TX)
    …wide array of disciplines. Whether your background is in Human Resources, Finance , Information Technology, Legal, Managed Care Programs or Public Relations, you'll ... with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General… more
    Banner Health (07/10/25)
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  • Network Data Coordinator - Plano, TX market

    The Cigna Group (Fort Worth, TX)
    …filings to state Departments of Insurance (DOIs) and the Centers for Medicare & Medicaid Services (CMS). This position plays a key role in ensuring the accuracy, ... **Qualifications:** + Bachelor's degree strongly preferred; preferably in the areas of Finance , Economics, Healthcare or Business related + **2+ years of Healthcare… more
    The Cigna Group (07/04/25)
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  • Vice President Client Engagement - Large Plan…

    Prime Therapeutics (Austin, TX)
    …state leaders, industry trade associations, and Centers for Medicare and Medicaid Services (CMS); establish an effective communication and collaboration cadence to ... + Other duties as assigned **Education & Experience** + Bachelor's degree in Finance , Business, Health Care Administration, or related area of study + 15 years… more
    Prime Therapeutics (07/02/25)
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  • Transplant Quality Coordinator | THOR

    Houston Methodist (Houston, TX)
    …to meeting department and organ program targets for quality and safety. ** FINANCE ESSENTIAL FUNCTIONS** + Maintains and submits accurate data for hospital-based ... statistics and regulatory agencies such as UNOS/UNET, CMS, and Medicaid in order to ensure proper department financial management. + Contributes to meeting… more
    Houston Methodist (06/21/25)
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  • RN Clinical Commnication Coordinator | Transplant…

    Houston Methodist (Houston, TX)
    …for hospital-based statistics and regulatory agencies such as UNOS/UNET, CMS, and Medicaid in order to ensure proper department financial management, compliance with ... department and organ program targets for quality, compliance, and safety. ** FINANCE ESSENTIAL FUNCTIONS** + Validates patient's insurance authorization for inpatient… more
    Houston Methodist (06/21/25)
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