- Baylor Scott & White Health (Austin, TX)
- …5 Years of Experience + State Supplemental Payment Program Experience **preferred.** + Medicaid and Medicare Reimbursement Experience **highly preferred** + ... vary based on position type and/or level **Job Summary** The Manager of Reimbursement reviews cost reports for supported entities. Assists Reimbursement Managers… more
- Texas Health Resources (Arlington, TX)
- …and represents System hospitals in negotiations with the fiscal intermediary. + Sets annual Medicare and Medicaid reimbursement rates for budget and extended ... + Responsible for providing financial consulting and representation on various Medicare / Medicaid regulations. + Leads resolution of reimbursement issues for … more
- Methodist Health System (Dallas, TX)
- …and state laws relating to healthcare, including but not limited to Medicare / Medicaid reimbursement , HIPAA, AKS, self-referral prohibitions, and fraud ... limited to, state specific health care laws and regulations, Medicare / Medicaid rules, fraud and abuse including Stark...care contracting and negotiations, provider credentialing, and billing and reimbursement issues. + The AGC is the Office of… more
- Guidehouse (San Antonio, TX)
- …from home._** **Essential Job Functions** + Account Review + Appeals & Denials + Medicare / Medicaid + Insurance Follow-up + Customer Service + Billing + UB-04 & ... Flexible Spending Accounts + Short-Term & Long-Term Disability + Tuition Reimbursement , Personal Development & Learning Opportunities + Skills Development &… more
- Humana (Austin, TX)
- …The Senior Business Intelligence Engineer will develop and maintain expertise in Medicaid reimbursement methodologies rooted in complex grouping concepts (EAPG, ... Business Intelligence Engineer will be responsible for: + Researching state-specific Medicaid reimbursement methodologies for hospitals and facilities +… more
- Zelis (Plano, TX)
- …the personal interests that shape who you are. Position Overview The Sr. Medicaid Reimbursement Regulatory Analyst will collaborate with the Zelis Regulatory ... a related field + Five+ years of experience in Medicaid billing, reimbursement , claim payment or cost...or cost reporting. + Experience with Medicare / Medicare Advantage or commercial billing and reimbursement … more
- Molina Healthcare (Fort Worth, TX)
- …adequacy, and Joint Operating Committees. * Manages and reports network adequacy for Medicare , Marketplace, and Medicaid services. * In conjunction with direct ... of, various managed healthcare provider compensation and VBP methodologies, primarily across Medicaid and Medicare lines of business, including but not limited… more
- Humana (Longview, TX)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... us put health first** Are you passionate about the Medicare population, looking for an opportunity to work in...Paid Holidays + 401(k) retirement savings plan + Tuition reimbursement and/or scholarships for qualifying dependent children + And… more
- Centene Corporation (Austin, TX)
- …aspects of contract and rate negotiations, developing complex benefits that support Medicaid - Medicare , and maintaining a competitive, innovative portfolio. + ... planning and delivery of strategic programs and complex, large-scale enterprise-wide Medicare designs to execute defined requirements and meet company strategic… more
- BrightSpring Health Services (Arlington, TX)
- …Tuition Assistance Employee Discount Program 401k Paid-time off Tuition reimbursement Non-retail/Closed-door environment Our Pharmacy group focuses on providing ... on outstanding claims + Individual with an understanding of Insurance and Medicaid formularies and processes including the prior authorization processes + Makes… more