- Kelsey-Seybold Clinic (Webster, TX)
- …and is in-network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with ... achieved an overall rating of 5-out-of-5-stars as part of the Centers for Medicare and Medicaid CMS annual assessment for eight consecutive years, including 2024.… more
- Kelsey-Seybold Clinic (Webster, TX)
- …and is in-network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with ... achieved an overall rating of 5-out-of-5-stars as part of the Centers for Medicare and Medicaid CMS annual assessment for eight consecutive years, including 2024.… more
- Evolent (Austin, TX)
- …current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or legal action by a state… more
- CenterWell (Austin, TX)
- …Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare /Medicaid Experience a plus + Current nursing ... experience in Hospital, SNF, LTAC, DME or Home Health. + Bilingual We offer tangible and intangible benefits such as medical, dental and vision benefits, 401k with company matching, tuition reimbursement, 3 weeks paid vacation time, paid holidays, work-life… more
- Kelsey-Seybold Clinic (The Woodlands, TX)
- …commercial health plans. KelseyCare Advantage (https://www.kelseycareadvantage.com/) , a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated ... Clinic, has achieved the coveted 5-out-of-5-star rating from the Centers for Medicare and Medicaid for six consecutive years. Kelsey-Seybold has been recognized by… more
- Prime Therapeutics (Austin, TX)
- …strategic plans that achieve Star Ratings and quality outcomes for Medicare , Medicaid, Individual Health Insurance Marketplace, and Commercial lines of business. ... the client quality support model strategy for all lines of business ( Medicare , Medicaid, commercial/HIM); serve as primary enterprise point of contact and subject… more
- Kelsey-Seybold Clinic (Sugar Land, TX)
- …and is in-network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with ... achieved an overall rating of 5-out-of-5-stars as part of the Centers for Medicare and Medicaid CMS annual assessment for eight consecutive years, including 2024.… more
- Abbott (Austin, TX)
- …for long-term business growth. + Ensure strict compliance with Medicaid, Medicare , and other relevant regulatory programs, and provide guidance on legislative ... of rapidly changing environment. A solid understanding of the Medicaid laws, Medicaid/ Medicare + Fraud & Abuse statutes, Anti-Trust Laws, and Abbott's Corporate… more
- WelbeHealth (Austin, TX)
- …+ Assist with month-end close, quarterly financial reporting, financial audit, Medicare /Medicaid audits, and other PACE specific projects + Keep a ... payment model, including ability to track and analyze revenue streams (eg Medicare , Medicaid, Part D) along with PACE rates and regulatory constructs **Job… more
- HCA Healthcare (Mckinney, TX)
- …system. Work the unbilled alert and comp census reports daily. Work the Medicare 72 hour and Medicaid 24 hour reports to identify Compliance overlapping accounts. ... Transfer charges when appropriate. Work all related Medicare APC edits that appear on the bill alert reports and communicate with facility departments in order to… more