- Baylor Scott & White Health (Plano, TX)
- …authority. They are credentialed, privileged, and billed as independent providers by Medicare and Medicaid. The Advanced Practice Provider offers medical care based ... on the supervising physician's scope of practice. These providers work in specialty clinics. They may specialize in Palliative Care, Pulmonary, Infectious Disease, Endocrinology, Gastroenterology, Cardiology, Dermatology, Urology, Nephrology, Neurology,… more
- CVS Health (Austin, TX)
- …effort estimation, and solution design. **Preferred Qualifications:** + Healthcare/ Medicare /Stars experience and GCP/Azure experience. Gen AI preferred ... **Education:** Master's degree (or foreign equivalent) in Computer Science, Computer Engineering, Information Technology, Engineering, or a related field and two (2) years of experience in the job offered or related occupation. **Anticipated Weekly Hours** 40… more
- CVS Health (Austin, TX)
- …it all with heart, each and every day. **Position Summary** Medicare Precertification Utilization Management Nurse Consultant position: _Utilization Management is a ... 24/7 operation and work schedules will include holidays and evening hours_ + Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare… more
- Humana (Austin, TX)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- CVS Health (Irving, TX)
- …2+ years managing teams. Knowledge of: + Healthcare Industry/ Medicare /Medicaid/Commercial business drivers. + Accounting, finance, and auditing experience ... to ensure reliability, accuracy and completeness of financial reports. Skill In: + Advanced Excel skills. + Advanced Hyperion skills. + Strong SAP/S4 skills. + Strong analytical ability and attention to detail. + Strong verbal/written communication and data… more
- UTMB Health (League City, TX)
- …information required for third-party reimbursement. + Ensures compliance with Medicare and third-party coverage. + Communicates with patient, referral source, ... UTMB physician, and clinical staff regarding any obstacle to access or authorization. **Salary Range:** Actual salary commensurate with experience or range if discussed and approved by the hiring authority. **Work Schedule:** On-site, Monday through Friday, 8… more
- Aveanna Healthcare (Crystal City, TX)
- …applicants from diverse backgrounds to apply. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements ... in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job Applicants Residing in California (https://www.aveanna.com/CaliforniaPrivacyNotices.html) Apply more
- BrightSpring Health Services (Harlingen, TX)
- …with Company policies and procedures, state licensure and regulations, Medicaid and Medicare standards, as well as state reimbursement regulations + Leading case ... conferences and other client-related meetings + Chairing committees as appropriate, safety, infection control, incident review, and human rights committees + Facilitating communication and serving as a liaison between and among nursing and direct care staff,… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …and prepare batches if necessary. + Daily post payments from commercial insurances, Medicare , Medicaid, VA, Workers' Comp, etc., + Payments will be worked manually ... or electronically in accordance with the explanation of benefits (EOB). + All posted transactions must be reviewed for accuracy and must balance to the bank deposit amount. All account postings must meet the established department posting standards and… more
- Humana (Austin, TX)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more