- Humana (Austin, TX)
- …submission of bids to support Humana's pricing and product development of Medicare Advantage and Prescription Drug Plans that positively impact the financial ... the bid filing + Participate in CMS audits and reviews related to Humana's Medicare bids. + Create and maintain process improvements to bid filings to continually… more
- Houston Methodist (Houston, TX)
- …requests for information. **SERVICE ESSENTIAL FUNCTIONS** + Prepares and submits the annual Medicare cost report for each HM hospital and assists in cost report ... Researches and keeps up-to-date with government regulations (ie Centers for Medicare and Medicaid (CMS), Internal Revenue Service (IRS), Federal Emergency Management… more
- Humana (Austin, TX)
- …segment's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Senior Strategy Advancement Professional, you ... of strategic initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, leading the development of the annual Medicare… more
- Humana (Austin, TX)
- …You'll play a key role in shaping financial insights, supporting Medicare -related initiatives, and guiding analytical projects that impact business outcomes. + ... Lead financial analytics projects, with a focus on outcomes of Medicare risk adjustment operations and initiatives. + Work independently to analyze historical and… more
- Centene Corporation (Austin, TX)
- …candidate will have:_** + **_Knowledge of dual contract requirements (eg, Medicare -Medicaid plans)_** + **_Experience managing external audits and communicating with ... for its Duals and SMAC regulatory filings. + Manages Duals (and Medicare with D-DSNP specific or separate) compliance reporting responsibilities and respond to… more
- Centene Corporation (Austin, TX)
- …overseeing all enterprise-wide sales investigations, with a primary focus on Medicare sales. Leads a high-performing investigation team responsible for examining ... bodies. + Partner and build strong relationships with Compliance, Legal, HR, and Medicare plan and Sales leadership to mitigate risk and address systemic issues… more
- Texas Health Resources (Azle, TX)
- …assessment, plan of care, and re-certifications in accordance with departmental, TJC, Medicare , and other applicable regulatory guidelines . Documents all aspects of ... each treatment session in accordance with departmental, TJC, Medicare , and other applicable regulatory guidelines . Obtains physician signature on all plans care and… more
- Texas Health Resources (Arlington, TX)
- …assessment, plan of care, and re-certifications in accordance with departmental, TJC, Medicare , and other applicable regulatory guidelines . Documents all aspects of ... each treatment session in accordance with departmental, TJC, Medicare , and other applicable regulatory guidelines . Obtains physician signature on all plans care and… more
- Texas Health Resources (Denton, TX)
- …assessment, plan of care, and re-certifications in accordance with departmental, TJC, Medicare , and other * applicable regulatory guidelines * Documents all aspects ... of each treatment session in accordance with departmental, TJC, Medicare , and other applicable regulatory guidelines * Obtains physician signature on all plans care… more
- Texas Health Resources (Arlington, TX)
- …assessment, plan of care, and re-certifications in accordance with departmental, TJC, Medicare , and other applicable regulatory guidelines . Documents all aspects of ... each treatment session in accordance with departmental, TJC, Medicare , and other applicable regulatory guidelines . Obtains physician signature on all plans care and… more