- Humana (San Antonio, 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
- Wolters Kluwer (Coppell, TX)
- …(CMS, FDA, etc.) covering drug control/compliance programs, covered programs ( Medicare /Medicaid) and other government drug-related policy and program information. * ... Have an in-depth understanding of drug classification systems, drug packaging attributes, drug clinical attributes, pricing and reimbursement data, and regulatory classifications-and how these data types are used in drug data-driven business workflows across… more
- CenterWell (Arlington, TX)
- …indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals + Personally ... deliver high-quality primary care and demonstrating a high degree of patient care ownership and clinical excellence in age-friendly senior primary care including health promotion & prevention, disease management, effective specialist & hospital co-management,… more
- Molina Healthcare (Austin, TX)
- …various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to: Value Based ... Payment, fee-for service, capitation and various forms of risk, ASO, etc. **PREFERRED EDUCATION** : Master's Degree in a related field or an equivalent combination of education and experience **PREFERRED EXPERIENCE** : 3+ years in Provider Network contracting… more
- Baylor Scott & White Health (Round Rock, TX)
- …They are credentialed, privileged, and billed as an independent provider by Medicare and Medicaid. The Advanced Practice Provider offers medical care based on ... the supervising physician's scope of practice. These providers typically provide care to patients in an internal medicine, family medicine, geriatric or pediatric clinic. **Essential Functions of the Role** + Assesses the physical and mental condition of… more
- Texas Health Resources (Flower Mound, TX)
- …patient understanding of education provided in accordance with departmental, TJC, Medicare , and other applicable regulatory guidelines As the area's first acute-care ... center, we provide a 24/7, 99-bed facility with more than 600 physicians on our medical staff who practice a full range of specialties. From emergency services and outpatient surgery to giving birth and routine check-ups, Texas Health Presbyterian Hospital… more
- Baylor Scott & White Health (Dallas, TX)
- …whose service is billed as an independent billing provider, as recognized by Medicare and Medicaid within the healthcare systems, and in accordance with the ... appropriate board. The PA provides medical care based upon the scope of practice as delineated by the supervising physician. Surgical providers care for both adult and pediatric patients, and specialize in Cardio Thoracic/Vascular surgery. **Position… more
- CenterWell (Beaumont, TX)
- …for TB. **Preferred Qualifications:** + Active and unrestricted DEA license. + Medicare & Medicaid Provider Number. + Bilingual in English/Spanish, with the ability ... to speak, read, and write in both languages without limitations or assistance. **Additional Information:** + Guaranteed base salary + 20% Incentive bonus + Sign- on Bonus + Excellent benefits package - health insurance effective on your first day of… more
- HCA Healthcare (Arlington, TX)
- …as set by federal, state, local and other agencies (ie, TJC, Medicare , TDH). + Facilitates positive productive relationships with physicians. **What qualifications ... you will need:** **Education/Licensure/Certifications:** + BSN required. + Graduate from an accredited, professional school of nursing. Master's Degree preferred. + Current Texas State RN license or compact license is accepted. + Current Healthcare Provider… more
- HCA Healthcare (Dallas, TX)
- …a financial infrastructure that ensures efficiency, optimizes cost capture for Medicare Cost Reports, and improves reimbursement strategies. + Work with Corporate ... Reimbursement and Managed Care Contracting to improve transplant-related payer contract negotiations and financial models. + Reduce unnecessary costs by evaluating lab utilization, high-cost medications, and excessive waste in transplant operations. + Create… more