- Houston Methodist (Baytown, TX)
- …knowledge of regulatory and accreditation requirements (such as Centers for Medicare /Medicaid Services/CMS, The Joint Commission, DNVGL NIAHO/ISO 9001 and/or State ... requirements) + Working knowledge of quality/performance improvement concepts, tools and techniques; process mapping and flow chart diagrams + Computer proficiency with intermediate level skills for document, spreadsheet and graphic software (Microsoft Office… more
- UTMB Health (Galveston, TX)
- …you and your spouse/partner are eligible for health insurance, above and beyond that of Medicare , _for the rest of your life!_ With the cost of health care, this is ... an amazing benefit many do not know about. **Why UTMB Galveston Campus?** Choosing a career on the Galveston campus means you are choosing a life of balance. Living near water provides fresh air, helps your immune system, promotes better sleep and allows you… more
- Fresenius Medical Center (Odessa, TX)
- …certification as defined by the Center for Medicaid/ Medicare Services (CMS). + Allappropriatestatelicensure,education,andtraining(ifany) required. + Demonstrated ... commitment to organization culture, values, and customer service standards **EXPERIENCE AND REQUIRED SKILLS** **:** + At least two years of previous patient care experience in a hospital setting or a related facility preferred. + Continued employment is… more
- Lundbeck (Longview, TX)
- …internal and external partners and effectively addresses payer access issues ( Medicare , Medicaid, Commercial) using Lundbeck resources. **Local Market & Therapeutic ... Area Expertise** - Gather and validate key trends and dynamics in the market, map account linkages, and apply comprehensive therapeutic knowledge to uncover and prioritize unique opportunities. Demonstrates a clear and detailed understanding of the disease… more
- Houston Methodist (Houston, TX)
- …anatomy, measurements, and abnormal findings. + Operates within Centers for Medicare & Medicaid Services (CMS), OPTN, Health Insurance Portability and Accountability ... Act (HIPAA) regulatory compliance throughout the recovery and transplant event processes. Maintains CMS and OPTN compliant documentation throughout the phases of the process including by not limited to logistics documentation, procurement and transplant… more
- Baylor Scott & White Health (College Station, 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 Advanced Practice Provider provides medical care based upon the scope of practice as delineated by the supervising physician. These providers typically provide care to patients in an internal medicine, family medicine, geriatric or… more
- HCA Healthcare (Mcallen, TX)
- …offered. + Participates in preparation of the Laboratory for CAP and JCAHO Medicare inspections. + Verifies the validity of patient test results through the ... evaluation of quality control values prior to reporting patient test results. + Performs maintenance, troubleshooting, and calibration procedures related to each test performed. **What qualifications you will need:** + Bachelor's Degree in Medical Technology,… more
- The Cigna Group (Fort Worth, TX)
- …insurance network filings to state Departments of Insurance (DOIs) and the Centers for Medicare & Medicaid Services (CMS). This position plays a key role in ensuring ... the accuracy, completeness, and timeliness of provider network data required for regulatory approval and compliance. **Primary Responsibilities:** + Project management coordinating with multiple matrix partners and compiling, formatting, and validating… more
- Centene Corporation (Austin, TX)
- …and laws related to Risk Adjustment across our Marketplace, Medicaid and Medicare lines of business, which includes implementation of elements of an effective ... compliance program. Oversee the development of risk assessments oversight and the monitoring work plans pertaining to Risk Adjustment. Partners with business areas to ensure and implement effective prevention, detection and correction of compliance issues. +… more
- Prime Therapeutics (Austin, TX)
- …consultants, key state leaders, industry trade associations, and Centers for Medicare and Medicaid Services (CMS); establish an effective communication and ... collaboration cadence to respond to market/competitive threats (ie coalitions) and ensure program compliance, operational best practices and industry leading innovation + Develop a recurring process to solicit product, financial and contracting feedback from… more