- NTT DATA North America (Plano, TX)
- …outcomes. Outsourcing is not just a method of gaining a one-time cost advantage , but an effective strategy for gaining and maintaining competitive advantages when ... setting **Required Skills/Experience** + 2+ year (s) hands-on experience in ** Medicare , Medicaid or Commercial Insurance Claims Processing. Will consider medical… more
- Molina Healthcare (Dallas, TX)
- …member satisfaction - CAHPS, regulatory-related, Molina Quality programs, and taking advantage of electronic solutions (EDI, EFT, EMR, Provider Portal, Provider ... various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to, fee-for… more
- Deloitte (Dallas, TX)
- …& Risk offering enables clients to achieve profitable growth and competitive advantage by optimizing "heart of the business" operations. We leverage deep domain ... RN, Quality, DRG Validation and health IT preferred + Knowledge of Medicare reimbursement system and coding structures preferred + In-depth knowledge and experience… more
- Community Hospital Corporation (Greenville, TX)
- …and contract performance of managed care contracts. + Administration of all Medicare & Medicaid Reimbursement issues, including the completion and review of the ... specific to independent, regional, or community hospitals is a significant advantage . + Requires managerial experience and proven expertise across core financial… more