• Audit & Reimbursement Senior- Appeals

    Elevance Health (Grand Prairie, TX)
    Medicare and Medicaid Services to transform federal health programs._ The ** Audit and Reimbursement Senior** will support our Medicare Administrative Contract ... + Requires a BA/BS and a minimum of 8 years of audit /reimbursement or related Medicare experience; or any combination of education and experience which would… more
    Elevance Health (05/30/25)
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  • Audit & Reimbursement III- Appeals

    Elevance Health (Grand Prairie, TX)
    Medicare and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement III** will support our Medicare Administrative Contract ... a BA/BS degree and a minimum of 5 years of audit /reimbursement or related Medicare experience; or any combination of education and experience, which would… more
    Elevance Health (05/30/25)
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  • Audit & Reimbursement III (US)

    Elevance Health (Houston, TX)
    …Requirements:** + Requires a BA/BS degree and a minimum of 5 years of audit /reimbursement or related Medicare experience; or any combination of education and ... ** Audit & Reimbursement III** **Location** : This role...Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare more
    Elevance Health (05/22/25)
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  • Manager, FP&A Medicare Part D

    CVS Health (Irving, TX)
    …critical role will serve as a key financial lead supporting the Medicare Part D and SilverScript Organization. Primary responsibilities for this position include ... coordination and execution of Medicare Part D Bid requirements including; several round of...Bid requirements including; several round of non-benefit expense (NBE), audit requests, Worksheet 1 and other ad hoc bid… more
    CVS Health (05/30/25)
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  • Audit & Reimbursement II (US)

    Elevance Health (Denison, TX)
    Medicare and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement II** will support our Medicare Administrative Contract ... ** Audit & Reimbursement II** **Location:** This role enables...(MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department… more
    Elevance Health (05/30/25)
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  • Senior Compliance Coding Analyst - Audit

    Houston Methodist (Houston, TX)
    …is responsible for supporting accurate billing and coding compliance with Medicare and third-party payments and internal policies. Responsibilities for this position ... medical record. + Provides periodic status reports of risk-based audit outcomes. Provides education as appropriate regarding department specific practices.… more
    Houston Methodist (05/30/25)
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  • SR Reimbursement Analyst

    Methodist Health System (Dallas, TX)
    …5 days **Work Shift :** **Job Description :** Your Job: The SR REIMBURSEMENT( MEDICARE ) ANALYST will assist the Manager of Regulatory Compliance, the Manager of ... * Position requires extensive knowledge of governmental programs ( Medicare and Medicaid). * Good written and oral communication...to resolve all issues that come up in the audit of the cost report. Keeps Manager adequately informed… more
    Methodist Health System (04/24/25)
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  • Insurance Coordinator

    Fresenius Medical Center (Abilene, TX)
    …options: + Educates on the availability of alternative insurance options (ie, Medicare , Medicaid, Medicare Supplement, State Renal programs and COBRA). + ... + Discusses insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include but are not limited to: + Determining… more
    Fresenius Medical Center (03/12/25)
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  • Senior Quality Analyst, Claims *Remote

    Providence (TX)
    …not simply valued - they're invaluable. Join our team at Integrity Compliance Audit Services and thrive in our culture of patient-focused, whole-person care built on ... training, job aides and technical support for caregivers regarding Centers for Medicare and Medicaid Services (CMS) Medicare Secondary Payer reporting,… more
    Providence (05/09/25)
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  • Director, Appeals & Grievances (Texas)

    Molina Healthcare (Houston, TX)
    …with the standards and requirements established by the Centers for Medicare and Medicaid **Knowledge/Skills/Abilities** * Leads, organizes, and directs the ... to members or authorized representatives in accordance with Centers for Medicare and Medicaid standards/requirements. * Provides direct oversight, monitoring and… more
    Molina Healthcare (05/16/25)
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