• Audit & Reimbursement II (US)

    Elevance Health (Grand Prairie, TX)
    …in accordance with Government Auditing Standards (GAS). The Auditor II will gain experience on Medicare Part A Audit and Reimbursement as part of our Medicare ... ** Audit & Reimbursement II** **_Location:_** This role enables...Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare more
    Elevance Health (06/06/25)
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  • 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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  • Quality Audit Professional

    Humana (Austin, TX)
    …part of our caring community and help us put health first** The Quality Audit Professional 2 analyzes and investigates quality issues. The Quality Audit ... and independent determination of the appropriate courses of action. The Quality Audit Professional 2 supports the Healthcare Quality Management Team in administering… more
    Humana (06/06/25)
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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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  • 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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