- Cardinal Health (Austin, TX)
- **Job Summary:** The Manager , Revenue Cycle Management, is responsible for overseeing the insurance collection follow-up team to ensure timely and accurate ... initiatives to optimize cash flow, reduce aging accounts, and ensure compliance with payer and regulatory requirements. **Responsibilities:** + Lead and manage… more
- Humana (Austin, TX)
- …of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2, in a telephonic environment, assesses and evaluates members' ... with resources appropriate for the care and wellbeing of members The Care Manager , Telephonic Behavioral Health 2 is a **Licensed,** **Masters level, social worker**… more
- Wolters Kluwer (Coppell, TX)
- …information and policy data sources (CMS, FDA, etc.) covering drug control/ compliance programs, covered programs ( Medicare /Medicaid) and other government ... **Lead Technology Product Manager ** - Commercial Drug Information This role follows...**Wolters Kluwer Health team** , the **Lead Technology Product Manager for Medi-Span** plays a critical role in advancing… more
- Fresenius Medical Center (Olmito, TX)
- …and workflow to deliver high quality of patient care . Ensure compliance of state requirements and licensure updates including understanding of CLIA requirements, ... maintenance of equipment . Ensure proper medical records management and HIPAA compliance . Oversees the continuous and data driven Quality Assurance and Performance… more
- Caris Life Sciences (Irving, TX)
- …yourself, Caris is where your impact begins.** **Position Summary** The Manager of Billing Operations Accounts Receivable is responsible for providing leadership ... + Expert in Business-to-Business (B2B) communications. + Advance knowledge of Medicare , Medicaid and commercial insurance guidelines, and medical billing processes +… more
- Humana (Austin, TX)
- …of our caring community and help us put health first** The Manager , Utilization Management Nursing (LTSS Utilization Management Leader) utilizes clinical nursing ... communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific guidelines and… more
- Houston Methodist (Nassau Bay, TX)
- At Houston Methodist, the Case Manager (CM) position is a registered nurse (RN) responsible for comprehensively planning for case management, which includes care ... care, hospice, and durable medical equipment. Consults with Social Worker Case Manager to assess psychosocial needs associated with transition to alternative levels… more
- UTMB Health (Galveston, TX)
- …government payor reimbursement-related calculations and estimates and ensures UTMB compliance with Medicare and Medicaid regulations. **Scope:** Institutional ... actions to implement appropriate processes and procedures to ensure compliance with Medicare and Medicaid regulations. +...to include four (4) years of reimbursement experience at manager level or above. + Experience with Medicare… more
- Molina Healthcare (Austin, TX)
- …submissions to NCQA and regulatory bodies, ensuring accuracy and timeliness. ** Compliance & Quality Improvement** + Monitors key performance indicators (KPIs) and ... rehearsals. + Ensures survey readiness by maintaining documentation and evidence of compliance . **Consultation & Collaboration** + Serves as a strategic advisor to… more
- CVS Health (San Antonio, TX)
- …of network management, clinical coverage, and policies. Community Care Case Manager use a collaborative process of assessment, planning, facilitation, care ... clinical tools and information/data. - Utilizes case management processes in compliance with regulatory and company policies and procedures. - Facilitates… more