- CVS Health (Austin, TX)
- …Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct high-level reviews and ... and developing yourself and others) skills **Required Qualifications** * Commercial, Medicare , and/or Medicaid knowledge * 5+ years related experience, proven and… more
- CVS Health (Austin, TX)
- …do it all with heart, each and every day. **Position Summary** The Sr Manager , Behavioral Health Partner Innovation Strategy will report to strategy & product within ... years Industry experience in mental or behavioral health, payer, commercial, and Medicare + Proven ability to interact with, influence and collaborate with business… more
- American Heart Association (Dallas, TX)
- …Association has an excellent opportunity for a **Senior** **Healthcare Quality Measures Manager ** based out of our National Center office. This position is ... in monitoring relevant national programs such as the Center for Medicare /Medicaid Services (CMS): Merit-Based Incentive Payment System (MIPS) and, Hospital Inpatient… more
- Cardinal Health (Austin, TX)
- …the annual enterprise risk assessment and audit and monitoring plan. The Manager has supervisory responsibility for all Compliance Audit staff. **_What is expected ... hospital facility fee coding and auditing. + Expert-level knowledge of Medicare and Medicaid documentation and coding rules and guidelines; ICD/CPT/HCPCS/DRG/APC… more
- Humana (Austin, TX)
- …needs for Medicaid-specific product lines. The Lead Actuary will serve as a project manager in addition to working on problems of diverse scope and complexity. They ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Skyline Nursing Center (Dallas, TX)
- …insurance + Life insurance + Vision insurance The Assistant Business Office Manager will direct the overall Business Office activities in accordance with current ... and ensures that the Centralized Statement process is followed. + Manages Medicare ADRs and appeals per established procedure. + Other duties, responsibilities and… more
- CVS Health (Austin, TX)
- …with heart, each and every day. **Position Summary** **The Medicaid Senior Manager , Network Management:** * Negotiates, executes, conducts high level review and ... * Highly organized and self-driven. **Preferred Qualifications** * Knowledge of Medicare and commercial programs and related subject matter. **Education** Bachelor's… more
- CenterWell (Lubbock, TX)
- …audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more
- CVS Health (Austin, TX)
- …population health platform to support the delivery of high quality care to the Medicare population. As a Senior Product Manager within the Patient Experience and ... costs and provides an unmatched experience for adults on Medicare in medically underserved communities. By providing holistic, comprehensive...the efforts of your scrum team as the Product Manager . You will keep abreast of Agile / Scrum… more
- UTMB Health (Galveston, TX)
- …and Medicaid reimbursement experience to include four (4) years of reimbursement experience at manager level or above. + Experience with Medicare IME, DGME, DSH ... reimbursement-related calculations and estimates and ensures UTMB compliance with Medicare and Medicaid regulations. **Scope:** Institutional **Responsibilities:** + Responsible… more
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