• Manager, Medical Economics (Medicaid) - REMOTE

    Molina Healthcare (Austin, TX)
    …performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **JOB QUALIFICATIONS** **Required ... medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Strong Knowledge of… more
    Molina Healthcare (08/27/25)
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  • Senior Coding Data Quality Auditor, Coding Quality…

    CVS Health (Austin, TX)
    …applicable) to ensure the ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are ... + CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist- Physician ) required. + Experience with International Classification of Disease (ICD)… more
    CVS Health (08/24/25)
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  • Fully Remote Nurse Practitioners

    Insight Global (Austin, TX)
    …MI, IA, PA, IL, MS, or FL. * Must have an established collaborating/supervising physician agreement in any state where such agreements are required for autonomous NP ... of NP experience, with experience in primary care, geriatrics, or Medicare populations strongly preferred. * Familiarity with HEDIS measures, preventive screenings,… more
    Insight Global (08/19/25)
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  • Case Management Representative - Full Time - Days

    Houston Methodist (The Woodlands, TX)
    …FUNCTIONS** + Assists the department in distributing required notices, including the Medicare Notice of Discharge to patients, securing signatures on the form from ... and answering questions regarding the appeal process + Distributes the Medicare Notice of Discharges to identified patients, including capturing patient and… more
    Houston Methodist (08/15/25)
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  • Field Medical Director, Cardiology

    Evolent (Austin, TX)
    …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. As well as, aids and acts as ... by any state or federal health care program, including Medicare or Medicaid, and is not identified as an...General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or… more
    Evolent (08/15/25)
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  • Hospice Billing Manager

    Robert Half Management Resources (Dallas, TX)
    …requirements. * Oversee the timely submission of Notice of Elections to Medicare , ensuring deadlines are met. * Collaborate with skilled nursing facilities and ... and training as needed. * Generate and distribute monthly invoices for physician billing and palliative care programs. * Perform month-end close procedures,… more
    Robert Half Management Resources (08/14/25)
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  • Advanced Practice Provider - Fellowship Program

    Kelsey-Seybold Clinic (Houston, TX)
    …New graduates will be considered. **Education:** Graduate from an accredited Physician Assistant (PA) or Nurse Practitioner (NP) master's program. **License and ... and is in-network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with… more
    Kelsey-Seybold Clinic (08/14/25)
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  • Pathologist

    Kelsey-Seybold Clinic (Houston, TX)
    …tests or providing treatments. + Provides diagnostic information to the treating/referring physician in the form of a written pathology report. + Maintains ... and is in-network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with… more
    Kelsey-Seybold Clinic (08/13/25)
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  • Case Management Clerical Assistant

    HCA Healthcare (Irving, TX)
    …with the patient, including having the Patient Choice letter signed. + Monitors Medicare patient's planned discharge dates and delivers the Important Medicare ... as being in the BPCI-A program (Bundle Payment hospitals only). + Obtains physician signature on required Case Management documents and forms. + Based on facility… more
    HCA Healthcare (08/09/25)
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  • Certified Registered Nurse Anesthetist

    Kelsey-Seybold Clinic (Houston, TX)
    …determine an accurate anesthetic plan + Work under the direction of physician anesthesiologist + Determine and administer the appropriate dosage of anesthesia during ... and is in-network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with… more
    Kelsey-Seybold Clinic (08/08/25)
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