• Director of Nursing / DON

    BrightSpring Health Services (Corpus Christi, TX)
    …with Company policies and procedures, state licensure and regulations, Medicaid and Medicare standards, as well as state reimbursement regulations + Leading case ... meetings + Chairing committees as appropriate, safety, infection control, incident review , and human rights committees + Facilitating communication and serving as… more
    BrightSpring Health Services (08/29/25)
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  • Sr. Program Manager, Health Science, Quality…

    American Heart Association (Dallas, TX)
    …in monitoring relevant national programs such as the Center for Medicare /Medicaid Services (CMS): Merit-Based Incentive Payment System (MIPS) and, Hospital Inpatient ... goal is to ensure you have a competitive base salary. That's why we regularly review the market value of jobs and make adjustments, as needed. + **Performance and… more
    American Heart Association (08/29/25)
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  • Customer Service Representative - Express Scripts…

    The Cigna Group (Austin, TX)
    …questions about Pharmacy Benefit Services(PBS) benefits, mail-order pharmacies, or Medicare . + Take calls back-to-back while toggling through several applications ... medication coverage or costs and offer the members options for a starting coverage review to meet regulatory requirements + Understand and strive to meet or exceed… more
    The Cigna Group (08/29/25)
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  • Social Worker, Hospice

    AccentCare, Inc. (Austin, TX)
    …of permit to practice in state(s) of agency operation if required Medicare /Medicaid/Insurance specialty preferred Unless otherwise dictated by the state, at least ... Participate as a member of the interdisciplinary team and in the development and review of the plan of care for all patients. Assess the social, spiritual, and… more
    AccentCare, Inc. (08/28/25)
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  • Provider Enrollment Team Lead

    HCA Healthcare (Austin, TX)
    …will need:** + 1 year of related experience preferred, such as Medicare /Medicaid Enrollment or Managed Care Enrollment + Relevant education may substitute experience ... to apply for our Provider Enrollment Team Lead opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. **Unlock… more
    HCA Healthcare (08/28/25)
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  • Senior Collections Analyst

    HCA Healthcare (Pearland, TX)
    …processing delays from various payer products including HMO, PPO, Medicaid, Medicare , Auto and Workers' Compensation. + Effectively utilize ERA payment information ... encourage you to apply for our Senior Collections Analyst opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a… more
    HCA Healthcare (08/28/25)
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  • Insurance Biller FT-Katy

    Houston Methodist (Houston, TX)
    …Office (CBO). This includes, but is not limited to, resolution of charge review (where applicable) and claim edits, payor rejections, unresolved or no response ... processing. + Demonstrates understanding of fundamentals of all payors, including Medicare , Medicaid and commercial payors, and applicable revenue cycle operations.… more
    Houston Methodist (08/28/25)
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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 ... **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with revenue integrity teams to review provider services and provide effective education and feedback. Coordinates… more
    Houston Methodist (08/28/25)
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  • Senior Director Ambulatory Services and Financial…

    Texas Health Resources (Arlington, TX)
    …Bad Debt reserves, Managed Care discounts, accrued liabilities and Medicare /Medicaid liabilities. Prepares the ambulatory/virtual channel annual operating budget and ... Delegation and Level of Authority: The finance leader is responsible for review and approval of all financial policies and procedures affecting ambulatory/virtual… more
    Texas Health Resources (08/28/25)
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  • Physician Advisor

    CommonSpirit Health (Houston, TX)
    …message to all constituents. **Key Responsibilities** + Conducts medical record review in appropriate cases for medical necessity of hospital admission, continued ... planning and quality care management. + Understand the intricacies of the Medicare Inpatient Prospective Payment System (IPPS) to make medical determinations on… more
    CommonSpirit Health (08/27/25)
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