- Kelsey-Seybold Clinic (Houston, TX)
- …multidisciplinary team, and experience with clinical pathology to include peripheral smear review and knowledge of CLIA regulatory requirements as it applies to ... compliance with departmental key performic indicators such as turnaround time and peer review metrics. + Perform frozen sections on a rotating basis. + Perform rapid… more
- Prime Therapeutics (Austin, TX)
- …help ensure efficient and effective solutions are implemented + Perform and review detail plans to address complex compliance issues by identifying goals, ... Management organization, or within a highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) + Must be eligible… more
- Datavant (Austin, TX)
- …work environment. + Keep up to date with current coding policies for ICD-10, Medicare Advantage, HHS (ACA), and other markets. + Provide guidance and make strategic ... or inpatient setting. + Current CCS, CRC, or CPC required. + Previous Medicare Advantage Risk Adjustment, CDI, Medicaid, Commercial RA, and HEDIS experience. +… more
- Molina Healthcare (Houston, TX)
- …Lead will also be responsible for management of the Inside Sales team for all Medicare States when the Supervisor is out. This Team Lead will assist the Supervisor ... on any goals + Meet expected performance for personal sales goals. Review monthly member advisor report cards for trends. Reinforces accountability and notifies… more
- Banner Health (TX)
- …knowledge of clinical documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG),All Payer Group (APR-DRG) and Ambulatory Payment ... accurate coding based on documentation for positive outcomes. 5. Performs ongoing audits/ review of inpatient and/or outpatient medical records to assure the use of… more
- Aveanna Healthcare (Corpus Christi, TX)
- …and "Re-evaluations" to transition patients from facilities to home care. + Review physicians' orders and update care plans and documentation as needed. + ... to infants, children, adolescents, and adults. Note: As an employer receiving Medicare and Medicaid funds, Aveanna employees must comply with all health-related… more
- Aveanna Healthcare (Houston, TX)
- …of care, and uphold communication standards within the office. + Payroll Assistance: Review weekly timesheets, audit payroll files, and serve as the primary contact ... skills are a PLUS. Note: As an employer receiving Medicare and Medicaid funds, Aveanna employees must comply with...Aveanna's supportive and dynamic environment! As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …territory plans through partnerships with internal and external stakeholders + Review and educate offices on payer policies, including prior authorization ... in rare disease + Strong knowledge of Centers for Medicare & Medicaid Services (CMS) policies and processes, especially... & Medicaid Services (CMS) policies and processes, especially Medicare Part D + Experience in "Buy and Bill"… more
- Humana (Austin, TX)
- …residence + Eligibility to participate in federal prescription programs (eg, Medicare /Medicaid) + Self-directed with the ability to work effectively both ... + Experience in managed care pharmacy, particularly in utilization management review **Additional Information:** **Interview Format** : As part of our… more
- Humana (Austin, TX)
- …key part in driving Humana's long-term vision to achieve leading growth in Medicare and individual products. The MarketPoint strategy team was created to help ... Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is… more