- Prime Therapeutics (Austin, TX)
- …strategic plans that achieve Star Ratings and quality outcomes for Medicare , Medicaid, Individual Health Insurance Marketplace, and Commercial lines of business. ... the client quality support model strategy for all lines of business ( Medicare , Medicaid, commercial/HIM); serve as primary enterprise point of contact and subject… more
- WelbeHealth (Austin, TX)
- …technical analysis, operations, and internal controls + Oversee the preparation and review process for financial and operational reports required by our core ... + Assist with month-end close, quarterly financial reporting, financial audit, Medicare /Medicaid audits, and other PACE specific projects + Keep a… more
- HCA Healthcare (Austin, TX)
- …public nursing or acute hospital nursing experience + Familiar with Medicare home health regulations, documentation requirements, ICD-10 coding and PPS (Strongly ... quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of...our RN Home Health opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
- HCA Healthcare (Houston, TX)
- …to all regulatory agency standards pertaining to physical therapy. (JCHAO, APTA, Medicare , Insurance, HIPAA) + Documentation of patient care is completed in a ... includes all necessary elements according to regulatory standards - JCAHO, APTA, Medicare , insurance and The Guide to Physical Therapy Practice. + Under the… more
- Molina Healthcare (Austin, TX)
- …Performs analysis across multiple states and lines of business ( Medicare , Medicaid, Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + Compiling and organizing ... in running all applicable risk models including the various CMS models for Medicare Advantage members, the HHS model for Commercial ACA members, the CDPS model… more
- Insight Global (Richardson, TX)
- …Project Manager to work on regulatory and compliance projects tied to medicare /medicaid inititiaves. - Direct and coordinate resources to ensure project progressed ... we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills… more
- Kestra Medical Technologies, Inc (Houston, TX)
- …status + Completion of background check + Completion of drug screening testing + Review and agree to hospital policies and procedures + Completion of online courses, ... Federal Food and Drug Administration and under contract with Medicare . Kestra maintains a drug free workplace and testing...Federal Food and Drug Administration and under contract with Medicare . Kestra maintains a drug free workplace and testing… more
- Aveanna Healthcare (Dallas, 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
- HCA Healthcare (San Antonio, TX)
- …of the organization and meets the requirements or regulations of JACHO, Medicare , Medicaid, and appropriate licensing or certified boards. The supervisor is ... conditions of participation, requirements or regulations of the following: JCAHO, Medicare , Medicaid, Texas State Licensures, and Certification as required. 5. Makes… 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