- CenterWell (Beaumont, TX)
- …defined by Clinical Leadership. . Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. . Participates in potential ... for TB. **Preferred Qualifications:** + Active and unrestricted DEA license. + Medicare & Medicaid Provider Number. + Bilingual in English/Spanish, with the ability… 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 ... to apply for our Supervisor of Rehab Services opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. **Unlock… more
- The Cigna Group (Fort Worth, TX)
- …insurance network filings to state Departments of Insurance (DOIs) and the Centers for Medicare & Medicaid Services (CMS). This position plays a key role in ensuring ... and complete data. + Maintain tracking logs of provider recruitment. + Review regulatory guidelines and filing templates to ensure compliance with applicable state… more
- Prime Therapeutics (Austin, TX)
- …consultants, key state leaders, industry trade associations, and Centers for Medicare and Medicaid Services (CMS); establish an effective communication and ... ranges from $217,000.00 - $369,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page… more
- 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
- Molina Healthcare (Austin, TX)
- …MTM Pharmacy Services staff work to ensure that Molina members have access to Medicare Star medications and those meds are used in a cost-effective, safe manner. ... clinical pharmacy services (such as, therapeutic drug monitoring, drug regimen review , patient education, and medical staff interaction), and oversight (establishing… more
- UTMB Health (Galveston, TX)
- …+ Completion of a physician assistant program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) + No experience ... plan of care that encompasses evidence-based practice guidelines, practice protocols, Medicare , Medicaid, and other state and federal regulations. + Prescribes… more
- Prime Therapeutics (Austin, TX)
- …constituents **Preferred Qualifications** + Integrated health system or health plan experience + Medicare Part D and B experience + Call center or call center ... ranges from $108,000.00 - $184,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page… more
- CenterWell (Humble, TX)
- …Clinical Leadership. + Meet with medical directors to discuss quality of care, review outcome data, and address policy, procedure, and records issues. + Participate ... for TB. **Preferred Qualifications:** + Active and unrestricted DEA license. + Medicare & Medicaid Provider Number. + Bilingual in English/Spanish, with the ability… more
- HCA Healthcare (Jourdanton, TX)
- …nationally recognized as a Five-Star rated facility by the Centers for Medicaid and Medicare Services and by its grade A Leapfrog Hospital Safety score. The hospital ... to apply for our Maintenance Mechanic Full Time opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock… more