- CVS Health (Austin, TX)
- …years Industry experience in mental or behavioral health, payer, commercial, and Medicare + Proven ability to interact with, influence and collaborate with business ... leaders and producing managers at all levels + PMP certification + Experience with enterprise-wide and/or cross-functional large-scale initiatives with high degree of complexity **Education** + Bachelor's degree or equivalent professional work experience **Pay… more
- Baylor Scott & White Health (Dallas, TX)
- …are completed in a timely way. . Responds to inquiries utilizing applicable Medicare and Medicaid guidance. Serves as a compliance resource to BSWH departments and ... entities on compliance matters. **KEY SUCCESS FACTORS** . Continually demonstrates initiative by learning business processes and applicable auditing techniques. . Ability to exercise good judgment, attention to detail, integrity, dependability, and… more
- Centene Corporation (Austin, TX)
- …and laws related to Risk Adjustment across our Marketplace, Medicaid and Medicare lines of business, which includes implementation of elements of an effective ... compliance program. Oversee the development of risk assessments oversight and the monitoring work plans pertaining to Risk Adjustment. Partners with business areas to ensure and implement effective prevention, detection and correction of compliance issues. +… more
- 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 ... include serving as subject matter expert, performing complex and high risk-based and baseline compliance reviews and identifying potential risk areas and revenue potential. The Sr Compliance Coding Analyst position partners with stakeholders to provide… more
- CenterWell (Dallas, TX)
- …in field sales or grassroots marketing; ideally field sales with a focus on senior value-based care models or Medicare Advantage. + In-depth knowledge of ... of industry trends, competitor activities, and emerging opportunities within the senior healthcare market adjusting sales strategies and identify new growth avenues.… more
- Texas Health Resources (Arlington, TX)
- …other programs. + Oversees or supports departments and entities with various Medicare and Medicaid Supplemental Payment and incentive programs including but not ... including but not limited to the review and preparation on of Medicare /Medicaid cost reports, regulation appeals, Disproportionate Share Hospital (DSH), and Wage… more
- Humana (Austin, TX)
- …the core of this evolution is Humana's Insurance Segment, which provides Medicare Advantage, Medicaid, and other health plans to millions. By integrating insurance ... Strategy team plays a pivotal role in defining the future of Humana's Medicare and Medicaid businesses, which generate the majority of the company's total revenue… more
- CenterWell (Arlington, TX)
- …Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating 340 centers across fifteen ... care team supporting patient's physical, emotional, and social wellness. At CenterWell Senior Primary Care, we want to help those in the communities we… more
- CenterWell (Alice, TX)
- …two to five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... care environment in a value based relationship environment + Medicare Provider Number / Medicaid Provider Number + Knowledge...insurance and many other opportunities. **About Us** About Conviva Senior Primary Care: Conviva Senior Primary Care… more
- CenterWell (El Paso, TX)
- …role, you will be required to be screened for TB **Preferred Qualifications:** + Medicare Provider Number + Medicaid Provider Number + Minimum of two to five years ... directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care… more