- UTMB Health (Galveston, TX)
- …. Implement evidence-based guidelines, internal policies, and applicable external payer or regulatory requirements to ensure appropriate, safe, and cost-effective ... therapy selection. . Partner with physicians, nurses, case managers, and other healthcare professionals to support coordinated, patient-centered care. . Participate in patient care rounds, case conferences, and interdepartmental meetings as assigned. . Serve… more
- AbbVie (Dallas, TX)
- …in these forums are on-label. + Remain current on all clinical, market, and payer developments, trends, and issues specific to oncology and disease areas. + Complete ... all AbbVie required training and maintain adherence to all company policies and OEC/Legal procedures. + Within assigned accounts and geography, seeks out important information and articulate implications to our business and to our customers' business'. +… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …applicable licenses, controlled substance registrations, hospital privileges, and third payer enrollments in good standing + Supervises residents, participates in ... teaching activities for medical student and/or residents + Participates in research and or scholarly activities in the department + Participates in committees and other administrative duties as assigned + Ensures compliance with HIPAA and billing regulations +… more
- HCA Healthcare (Webster, TX)
- …thorough working knowledge of the rules of Medicare, Medicaid, and private payer regulations and processes. You will possess a thorough understanding of managed-care ... concepts and length-of-stay management relating to patient and organizational fiscal responsibility. + You will perform thorough assessments and develop appropriate discharge plans for high-risk patients with discharge planning or psychosocial needs. + You… more
- BrightStar Care (Edinburg, TX)
- …AOTA standards, policies, and guidelines and state, federal, and other regulatory and payer requirements relevant to practice and service delivery * One year of ... appropriate experience as an occupational therapist * Strong interpersonal skills * Strong knowledge of occupational therapy principles, theory, methods and evidence-based practice * Excellent customer service skills and ability to deal tactfully with clients,… more
- Select Medical (Pasadena, TX)
- …business development team + Collect co-pays from patients, manage payer approvals and conduct insurance authorizations and verifications **Qualifications** **Minimum ... Qualifications:** + High School Diploma/GED required + 1 Year of Medical Office Experience **Preferred Qualifications:** + Insurance Verification Experience + Bilingual **Additional Data** _Go Anywhere with Us! 1900 centers in 39 states offering internal… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …applicable licenses, controlled substance registrations, hospital privileges, and third payer enrollments in good standing + Supervises residents, and participates ... in teaching activities for medical student and/or residents + Engages in advancement of scientific knowledge through research and/or scholarship + Serves the academic community through participation in institutional governance, such as committee work +… more
- Parexel (Austin, TX)
- …**Access and HTA** , clinical research and development methods, and international payer evidence requirements. + Skilled in research design and statistical methods, ... such as **Generalized Linear Models, Survival Analysis, Network Meta-Analysis, and Bayesian statistics** . + Proficient in **R** and **GitLab** (experience with SAS, Python, WinBUGS, JAGS, or other relevant statistical software is a plus). + Strong strategic,… more
- San Antonio Behavioral Health (San Antonio, TX)
- …Word and Excel. + Has knowledge of governmental and managed care payer requirements. + Demonstrates understanding of the various "Self-Pay" account classifications ... and their applicable patient statement processes. + Understands the data elements required to generate a clean bill. + Understands the importance of maintaining confidentiality; able to maintain confidentiality under HIPAA standards. + Must have the ability to… more
- Oracle (Austin, TX)
- …all levels of the organization. 8. Strong knowledge of federal, state, and payer -specific regulations and policies. 9. Ability to work in a fast-paced environment ... and manage multiple priorities. **Responsibilities** Analyzes business needs to help ensure Oracle's solution meets the customer's objectives by combining industry best practices and product knowledge. Effectively applies Oracle's methodologies and policies… more
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