- Houston Methodist (Houston, TX)
- …compliance with ethical and legal business practices and accreditation/ regulatory /government regulations. **PEOPLE ESSENTIAL FUNCTIONS** + Directs, develops and ... competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees,… more
- Datavant (Austin, TX)
- …suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review ). You will manage a cross-functional team of product managers and ... vision, strategy, and roadmap for the Prospective Suspecting and Concurrent Review solutions within Datavant's Clinical Insights Platform suite. + Define multi-year… more
- Texas Health Resources (Arlington, TX)
- …conducts chart audits and tracers with staff to determine current state of regulatory readiness and compliance, identify areas of improvement and relate to senior ... guidelines, develop reports and presentations for senior leadership meetings. OPERATIONS: PEER REVIEW - Oversee and facilitate Medical Staff Peer Review ,… more
- Highmark Health (Austin, TX)
- …control procedures. The Analyst also administers inter-rater reliability tests and communicates review results to business leads both verbally and in writing. This ... and other areas of risk.Prepare draft reports and other management reporting deliverables. Review all work prepared by less experienced team members to ensure audit… more
- CommonSpirit Health at Home (Houston, TX)
- …recommendations for bill/pay rate changes. + Responsible for quarterly branch review , to include assessment of branch performance and branch opportunity. + ... Meeting minutes kept in branch. + Responsible for bi-monthly review of A/R and follow-up on A/R, out>120 days,...of quality client care and services in compliance with regulatory , operational and financial requirements. + Ensures the accuracy,… more
- American Airlines (Dallas, TX)
- …based on regulatory changes and Credit Union initiated projects + Review and approve marketing and advertising materials for compliance and makes recommendations ... documentation + Conduct follow-up on findings identified during compliance assessments, regulatory examinations and internal audits + Gather and analyze research and… more
- Uniti (Rio Vista, TX)
- …state officials to ensure projects are completed accurately, safely, and within regulatory requirements. The ideal candidate will have extensive knowledge of OSP ... position.** **What You'll Do:** + Collaborate with contractors and engineers to review and correct work prints + Conduct pre-construction site walks with contractors… more
- Molina Healthcare (TX)
- …to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits & Overpayment Recovery. Manages inventory ... resolving complex business challenges that impact cost containment and regulatory compliance. The position requires strong business judgment, cross-functional… more
- Houston Methodist (Houston, TX)
- …compliance with ethical and legal business practices and accreditation/ regulatory /government regulations. **PEOPLE ESSENTIAL FUNCTIONS** + Directs, develops and ... competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees,… more
- Houston Methodist (Nassau Bay, TX)
- …compliance with ethical and legal business practices and accreditation/ regulatory /government regulations. **PEOPLE ESSENTIAL FUNCTIONS** + Directs, develops and ... competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees,… more