- Molina Healthcare (San Antonio, TX)
- …to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee, ... and recommend business practices to ensure adherence to and compliance with State and Federal regulatory guidelines. The Sr. Analyst develops and performs audits… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate billing and coding compliance with Medicare and ... reviews and identifying potential risk areas and revenue potential. The Sr Compliance Coding Analyst position partners with stakeholders to provide feedback… more
- Centene Corporation (Austin, TX)
- …and leads the identification, implementation, and maintenance of Duals and overlapping Medicare compliance policies, procedures and work instructions. + Leads ... Duals and SMAC regulatory filings. + Manages Duals (and Medicare with D-DSNP specific or separate) compliance ...(and Medicare with D-DSNP specific or separate) compliance reporting responsibilities and respond to inquiries from state… more
- Providence (TX)
- …Officers, Employment Practices, Fiduciary, Property, Cyber, Managed Care, and Auto Claims. The Senior Quality Analyst assists the Claims leaders in managing a ... valued - they're invaluable. Join our team at Integrity Compliance Audit Services and thrive in our culture of...and regulations pertaining to self-insured health care organizations. The Senior Quality Analyst is also responsible for… more
- Prime Therapeutics (Austin, TX)
- … Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance Analyst assists in the implementation of Prime's ... with business partners across the enterprise. **Responsibilities** + Executes compliance procedures and enforces policy governance across the organization to… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Senior (Sr.) Accountng and Reporting Analyst position is responsible for identifying and compiling information to effectively report ... reimbursement from various government programs. The Sr. Accounting and Reporting Analyst utilizes strong data analytic skills to identify issues and researches… more
- Molina Healthcare (Houston, TX)
- **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the RADV (Risk Adjustment Data Validation) team, assisting in the execution of ... medical record collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data, regulatory processes, and… more
- Humana (Austin, TX)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... it expands to accommodate the increased responsibilities. **Responsibilities:** The Senior Business Intelligence Engineer will be primarily responsible for… more
- Banner Health (TX)
- …with regard to interpretation of coding guidelines prior to referral to senior manager, educator or Coding Quality Analyst . MINIMUM QUALIFICATIONS High ... treatment information or documentation to coding support tech, coding quality analyst or coding manager for clarification/additional information for accurate code… more
- HCA Healthcare (Dallas, TX)
- …transplant operations, advancing research and education, ensuring regulatory compliance , and improving patient outcomes while expanding transplant services ... Institute (Kidney, Liver, Pancreas and Heart). + Work with division analyst to evaluate competitive market trends and opportunities. **Operational & Financial… more
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