- Humana (Austin, TX)
- …interpretation and independent determination of the appropriate courses of action. The Finance Professional 2 will support Medicaid /Duals and continue ... caring community and help us put health first** The Finance Professional 2 analyzes and forecasts financial,...membership, and premium related data to provide reports to Medicaid Finance CFOs as well as assist… more
- UTMB Health (Galveston, TX)
- Director of Finance Government Reimbursement (Medicare, Medicaid ) - Government Reimbursement **Galveston, Texas, United States** Executive - Business ... Professional UTMB Health Requisition # 2501823 **Minimum Qualifications:** Bachelor's...or related field. and ten (10) years Medicare and Medicaid reimbursement experience, with at least six years of… more
- Molina Healthcare (San Antonio, TX)
- …coordination and communication of timelines, deliverables, and process updates with Medicaid regional actuarial teams, FP&A ( Finance , Planning and Analytics), ... and Finance . + Produce reporting and ad hoc analyses of enterprise Medicaid forecast results to key Finance stakeholders and leadership. + Collaborates with… more
- CenterWell (Austin, TX)
- …financial data driven methods to develop and influence drug strategies for the Medicaid lines of business. + Utilizes broad understanding of pharmacy, managed care, ... PBM, market and regulatory insights to support the development of Medicaid formulary and medical drug strategies to mitigate Humana's costs and trend while improving… more
- Humana (Austin, TX)
- …from the data exchange between Humana and its trading partners, Medicare and Medicaid . The Senior Encounter Data Management Professional will work with ... and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful submission and reconciliation of… more
- Houston Methodist (Houston, TX)
- …and compiling information for various governmental reports, including Medicare & Medicaid Cost Reports, Annual Tax Returns, Federal Emergency Management Agency ... Assists in researching government regulations (ie Centers for Medicare and Medicaid Services (CMS), Internal Revenue Service (IRS), Federal Emergency Management… more
- Prime Therapeutics (Austin, TX)
- …flows, process change and/or project management in supporting Compliance with Medicaid requirements. + Provide direct, or indirect leadership to other compliance ... + Advise internal clients regarding compliance with State and Federal Medicaid regulatory and contractual requirements + Provides leadership to the business… more
- Texas Health Resources (Dallas, TX)
- …of and comply with federal and state laws and regulations including Medicare/ Medicaid program requirements. Lead and/or work with appropriate resources to ensure ... federal and state regulations related to coding, documentation, billing practices, Medicare/ Medicaid and privacy. Experience to also include experience working with… more
- Providence (TX)
- …operates a self-administered claims program for General and Healthcare Professional Liability, Directors and Officers, Employment Practices, Fiduciary, Property, ... and technical support for caregivers regarding Centers for Medicare and Medicaid Services (CMS) Medicare Secondary Payer reporting, applicable laws, insurance… more
- Houston Methodist (Katy, TX)
- …meetings, resources and equipment, to ensure staff competency and professional pathway progression. + Communicates updates/changes to processes, managed care ... Reports results of key performance metrics to director on a timely basis. ** FINANCE ESSENTIAL FUNCTIONS** + Assists in the development of department budget and… more