- Houston Methodist (Houston, TX)
- At Houston Methodist, the Director Clinical Research Finance position is responsible for compliant clinical research billing program. This position develops ... clinical research billing to insurance payors and sponsors which support the clinical research program. The Director Clinical Research Finance position… more
- The Cigna Group (Houston, TX)
- …Operations Senior Advisor will report to the Stars and Risk Adjustment Managing Director and will be responsible for internal and external team communications and ... the other lines of businesses, stakeholders, and matrix partners (ex. Clinical , Compliance, Operations, Growth, Finance, etc.), providing proactive identification of… more
- Elevance Health (Houston, TX)
- …reviews within our Medicaid and Medicare programs.** The **Behavioral Health Medical Director ** is responsible for the administration of behavioral health ... of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative...an entire clinical program and/or independently performs clinical reviews. + The Medical Director… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Director Case Mgmt Social Svcs position is responsible for strategy, function and operations of the Case Management & Social Work ... promoting the most cost-effective utilization of the hospital's resources. The Director Case Mgmt Social Svcs position deploys population-focused teams to enhance… more
- AbbVie (Houston, TX)
- …Aesthetics on LinkedIn. Allergan Aesthetics | An AbbVie Company Job Description Associate Director , Health Policy and Government Affairs, will focus on the impact of ... and provider reimbursement. This position will call on managed care organizations, Medicare MACs, state Medicaid, Medicare Advantage and commercial plans to… more
- Aveanna (Houston, TX)
- Therapy Director (OT, PT, or SLP) ApplyRefer a FriendBack Job Details Requisition #: 195770 Location: Houston, TX 77077 Category: OT Salary: Starting at $90,000.00 ... per year Position Details Therapy Director (OT, PT or SLP) Location:Katy and College Station...upon their qualifications and experiences. Responsibilities Include: + Supervise clinical operations of therapy program within a branch +… more
- CenterWell (Houston, TX)
- … medical expertise with the care team through daily huddles. * Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in ... heart and blood vessels and is part of a clinical care team that focuses on outpatient medicine, continuity...accordance with standards of care. * Follows level of medical care and quality for patients and monitors care… more
- CenterWell (Pasadena, TX)
- … medical expertise with the care team through daily huddles. * Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in ... Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators… more
- CenterWell (Houston, TX)
- … medical expertise with the care team through daily huddles. * Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in ... accordance with standards of care. * Follows level of medical care and quality for patients and monitors care...coding specificity. * Follows policy and protocol defined by Clinical Leadership. * Meets with RMD about quality of… more
- CenterWell (Houston, TX)
- …Follows policy and protocol defined by Clinical Leadership. + Meets with Area Medical Director and Lead Cardiologist about quality of care, review of outcome ... the care team through daily huddles. + Helps Area Medical Director and Center Administrator in setting...pump + Work experience in electrophysiology + Experience managing Medicare Advantage panel of patients with understanding of Best… more
- The Cigna Group (Houston, TX)
- …and rates. + Enhance the Facility Center of Excellence Program along with with Network Medical Director and Clinical Operations which include but not limited ... facility systems as well as construct a united negotiation strategy with our Medical Commercial and Medicare contracting and Network Strategy Leadership. +… more
- CommonSpirit Health (Houston, TX)
- …and the Medicare Inpatient Prospective Payment System (IPPS) to make medical determinations on severity of illness, acuity, risk of mortality, and communicate ... make recommendations for care as well as interacting with medical staff members and medical directors of...Management or Managed Care: Works with the Care Management Director and staff to facilitate client profiles, clinical… more
- Houston Methodist (Houston, TX)
- …procedures, and provides quality reviews. Reports results of key performance metrics to director on a timely basis. **FINANCE ESSENTIAL FUNCTIONS** + Assists in the ... to ensure operational billing compliance with government/regulatory agencies and the Medicare and Medicaid programs. + Ensures optimization of timely cash… more