- Centene Corporation (Austin, TX)
- …member of Medicare & Compliance Senior Leadership, chairs Centene's Medicare Compliance Committee, attends meetings of the Enterprise Compliance ... organization with a commitment to service leadership. + Leading the Medicare Compliance team with a collaborative mindset and demonstrated commitment to… more
- Prime Therapeutics (Austin, TX)
- …and maintain records and related documentation for reporting to the Chief Compliance Officer , Prime's senior leadership team, executives, Corporate Compliance ... our passion and drives every decision we make. **Job Posting Title** Compliance Analyst Sr--Medical Pharmacy Specialty/ Medicare Part B- REMOTE **Job… more
- Evolent (Austin, TX)
- …fragmented and complex health care system. **About the Role** The Chief Clinical Officer (CCO) is a key leader in the Clinical Services organization reporting ... directly to the Chief Medical Officer . The CCO will lead the Clinical Operations team...partners, including product, core operations, technology, P/L owners, and compliance , to build new value-based specialty products. The CCO… more
- Molina Healthcare (Austin, TX)
- …appropriate and correct clinical decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) ... appropriate clinical guidelines and other appropriate criteria with Chief Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization… more
- HCA Healthcare (Austin, TX)
- …Officer , the Division VP of Performance Improvement. Responsible for ensuring facility compliance with The Joint Commission, Centers for Medicare and Medicaid ... individual strengths, takes risks, and is committed to optimal patient care, and compliance with standards. * Attends HCA-mandated training and meets all ethics and … more