- Elevance Health (Houston, TX)
- **Anticipated End Date:** 2024-09-17 **Position Title:** Audit & Reimbursement Senior - Medicare Cost Report Audit **Job Description:** ** Audit & ... Reimbursement Senior -** ** Medicare Cost Report Audit ** **Locations:** This is...programs. The ** Audit and Reimbursement Senior ** , will support our Medicare Administrative… more
- CenterWell (Austin, TX)
- …various reimbursement methodologies, including risk adjustment, fee for service, Medicare , etc. + Passionate about contributing to an organization focused on ... ICD-10-CM, CPT, & HCPCS codes that are submitted to the Centers for Medicare and Medicaid Services (CMS), other payers, and over government agencies. In addition,… more
- Texas Health Resources (Arlington, TX)
- **Revenue Cycle Manager Charge Capture Senior Analyst** _Texas Health Resources is looking for a top skilled Revenue Cycle Manager Charge Capture Senior Analyst. ... or decision support/database management is required. Familiarity with analyzing Medicare fiscal intermediary bulletins, CMS memorandums and have the ability… more
- The Cigna Group (Houston, TX)
- The Medical Expense FP&A Senior Manager will manage projection and results analysis for core Medicare Advantage Part C medical claims expense processed and paid ... centralization, Market Finance, Product, Pricing, Reserving, Operations, and external Audit Firms. **Responsibilities** + Review and approve proposed fee-for-service… more
- Texas Health Resources (Arlington, TX)
- …directly to the President THRW and has a dotted line reporting to the Senior Vice President Hospital Financial Operations, THR. The Entity Finance Officer THRW (EFO) ... serves as a member of the THRW senior leadership team and participates in strategic planning operations, new business development, and financial operations. The… more
- Baylor Scott & White Health (Dallas, TX)
- …and accreditation standards, such as the Joint Commission, Centers for Medicare and Medicaid (CMS), National Committee for Quality Assurance (NCQA), Health ... corrected. Provides key support and regular reporting to the Audit and Compliance Committee of the BSWH Board. May...Tracks the resolution of corrective actions agreed to by senior leadership in response to compliance audits or investigations… more
- CVS Health (Dallas, TX)
- …Medicaid product pricing + Health Plan Operations + Provider contracting and reimbursement methodologies + Medicaid, Medicare or Commercial health insurance ... as well as manage standard and ad hoc financial report submissions to and audit reviews by the State Medicaid Agency. + Leverage prior experience to ensure the… more