- Lundbeck (Tyler, TX)
- …anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid, Commercial) using Lundbeck resources. Pharmaceutical Environment/ Compliance ... transform lives. Join us on our journey of growth!As a Psychiatry Account Manager , you lead the promotion of our psychiatry portfolio, executing sales and marketing… more
- Houston Methodist Specialty Physician Group (Houston, TX)
- At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a targeted ... continued stay and resource use, appropriate level of care and program compliance . Identifies when services no longer meet InterQual/Milliman l criteria, initiates… more
- Houston Methodist Willowbrook Hospital (Houston, TX)
- At Houston Methodist, the Case Manager (CM) position is a registered nurse (RN) responsible for comprehensively planning for case management, which includes care ... care, hospice, and durable medical equipment. Consults with Social Worker Case Manager to assess psychosocial needs associated with transition to alternative levels… more
- The Cigna Group (Austin, TX)
- …- Dallas, East Texas (must live in/or near area)** **Excited to grow your Medicare career?** We value our talented employees, and whenever possible strive to help ... about the role: **SUMMARY:** Responsible for the execution of the Cigna Medicare strategy for local topline sales agencies, directly contracted agents, and broker… more
- The Cigna Group (Plano, TX)
- …in Houston, San Antonio, Dallas or Plano** The **Director, Provider Contracting - Medicare ** serves as an integral member of the Network Development and Strategy ... Team and reports to the Provider Contracting Senior Manager . This role is a key contributor to the development of the strategic direction and is accountable for the… more
- Public Consulting Group (Austin, TX)
- …of our work. + Assist the Business Team in conducting research to determine compliance with relevant Medicare or other government program regulations. + Develop ... . **Job-Specific Responsibilities** + Provide strong leadership on all Medicare /Medicaid cost settlement and supplemental payment projects, effectively supervising… 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
- Houston Methodist (Cypress, TX)
- At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a targeted ... continued stay and resource use, appropriate level of care and program compliance . Identifies when services no longer meet InterQual/Milliman l criteria, initiates… more
- Baylor Scott & White Health (Dallas, TX)
- JOB SUMMARY Director Billing, Regulatory, and Provider Coding Compliance is responsible for planning, developing, and enforcing compliance programs for Baylor ... Scott and White Health (BSWH), which may include varied compliance functions and programs such as provider regulatory compliance , coding compliance , … more
- HCA Healthcare (El Paso, TX)
- …reservations or limits? Our Las Palmas Medical Center team is looking for a(an) Manager of Case Management RN. HCA Healthcare is an advanced healthcare network that ... save lives across the country? Apply today to our Manager of Case Management RN and be a part...of patient medical records for purposes of utilization review, compliance with requirements of external review agencies including governmental… more
- Houston Methodist (Nassau Bay, TX)
- At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target patient ... continued stay and resource use, appropriate level of care and program compliance . Identifies when services no longer meet InterQual/Millman l criteria, initiates… more
- AbbVie (Dallas, TX)
- …Twitter, Facebook, Instagram, YouTube and LinkedIn. Job Description The Urology District Manager leads the sales performance and professional development of a team ... centers (ASC), community-based hospitals, and academic medical centers. The District Manager cultivates relationships with key opinion leaders and other identified… more
- Molina Healthcare (Port Arthur, TX)
- …Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Relations ... and implements tracking tools to ensure timely issue resolution and compliance with all applicable standards. * Oversees appropriate and timely… more
- J&J Family of Companies (Austin, TX)
- Field Reimbursement Manager , CAR-T - Northeast Region - 2406206269W **Description** Johnson & Johnson is recruiting for a Field Reimbursement Manager , CAR-T to ... impact health for humanity. Learn more at https://www.jnj.com/ . The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead for… more
- UTMB Health (Galveston, TX)
- Manager , Hospital/Professional Billing - Revenue Cycle HB Billing & Denials (Houston, Hybrid/Remote)) **Galveston, Texas, United States** **Hot** Business, ... Managerial & Finance UTMB Health Requisition # 2404086 ** Manager , Hospital/Professional Billing - Revenue Cycle HB Billing &...Cycle as well as throughout the institution to ensure compliance with all Federal and State-mandated billing and cash… more
- HCA Healthcare (Dallas, TX)
- …Do you want to join an organization that invests in you as a Manager Reimbursement? At Medical City Healthcare, you come first. HCA Healthcare has committed up ... to be a part of our team. **Job Summary and Qualifications** Complete Medicare and Medicaid cost reports to obtain appropriate reimbursement from these programs and… more
- Insight Global (Richardson, TX)
- …company is seeing a Project Manager to work on regulatory and compliance projects tied to medicare /medicaid inititiaves. - Direct and coordinate resources to ... projects Experience in the Healthcare/Insurance Industry Experience on regulatory or compliance projects preferred Solid understanding of Scrum and Agile concepts… more
- Houston Methodist (Katy, TX)
- …Access Services, and Utilization Review as needed to ensure operational billing compliance with government/regulatory agencies and the Medicare and Medicaid ... At Houston Methodist, the Manager Revenue Cycle position is responsible for the...guidance to staff and is responsible for staffing, budget compliance , contributing to staffing decisions such as hiring and… more
- HCA Healthcare (San Antonio, TX)
- **Description** Methodist Hospital Westover Hills Manager Quality Clinical Outcomes Department Full Time - Exempt Day Shift - Weekdays Only Do you have a passion for ... oversight for development and implementation of quality improvement and regulatory compliance . The position owns the analysis of quality and performance improvement… more
- Apex Health Solutions (Houston, TX)
- …necessary quality assurance for functional areas; monitors expenses in full compliance with established budgets and policies. Monitors operations and performance of ... Manages daily enrollment and disenrollment operations related to beneficiaries in Medicare Advantage products including receipt, tracking, reviews and processing of… more
