- Health Care Service Corporation (Richardson, TX)
- …deliverables on schedule + Healthcare acumen, Managed Care Organization, Pharmacy Benefit Manager, Medicare experience + Advanced analytical skills, databases ... driving delivery, contingency planning, business results, and strategic planning for Medicare Part D Pharmacy consisting of multiple programs, complex projects, and… more
- Health Care Service Corporation (Richardson, TX)
- …company that will invest in your professional development. **Job Summary** The Medicare Senior Business Consultant is responsible for providing internal ... including senior management. This position supports the prioritization of Medicare activities and tracks progress to goals. **Required Job Qualifications:**… more
- Oracle (Austin, TX)
- …payers. Specific responsibilities include gathering payer system requirements, understanding Medicare and Medicaid benefits structures, and working with ... solutions for each healthcare payer. An Oracle Health Insurance (OHI) Senior Principal Consultant must be proficient in US healthcare domain knowledge and have the… more
- HCA Healthcare (Houston, TX)
- …you passionate about delivering patient-centered care?** Submit your application for Lactation Consultant RN PRN position and spend more time at the bedside with ... the patient. ** Benefits ** The Woman's Hospital of Texas, offers a total...program compliance with accreditation and regulatory requirements (Joint Commission, Medicare /Medicaid, state standards) and maintaining required documentation + Partnering… more
- Oracle (Austin, TX)
- …Applies Oracle methodology, company procedures, and leading practices. As a Lead Consultant you will consult on data and modelling impacts, guiding clients through ... visualization tool like BO or Tableau + Healthcare experience with Medicaid/ Medicare Claims Reporting **Expectations** + Perform other responsibilities as assigned +… more
- Health Care Service Corporation (Richardson, TX)
- …will invest in your professional development. **Job Summary** The Senior Analytics Consultant - Medical Economics role supports medical cost trend analysis for the ... Government Business segment, with a primary focus on the Medicare Advantage business. This role is responsible for developing...be part of an organization committed to offering meaningful benefits to our employees to support their life outside… more
- CVS Health (Austin, TX)
- …hours of Mon-Fri 8-5 PM in your time zone and is for a** ** Medicare Precertification Nurse.** _Utilization Management is a 24/7 operation and work schedules will ... coordinate, monitor and evaluate options to facilitate appropriate healthcare services/ benefits for members. + Gathers clinical information and applies the… more
- Baylor Scott & White Health (Austin, TX)
- **Description - External** **JOB SUMMARY** The Healthcare Billing Compliance Consultant Sr performs ongoing activities related to the development, implementation, ... a timely way. . Responds to inquiries and guidance requests utilizing applicable Medicare and Medicaid rules and regulations. Serves as a compliance resource to BSWH… more
- Sedgwick (Austin, TX)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Litigated Claims Consultant (Examiner) | Public Entity | Remote **Are you looking for an ... principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business. + Technically skilled… more
- Insight Global (Fort Worth, TX)
- …for pensions, annuities, investments and other sources - Social Security and Medicare Planning - Military and Federal Employee Benefits - Retirement planning ... Job Description The Advanced Planning Consultant services as a financial planning expert to...income taxation - IRA and Qualified Retirement Plan features benefits , distribution option and taxation rules - Strategies for… more