- NTT America, Inc. (Plano, TX)
- …adaptable, and forward-thinking organization, apply now. We are currently seeking a Delivery Senior Manager to join our team. NTT DATA is seeking to hire a ** ... Medicare Appeals Clinical Leader** to lead service delivery engagements...performance, metrics, and processes. + Track appeal metrics, including case volumes, resolution times, and denial rates. + Analyze… more
- HCA Healthcare (San Antonio, TX)
- **Description** **Introduction** Do you have the career opportunities as a Clinical Manager RN you want with your current employer? We have an exciting opportunity ... colleagues. Do you want to work as a Clinical Manager RN where your passion for creating positive patient...and performance of assigned home health care team(s)Supervises ongoing case management of all patients ensuring an accurate evaluation… more
- Molina Healthcare (TX)
- …services. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active and unrestricted Certified Case Manager (CCM) Active, unrestricted State Nursing license ... of OHIO. This position will support our MMP (Medicaid Medicare Population) with members on Waiver program. This position...members on Waiver program. This position will have a case load and manage members enrolled in this program.… more
- Datavant (Austin, TX)
- …vision for healthcare. **What we're looking for:** The incoming Risk Adjustment Analytics Manager will be stepping into a role on the Business Analytics team and ... of its analysts. We are looking for a hands-on manager who has experience and interest in providing guidance...(2+ years) + 3+ years of experience working with Medicare , ACA, and/or Medicaid risk adjustment models + 5+… more
- CenterWell (League City, TX)
- …of our caring community and help us put health first** The **Clinical Manager ** coordinates and oversees all direct care patient services provided by clinical ... the delivery of care to all patients served by the location. Receives case referrals. Reviews available patient information related to the case , including… more
- Methodist Health System (Dallas, TX)
- …:** 5 days **Work Shift :** **Job Description :** Your Job: The SR REIMBURSEMENT( MEDICARE ) ANALYST will assist the Manager of Regulatory Compliance, the ... * CPA Preferred * Position requires extensive knowledge of governmental programs ( Medicare and Medicaid). * Good written and oral communication skills. * Good… more
- Datavant (Austin, TX)
- …to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the strategy and ... measure product impact, and support value-based client delivery across Medicare Advantage, ACA, and Medicaid programs. The ideal candidate...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Molina Healthcare (Addison, TX)
- …services. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active and unrestricted Certified Case Manager (CCM) Active, unrestricted State Nursing license ... will be given to those candidates with previous experience working with the Medicare population within a Managed Care Organization (MCO). Mileage is reimbursed as… more
- Humana (Austin, TX)
- …through AI excellence. We are seeking a dynamic and experienced Lead Product Manager to join our team (known internally as Lead, IT Product Management). The ... successful products in an agile framework. The Lead Product Manager will collaborate with cross-functional teams, including engineering, design,...oriented, collaborative, and able to adapt to changing use case needs. Our goal is to create safe AI… more
- Elevance Health (Grand Prairie, TX)
- …member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services ... federal health programs._ The **Audit and Reimbursement Senior** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for… more
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