- CenterWell (Edinburg, TX)
- …environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators + Bilingual English/Spanish. Must be able to speak, read ... and write in both languages without limitations or assistance. See Additional Information on testing **Additional Information:** + Guaranteed base salary + bi-annual bonus + Excellent benefit package - _health insurance effective on your first day of… more
- Centene Corporation (Austin, TX)
- …in avoidable/impactable admissions and readmissions, continuous improvement of HEDIS measures, reduction of unnecessary ER visits, appropriate prescription ... drug spend, and mitigation of provider abrasion from prior authorization and inpatient management programs. + Collaborate with matrix partners to design, implement, and drive programs that align with and achieve Behavioral Health goals for the product. + Take… more
- CenterWell (Fort Worth, TX)
- …environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators **Additional Information** + Guaranteed base salary + bi-annual ... bonus + Excellent benefit package - health insurance effective on your first day of employment + CME Allowance/Time + Occurrence Based Malpractice Insurance + Relocation and sign-on bonus options + 401(k) with Employer Match + Life Insurance/Disability + Paid… more
- CenterWell (Houston, TX)
- …environment . Knowledge of Medicare guidelines and coverage . Knowledge of HEDIS quality indicators **Additional Information:** . Base salary +bi-annual incentive . ... Excellent benefit package - _health insurance effective on your first day of employment_ . CME Allowance/days . Occurrence Based Malpractice Insurance . Relocation and sign-on bonus options . 401(k) with employer tch . Life Insurance/Disability . Paid Time… more
- CenterWell (Port Arthur, TX)
- …in PCO center + Value Based Care experience including knowledge of HEDIS , CPT/ICD coding, and CAHPS/HOS Patient Experience + Bilingual proficiency in English ... and Spanish **Additional** **Information** **Work Schedule:** Monday - Friday, 8am- 5pm **Use your skills to make an impact** **Additional Information** This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If… more
- CenterWell (Beaumont, TX)
- …environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators + Bilingual is a plus **Additional Information** Scheduled 8:00 ... am to 5:00 pm \#physiciancareers \#LI-157966401_KT1 **Scheduled Weekly Hours** 1 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range… more
- Molina Healthcare (Austin, TX)
- …policy/procedure development, provider contracting experience. * Experience with NCQA, HEDIS , Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice, ... capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment, disease management, and evidence-based guidelines. To all current Molina employees: If you are interested in… more
- ChenMed (Houston, TX)
- …hospital sick days), CG CAHPS and net promoter score (patient experience), HEDIS and clinical gaps closures, and medical cost effectiveness measures. Each primary ... care provider (PCP) will have goals for these metrics and will be expected to work towards those targets with their center and market leadership as well as their care team. Culture is also very important in the medical centers and CMDs are expected to ensure… more
- CenterWell (San Antonio, TX)
- …+ Superior patient/customer service **Preferred** **Qualifications:** + Knowledge of HEDIS measures and quality indicators + Experience managing Medicare Advantage ... panel of patients with understanding of Best Practice in coordinated care environment in a value-based relationship environment + Bilingual English/Spanish. Must be able to speak, read and write in both languages without limitations or assistance. See… more