- Humana (Austin, TX)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Prime Therapeutics (Austin, TX)
- … and member materials and communications, and product ownership for Medicare and Medicaid formularies + Provide consultation and recommendations to the client ... Management programs, and other drug therapy related products and services offered by Prime. As the primary point of...opportunities beneficial or of interest to the plan + Provide clinical guidance and support for client's Health Insurance… more
- USAA (San Antonio, TX)
- …with Legal, Risk and Compliance on interpretation of CMS (Center for Medicare and Medicaid Services ) rules to provide guidance and clarification to executive ... to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the...USAA is seeking a talented **Director, Retirement Income** to lead multiple teams of Health, Life or Retirement Income… more
- Public Consulting Group (Austin, TX)
- …streamline operations and achieve strategic goals to serve the public better. We provide the full spectrum of technology consulting services to help state ... and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000… more
- Molina Healthcare (Fort Worth, TX)
- … provider contracting experience. * Experience with NCQA, HEDIS, Medicaid , Medicare and Pharmacy benefit management, Group/IPA practice, capitation, HMO ... and case management programs for mental health and chemical dependency services and assists with implementing integrated Behavioral Health care management programs.… more
- Houston Methodist (Katy, TX)
- …coding, insurance billing, collections, patient account resolution, appeals/denials, customer service , cash applications, revenue integrity, etc. This position is ... and accreditation/regulatory/ government regulations. + **Audit Oversight & Lifecycle Management** + Lead the management and response process for a variety of audits… more
- J&J Family of Companies (Denton, TX)
- …Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs), ... personal experiences and beliefs, the presence or absence of support networks, provider and payer dynamics, and socioeconomic factors. For many patients, the… more
- Evolent (Austin, TX)
- …excellence, product innovation, clinical partnerships, and financial impact assessment + Lead provider and member engagement strategies to improve the ... on medical oncology, radiation oncology, and surgical oncology + Provide leadership to overall oncology service line...quality of care for oncology care services + Lead the development of new… more
- Humana (Austin, TX)
- …business processes, systems, tools, regulations and structure and how they interrelate to provide products and services that create value for Humana members + ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Austin, TX)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more