- Humana (Austin, TX)
- …put health first** Humana's Marketing organization is seeking a Marketing Automation Manager who specializes in Adobe Experience Platform (AEP) and Next Best Action ... execution to join the team as a Senior Product Manager working anywhere in the US. As a Specialist...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- Houston Methodist (The Woodlands, 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
- Lundbeck (Waco, TX)
- …anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid, Commercial) using Lundbeck resources. **Pharmaceutical Environment/ Compliance ... Multi-Specialty Account Manager - Waco, TX Requisition ID: 6706 Location: Waco,...the primary care and neurology settings. As an Account Manager , you lead the promotion of our psychiatry portfolio,… more
- Lundbeck (Longview, TX)
- BioPharmaceutical Account Manager - Dallas East, TX Requisition ID: 6617 Location: Longview, TX, US **Territory: Dallas East, TX - Neurology** Target area for ... the way in creating positive customer experiences! As a BioPharmaceuticals Account Manager , you lead the promotion of our infusion product, driving demand creation… more
- UTMB Health (Galveston, TX)
- …government payor reimbursement-related calculations and estimates and ensures UTMB compliance with Medicare and Medicaid regulations. **Scope:** Institutional ... actions to implement appropriate processes and procedures to ensure compliance with Medicare and Medicaid regulations. +...to include four (4) years of reimbursement experience at manager level or above. + Experience with Medicare… more
- Molina Healthcare (San Antonio, TX)
- …programs providing ongoing communication of goals, evaluation, and support to ensure compliance with standardized protocols and processes. + May engage and oversee ... years supervisory/management experience in a managed healthcare environment. + Medicaid/ Medicare Population experience with increasing responsibility. + 3+ years of… more
- CVS Health (Austin, TX)
- …issues. + Manages operational aspects of the team (eg, budget, performance, and compliance ), and implements workforce and succession plans to meet business needs. + ... of 3 years managing/leading a team. + Experience working in Medicare , Medicaid, or Commercial Health Insurance. **Preferred Qualifications** + Experience working… more
- Genesis Healthcare (TX)
- …to meet those goals. *Provide guidance, oversight, and direction for compliance of auditing activities and investigations related to MDS and reimbursement. ... Nurse or equivalent professional license (ie Physical Therapist) *Must have Medicare and State-specific Medicaid experience (as applicable). *Must be willing to… more
- Molina Healthcare (San Antonio, TX)
- …and supervision of daily functional operations to insure compliance to contract requirements. **Knowledge/Skills/Abilities** * Oversees budget responsibilities ... type management responsibility. 5 years progressive experience supporting a Medicaid,. Medicare and Marketplace or large claims processing environment with… more
- Houston Methodist (Sugar Land, TX)
- …care and ensures prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members, as well as management. **PEOPLE ESSENTIAL ... direct, transfer, and emergency care patients designated for admission to ensure compliance with CMS guidelines regarding appropriateness of level of care. +… more