- 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
- Prime Therapeutics (Austin, TX)
- …passion and drives every decision we make. **Job Posting Title** Clinical Account Manager - Georgia PDL - Remote in Georgia **Job Description** Innovative business ... of the account, including P&L responsibility; and accountability for contract compliance .Accountable for developing and executing the strategic plan for their… more
- Centene Corporation (Austin, TX)
- …End-to-end development, filing and execution of the Medicare Supplemental benefits. Program Manager III will own a complex portfolio of designs, and directly ... annually. Directly responsible for developing CMS filing guides for benefits. Program Manager III is responsible for development, aspects of contract and rate… 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
- Molina Healthcare (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
- CenterWell (Garland, TX)
- …food insecurity, navigation of and application for benefits including, Medicaid , HCBS, working to reduce costs associated with prescription medications, ... of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Centene Corporation (Corpus Christi, TX)
- …management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines ... assessments and care coordination of formal healthcare/behavioral services with adults Medicaid recipients (18 - 65) . Experience managing high volume caseloads… 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 in… 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. ... professional license (ie Physical Therapist) *Must have Medicare and State-specific Medicaid experience (as applicable). *Must be willing to travel as this… more