- CenterWell (Beaumont, TX)
- …primary care "on-call" program of CenterWell as needed. . Assures personal compliance with licensing, certification, and accrediting bodies. . Spend 100% of your ... **Preferred Qualifications:** + Active and unrestricted DEA license. + Medicare & Medicaid Provider Number. + Bilingual in English/Spanish, with the ability to… more
- Fresenius Medical Center (Odessa, TX)
- …another staff member present Position functions as an onsite Patient Educator and Case Manager for patients with various shifts and work hours Float within the area ... a licensed nurse under organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies.… more
- CenterWell (Humble, TX)
- …primary care "on-call" program of CenterWell as needed. + Ensure personal compliance with licensing, certification, and accrediting bodies. + Spend 100% of your ... **Preferred Qualifications:** + Active and unrestricted DEA license. + Medicare & Medicaid Provider Number. + Bilingual in English/Spanish, with the ability to… more
- Humana (Austin, TX)
- …campus and datacenters. The primary responsibility of the Network Operations Manager will be to provide the highest quality network infrastructure environment ... for future budget forecasting and planning needs. + Communicate status updates to Manager of IT and other Senior business leaders where necessary. + Research and… more
- Humana (Austin, TX)
- …with our Security Automation Product Owner, Product Security Product Manager , Product Security Governance, DevOps, Enterprise Information Protection and Enterprise ... Information Systems Security Professional * (CISSP), Certified Information Security Manager (CISM), Certified Information Systems Auditor (CISA) or other similar… more
- Houston Methodist (Houston, TX)
- …and written communication. + Identifies denial trends and notifies supervisor and/or manager to prevent future denials and further delay in payments. Collaborates ... and provides support to other team members as advised by the manager and/or supervisor. **SERVICE ESSENTIAL FUNCTIONS** + Completes special projects to improve… more
- Molina Healthcare (TX)
- …answer, and average hold time are compliant with Centers for Medicare and Medicaid Services (CMS) regulations. + Ensures that adequate staffing coverage is present ... leadership with monitoring and oversight of Molina's contracted Pharmacy Benefit Manager (PBM) for pharmacy contractually delegated functions. + Responsible for key… more
- HCA Healthcare (Corpus Christi, TX)
- …Reasons + Communicate coding revisions to the applicable party (eg, CIS, lead, manager , international log) + Periodically works with manager to review individual ... registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance , credentialing, health information management, customer service, payroll and… more
- Sysco (Houston, TX)
- …that traditionally require expertise around nutritional requirements, regulatory compliance , menu development, disaster planning, and Group Purchasing Organizations. ... experience **Licenses/Certification Preferred:** + Registered Dietitian License, Certified Dietary Manager (CDM), or Dietetic Technician, Registered (DTR) strongly preferred… more
- CenterWell (Austin, TX)
- …experience with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + Previous clinical experience in managed care **Additional ... 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