- Sysco (Houston, TX)
- …growing local healthcare business within the **NYC Metro Region (Connecticut, Long Island, etc.)** by developing relationships with current and perspective customers ... in Acute Care, Senior Living, and Long -Term Care sectors that traditionally require expertise around nutritional requirements, regulatory compliance , menu… more
- Humana (Austin, TX)
- …largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical, ... questions on financials and operations + Provide financial insights for long -term strategic decision-making across the broader CW segment + Support prioritization… more
- Molina Healthcare (San Antonio, TX)
- …appropriate and correct clinical decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) ... on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long -Term Services & Supports issues. + Identifies and reports quality of… more
- CenterWell (San Antonio, TX)
- …health first** The Provider Engagement Professional develops and grows positive, long -term relationships with physicians, providers and healthcare systems in order ... performance **Preferred Qualifications** + Bachelor's Degree + Comprehensive knowledge of Medicare policies, processes and procedures + Value based care knowledge… more
- CenterWell (San Antonio, TX)
- …of hands-on healthcare experience in a clinical setting, preferably within the Medicare population + Experience with Payor Portals + Proficient with Microsoft Office ... volunteer time off, paid parental and caregiver leave), short-term and long -term disability, life insurance and many other opportunities. **About Us** About… more
- CenterWell (Austin, TX)
- …+ Previous experience with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + Previous clinical experience in managed care ... volunteer time off, paid parental and caregiver leave), short-term and long -term disability, life insurance and many other opportunities. **About us** About… more
- CenterWell (Corpus Christi, TX)
- …* Knowledge of HEDIS measures and quality indicators * Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated ... volunteer time off, paid parental and caregiver leave), short-term and long -term disability, life insurance and many other opportunities. **About Us** About… more
- CenterWell (Corpus Christi, TX)
- …experience * Basic knowledge of Population Health Strategy * Familiarity with Medicare * Experience managing a budget of $500,000 **Work Schedule:** Full Time ... volunteer time off, paid parental and caregiver leave), short-term and long -term disability, life insurance and many other opportunities. **About Us** About… more
- CenterWell (Fort Worth, TX)
- …indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals *Personally ... volunteer time off, paid parental and caregiver leave), short-term and long -term disability, life insurance and many other opportunities. **About Us** About… more
- CenterWell (Austin, TX)
- …+ Previous experience with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + 3 or more years clinical experience ... volunteer time off, paid parental and caregiver leave), short-term and long -term disability, life insurance and many other opportunities. **About us** About… more