- Public Consulting Group (Austin, TX)
- …state, and local claiming requirements and guidance, especially Medicare and Medicaid . + Must understand coding guidance, including CPT (Current Procedural ... + Extensive experience in the full claim process particularly regarding Medicaid requirements. + Experience with MS-Office (proficiency in Word, Excel, PowerPoint).… more
- CenterWell (Houston, TX)
- …food insecurity, navigation of and application for benefits including, Medicaid , HCBS, working to reduce costs associated with prescription medications, ... . Bachelor's Degree in applicable discipline . Familiarity with state Medicaid guidelines and application processes . Experience working with patients with… more
- Humana (Austin, TX)
- …Guidance on following and reviewing home health, SNF, DME, dual Medicare/ Medicaid and Waiver requests. The Medical Director provides medical interpretation and ... leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Humana (Austin, TX)
- …Guidance on following and reviewing home health, SNF, DME, dual Medicare/ Medicaid and Waiver requests. The Medical Director provides medical interpretation and ... leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- HCA Healthcare (San Antonio, TX)
- …of care and meets the requirements or regulations of JCAHO, Medicare, Medicaid , and appropriate licensing or certified boards. The manager is responsible to ... participation, requirements or regulation of the following: JCAHO, Medicare, Medicaid , Texas State Licensures and Certifications as requires. **What qualifications… more
- Cayuse Holdings (Austin, TX)
- …on stakeholder feedback and subject matter expertise. + 8 years' experience with Medicaid systems and processes. + 8 years' experience in claims processing. + Must ... team. **Preferred Qualifications:** + 4 years' experience and knowledge with Texas Medicaid programs. + 2 years' experience with the Project Enrollment and… more
- Humana (Austin, TX)
- …Principal coordinates, implements, and manages oversight of the company's Medicare/ Medicaid Stars Program for aligned areas. The Stars Improvement Principal ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Humana (Austin, TX)
- …flexibility in care manager's schedule. **Duties:** + Telephonically assess Medicare, Medicaid , and/or and Group Account members and create actionable and measurable ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Humana (Austin, TX)
- …clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products + Possess analysis and interpretation skills ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Cognizant (Austin, TX)
- …member onboarding for individual, group, and government-sponsored health plans (Medicare, Medicaid , ACA), ensuring compliance with CMS, ACA, and other regulatory ... enrollment processes for individual, group, and government-sponsored health plans (Medicare, Medicaid , ACA). . Strong understanding of CMS, ACA, and other regulatory… more