- Humana (Austin, TX)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information,… more
- Aveanna Healthcare (Dallas, TX)
- …and Employees Residing in California As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant ... jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job Applicants Residing in California (https://www.aveanna.com/CaliforniaPrivacyNotices.html) Apply more
- BrightSpring Health Services (Grand Prairie, TX)
- …follow-up claims in Point of Sale (POS) + Maintains current knowledge of Medicaid claim regulations and processes + May produce reports and keep management informed ... of unpaid claims and claims pending follow-up + Provides excellent customer service to external and internal customers in accordance with company values + May assist with drug preparation and dispensing under the direct supervision of a Pharmacist + Performs… more
- Molina Healthcare (San Antonio, TX)
- …proficient knowledge of MS Suite, organized and analytical thinking. Experience with Medicare/ Medicaid , MS 365 and familiarity with claims is highly preferred. The ... Case Manager must be able to work in a high-volume environment. Bilingual candidates that speak Spanish are encouraged to apply. Further details to be discussed during our interview process. Remote with 10% travel to member's home or facility Work schedule… more
- Humana (Austin, TX)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information,… more
- Molina Healthcare (Houston, TX)
- …is current and up to date. + Effectively communicate general Medicare and Medicaid plan benefits to existing members. + Interact with appropriate primary care ... providers to ensure patient registry is current and accurate. + Support pharmacists with completion of comprehensive medication reviews through pre-work up to case preparation. + Proactively identify ways to improve member relations. **Job Qualifications**… more
- Humana (Austin, TX)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information,… more
- Prime Therapeutics (Austin, TX)
- …+ Participates in peak season planning and execution + May manage Medicaid subrogation activities including monitoring batch claim files, outgoing eligibility files, ... verification of letters of authority and some claims analysis. + Other duties as assigned **Minimum Qualifications** + Bachelor's degree in IT, Business, Liberal Arts, Science or related area of study, or equivalent combination of education and/or relevant… more
- Molina Healthcare (TX)
- …National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), policies and procedures, quick reference guides (QRGs), audit ... tools and additional requirements during implementations. Attends all implementation meetings and actively participates for seamless launch. * In conjunction with enterprise delegation oversight team, develops, implements, and tracks corrective action plans… more
- HCA Healthcare (San Antonio, TX)
- …full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 ... colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities. HCA Healthcare has been recognized as one of the World's Most Ethical Companies(R) by the Ethisphere Institute… more