- Aveanna Healthcare (Corpus Christi, TX)
- …children, adolescents, and adults. Note: As an employer receiving Medicare and Medicaid funds, Aveanna employees must comply with all health-related requirements in ... Aveanna's supportive and dynamic environment! As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all… more
- Humana (Austin, TX)
- …necessity and appropriateness of care + Health Plan experience + Previous Medicare/ Medicaid Experience a plus + Bilingual is a plus **Workstyle:** Remote work ... 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)
- …utilization management with ASAM knowledge + Health Plan experience + Previous Medicare/ Medicaid Experience a plus + Bilingual is a plus **Workstyle:** Remote work ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Aveanna Healthcare (Temple, TX)
- …an after-hours on-call schedule. Note:As an employer receiving Medicare and Medicaid funds, employees must comply with all health-related requirements in relevant ... Aveanna's supportive and dynamic environment. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all… more
- Public Consulting Group (Austin, TX)
- …communications, and training activities related to MEMS Modules, MMIS Core Solutions, Medicaid DSS/DW and SI. * Prepare change impact assessments, identify risks, ... equivalent experience required. * 5 years of previous OCM experience preferred. * Medicaid experience a plus. * Ability to understand both the service delivery… more
- Humana (Austin, TX)
- …delivering high plan quality as rated by the Centers for Medicare and Medicaid Services (CMS). The CMS Stars quality rating system evaluates Medicare Advantage and ... 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)
- …delivering high plan quality as rated by the Centers for Medicare and Medicaid Services (CMS). The CMS Stars quality rating system evaluates Medicare Advantage and ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Prime Therapeutics (Austin, TX)
- …member materials and communications, and product ownership for Medicare and Medicaid formularies + Provide consultation and recommendations to the client regarding ... experience + Knowledge of the applicable line of business (eg, Medicare, Medicaid , Exchange, Commercial, Employer Group) Every employee must understand, comply with… more
- MSys Inc. (Austin, TX)
- …and ser. + 12 years in Demonstrable expertise with MITA ( Medicaid Information Technology Architecture), including practical application in complex system ... experience with Health and Human Services (HHS) integrated eligibility systems (eg, Medicaid , SNAP, TANF, CHIP). This includes a deep understanding of federal… more
- Cardinal Health (Austin, TX)
- …long and short-range changes in the reimbursement environment including Medicare, Medicaid , Managed Care, and Commercial medical and pharmacy plans while planning ... diploma or equivalent preferred + Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for coverage, preferred + Strong people… more