- Humana (Austin, TX)
- …leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- CVS Health (Austin, TX)
- …and maintaining a deep understanding of PBM financial levers within Commercial, Medicaid , Medicare Part D, and Public Exchange lines of business. + Conduct ... Deep understanding of different lines of business (ex. fully insured, ASO, Medicaid , Medicare, Exchanges) to provide relevant recommendations and to influence client… more
- CenterWell (Houston, TX)
- …food insecurity, navigation of and application for benefits including, Medicaid , HCBS, working to reduce costs associated with prescription medications, ... limitations and assistance **Preferred Qualifications** + Familiarity with state Medicaid guidelines and application processes preferred + Experience working with… more
- Houston Methodist (Houston, TX)
- …Federal Tax Returns Health and Human Services (HHS)/Centers for Medicare and Medicaid Services (CMS) reporting, Federal and State Charity Reporting, Federal tax ... Charity Report. + Directs the coordination, review and filing of Medicare and Medicaid cost reports and associated audits by the fiscal inter-mediatry. Also directs… more
- Molina Healthcare (TX)
- …and clinical performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **Job Qualifications** ... + 5+ years of related experience in healthcare + Demonstrated understanding of Medicaid and Medicare programs or other healthcare plans + Analytical work experience… more
- Molina Healthcare (Fort Worth, TX)
- …Opportunity for a Texas licensed RN to join Molina to work with our Medicaid members in the Fort Worth, TX service delivery area. You will conduct face-to-face ... will be given to those candidates with previous experience working with the Medicaid population within a Managed Care Organization (MCO). Mileage is reimbursed as… more
- HCA Healthcare (Pearland, TX)
- …Resolve claim processing delays from various payer products including HMO, PPO, Medicaid , Medicare, Auto and Workers' Compensation. + Effectively utilize ERA payment ... 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… more
- Molina Healthcare (San Antonio, TX)
- …and performs oversight over critical Medicare Stars functions occurring in our Medicaid health plans. + Works with senior executives, Vice Presidents and others ... at least 5 years in health plan quality improvement. + 5 years Medicaid / Medicare experience. + Minimum 3 years people management experience + Demonstrated knowledge… more
- Molina Healthcare (Missouri City, TX)
- …LVN or licensed Social Worker to join Molina to work with our Medicaid members in the southwest Houston, TX service delivery area. Responsibilities include ... will be given to those candidates with previous experience working with the Medicaid population within a Managed Care Organization (MCO). Mileage is reimbursed as… more
- Aveanna Healthcare (Houston, TX)
- …skills are a PLUS. Note: As an employer receiving Medicare and Medicaid funds, Aveanna employees must comply with all health-related requirements, including ... 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