- Ascension Health (Austin, TX)
- …Tuition reimbursement Ways to give back to your community _Benefit options and eligibility vary by position. Compensation varies based on factors including, but not ... targeted audit of claims to ensure payment accuracy and adherence to state Medicaid guidelines. + Responsible for the comprehensive research and resolution of claim… more
- Amgen (San Antonio, TX)
- …on how the products are covered under the benefit design (Commercial, Medicare, Medicaid ) + Serve as a payer expert for defined geography and promptly communicate ... + Experience with commercial payers, Medicare plans, and state Medicaid in a geographic region + Live in the...salary, Amgen offers a Total Rewards Plan, based on eligibility , comprising of health and welfare plans for staff… more
- Ascension Health (Austin, TX)
- …Tuition reimbursement Ways to give back to your community _Benefit options and eligibility vary by position. Compensation varies based on factors including, but not ... have a solid understanding of Marketing to grow Dell Children's Health Plan Medicaid and CHIP membership, and retain existing members. This position plays a critical… more
- Baylor Scott & White Health (Dallas, TX)
- …no matter where you are on your journey. For full details on coverage and eligibility , visit the Baylor Scott & White Benefits Hub to explore our offerings, which ... may include: + Eligibility on day 1 for all benefits + Dollar-for-dollar...such as the Joint Commission, Centers for Medicare and Medicaid (CMS), National Committee for Quality Assurance (NCQA), Health… more
- Elevance Health (Denison, TX)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior** ... Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services).… more
- Elevance Health (Houston, TX)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs._ The **Audit and Reimbursement III** ... Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services).… more
- Elevance Health (Houston, TX)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement II** ... Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services).… more
- CVS Health (TX)
- …2 and up to 4 market segments for any particular client (Medicare, Medicaid , Exchange, or Commercial). The Health Plan Clinical Advisor is responsible for ... within a health plan. + Experience in all market segments (Medicare, Medicaid , Exchange and Commercial) + Expertise in Utilization Management, Formulary Management… more
- CVS Health (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
- Actalent (Texas City, TX)
- …Customer service skills in a pharmacy setting. + Experience with Medicare, Medicaid , and health insurance. Additional Skills & Qualifications + Registered Pharmacy ... Organization primarily handling government-sponsored health insurance programs such as Medicare, Medicaid , and the exchange program. The position is fully remote,… more