• Reimbursement Coordinator (Patient…

    Cardinal Health (Austin, TX)
    …a lot of different hats, without getting overwhelmed), required * Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers' policies and guidelines ... for coverage, preferred * Knowledge of DME, MAC practices, preferred * Prior understanding of Medical, Supplemental, and pharmacy insurance benefit practices, preferred * Intermediate to advanced computer skills and proficiency in Microsoft Office including… more
    Cardinal Health (09/03/25)
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  • Lead Analyst, Payment Integrity

    Molina Healthcare (Fort Worth, TX)
    …Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met ... a Managed Care Organization (MCO) or health plan setting, including experience in Medicaid and/or Medicare , or equivalent combination of relevant education and… more
    Molina Healthcare (09/07/25)
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  • Sr. Accounting and Reporting Analyst - FT (Hybird)

    Houston Methodist (Houston, TX)
    …**GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Seeks out opportunities to grow knowledge of Medicare reimbursement , tax regulations, State 1115 waivers, FEMA, and ... service focus and application of positive language principles + Expert knowledge of Medicare reimbursement , tax and/or FEMA rules preferred + Strong knowledge of… more
    Houston Methodist (06/24/25)
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  • Patient Care Manager Senior

    Gentiva (Lubbock, TX)
    …and practice, including industry standards, regulations, and best practices (ie, Medicare , Medicaid , JCAHO, ACHC), company policies/procedures, and understanding ... families. + Thorough knowledge of managed care principles, regulatory guidelines (ie, Medicare , Medicaid , JCAHO, ACHC, and human resource) management principles… more
    Gentiva (08/15/25)
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  • Sr Utiliz. Review Spclst Nurse

    Houston Methodist (Houston, TX)
    …customer service focus and application of positive language principles + Knowledge of Medicare , Medicaid , and Managed Care requirements + Knowledge of community ... roles and is responsible for facilitating appropriate length of stay (LOS) and reimbursement for all hospital admissions in accordance with set goals and objectives.… more
    Houston Methodist (08/26/25)
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  • Therapy Access Manager (AZ/TX/OK/NM)

    United Therapeutics (Fort Worth, TX)
    …Teams + Advanced knowledge of medical insurance terminology + Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in ... develop and implement plans that optimize patient access and reimbursement . You are an expert in XX with an... Medicare (Part B and Part D) Job Location This… more
    United Therapeutics (09/06/25)
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  • Supplemental Benefit Program Manager III

    Centene Corporation (Austin, TX)
    …aspects of contract and rate negotiations, developing complex benefits that support Medicaid - Medicare , and maintaining a competitive, innovative portfolio. + ... fresh perspective on workplace flexibility. **Position Purpose:** Promote increased Medicare Supplemental Benefit efficiency, service levels, and value by capturing,… more
    Centene Corporation (07/18/25)
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  • Care Experience Manager

    Aveanna Healthcare (Mesquite, TX)
    …+ Willingness to work an after-hours on-call schedule. Note:As an employer receiving Medicare and Medicaid funds, employees must comply with all health-related ... and Sick Days + Quarterly Bonus Opportunities + Mileage Reimbursement + 401(k) Savings Plan with Employer Matching +...Aveanna's supportive and dynamic environment. As an employer accepting Medicare and Medicaid funds, employees must comply… more
    Aveanna Healthcare (09/08/25)
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  • RN Clinical Supervisor - Hybrid Schedule

    Aveanna Healthcare (Corpus Christi, TX)
    …care to infants, children, adolescents, and adults. Note: As an employer receiving Medicare and Medicaid funds, Aveanna employees must comply with all ... and Sick Days + Quarterly Bonus Opportunities + Mileage Reimbursement + 401(k) Savings Plan with Employer Matching +...Aveanna's supportive and dynamic environment! As an employer accepting Medicare and Medicaid funds, employees must comply… more
    Aveanna Healthcare (09/04/25)
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  • Care Experience Manager

    Aveanna Healthcare (Temple, TX)
    …+ Willingness to work an after-hours on-call schedule. Note:As an employer receiving Medicare and Medicaid funds, employees must comply with all health-related ... and Sick Days + Quarterly Bonus Opportunities + Mileage Reimbursement + 401(k) Savings Plan with Employer Matching +...Aveanna's supportive and dynamic environment. As an employer accepting Medicare and Medicaid funds, employees must comply… more
    Aveanna Healthcare (09/03/25)
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