- Molina Healthcare (TX)
- …be licensed for the state of OHIO. This position will support our MMP ( Medicaid Medicare Population) with members in Nursing Facilities. This position will have a ... case load and manage members enrolled in this program . We are looking for Registered Nurses who have...**Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If you… more
- Centene Corporation (Corpus Christi, TX)
- …assessments and care coordination of formal healthcare/behavioral services with adults Medicaid recipients (18 - 65) . Experience managing high volume caseloads ... resiliency skills. . Experience working in FIELD based Case Manager /Social Worker roles is a PLUS . Experience working...additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that… more
- Centene Corporation (Austin, TX)
- …VBC contract management. + Monitors VBC performance under risk arrangements for Medicaid and Medicare product lines. + Performs data analysis and develops specific ... years of Supervisory, or Lead/Sr. role with demonstrated leadership ability or program management experience Pay Range: $68,700.00 - $123,700.00 per year Centene… more
- Genesis Healthcare (TX)
- …professional license (ie Physical Therapist) *Must have Medicare and State-specific Medicaid experience (as applicable). *Must be willing to travel as this ... compensation plans *Tuition, Travel, and Wireless Service Discounts *Employee Assistance Program to support mental health *Employee Foundation to financially assist… more
- CVS Health (Austin, TX)
- …Microsoft Office. **Preferred Qualifications:** + Experience working with Medicare or Medicaid programs or products. + Experience with regulatory requirements. + ... This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our… more
- Molina Healthcare (San Antonio, TX)
- …QUALIFICATIONS:** + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met...including experience in Medicaid and/or Medicare, or equivalent combination of relevant education… more
- HCA Healthcare (Corpus Christi, TX)
- …assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, ... patient + Demonstrates excellent customer service + In conjunction with the Medicaid Eligibility Staff visit all uninsured patients in-house + Provide estimates to… more
- HCA Healthcare (Mckinney, TX)
- …assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, ... charges to accounts. Communicates any charge related issues to Charge Master Manager /Analyst. SUPERVISOR: Practice Manager /Billing Manager DUTIES INCLUDE BUT… more
- Molina Healthcare (TX)
- …intervention initiatives including all lines of business (Medicare, Marketplace, Medicaid ). Executes health plan's member and community quality focused interventions ... and programs in accordance with prescribed program standards, conducts data collection, monitors intervention activity including...to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may… 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 Senior** ... with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health...independently on assignments and under minimal guidance from the manager . + Prepare detailed work papers and present findings… more