- Molina Healthcare (Houston, TX)
- …a managed care organization ( Medicaid , Medicare, Marketplace and/or other government -sponsored program ), or medical office/hospital setting. * Completion of ... the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Facilitates comprehensive research and… more
- Cayuse Holdings (Austin, TX)
- …of a team. **Preferred Qualifications:** + 4 years' experience and knowledge with Texas Medicaid programs . + 2 years' experience with the Project Enrollment and ... the Mission, Vision, and Core Values of Cayuse. **Responsibilities** + Analyzes program policies, procedures, and processes to determine the impact on business… more
- Southwest Nursing Center (Fort Worth, TX)
- …completion of final MDS and submits resident assessment data to the appropriate State and Federal government agencies. * Assigns, assists, and instructs staff ... data entry of resident information into appropriate computerized MDS programs . * Completes accurate coding of the MDS with...notice. Qualifications * Graduate of an approved Registered Nurse program and licensed in the state of… more
- Public Consulting Group (Austin, TX)
- …public better. We provide the full spectrum of technology consulting services to help state and local agencies meet operational and program needs that enhance ... * Responsible for organizational migration, gap analysis, and coordination of program improvement, communications, and training activities related to MEMS Modules,… more
- Walgreens (Dallas, TX)
- …the billing and submission of claims to government - sponsored health care programs , including Medicare, Medicaid , and all other third-party payers, as well ... the time of refills. + Enrolls and follows patients through clinical management programs . + Oversees the enrollment of patients with assistance programs , such… more
- Elara Caring (Dallas, TX)
- …or personnel. + Oversees the implementation and oversight of all patient care programs and achievement of both clinical and administrative outcomes. + Oversees the ... to meet patient needs. + Ensures compliance of current Medicare, Medicaid , and third-party reimbursement regulations and changes. Identifies and reports potential… more
- Centene Corporation (Austin, TX)
- …all clinical functions (Utilization Management, Care Management, Quality, and Clinical Programs ). + Serve as a strategic clinical thought leader for Behavioral ... health plans for all three lines of business (Medicare, Marketplace, and Medicaid ) for delegated markets. + Focus on driving incremental reductions in… more
- Houston Methodist (Houston, TX)
- …statistics and regulatory agencies, if applicable, such as OPTN/UNOS/CMS/NMDP/CIBMTR/FACT, and Medicaid to ensure compliance with all government reporting ... Network of Organ Sharing (OPTN/UNOS) or National Marrow Donor Programs /Foundation for Accreditation of Cellular Therapy/Center of International Blood and… more
- Elara Caring (Dallas, TX)
- …Clinical Care Specialist is part of the ElaraConnect suite of patient engagement programs that aims to improve patient outcomes on-service. The Engage Clinical Care ... to our success in the following ways:** + Receives and maintains program referrals for assigned market (states or branch groups) identified by ElaraConnect… more
- Evolent (Austin, TX)
- …under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid , and is not identified as an "excluded ... + **This position is 100% Remote and can be completed from any state . Multiple opportunities for a flexible schedule and both part-time and full-time options… more