- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …contracting and in-depth understanding of GPO/PBM/National and Regional Health Plan business models, Medicare Part D, Medicare Part B, 340B, and the changing ... market landscape + In-depth knowledge of patient access, launch excellence, marketing and business processes + Strong government pricing knowledge and experience + Strong financial acumen, forecasting, and modeling abilities + Proven ability to navigate… more
- Aveanna Healthcare (Dallas, TX)
- …to work an after-hours on-call schedule. Note:As an employer receiving Medicare and Medicaid funds, employees must comply with all health-related requirements ... of Aveanna's supportive and dynamic environment. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements… more
- Humana (Austin, TX)
- …to day flexibility in care manager's schedule. **Duties:** + Telephonically assess Medicare , Medicaid, and/or and Group Account members and create actionable and ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Prime Therapeutics (Austin, TX)
- …processes, and participates in committee review meetings within the Commercial, Medicare , Medicaid, and Health Insurance Marketplace for the assigned department. ... interpret regulations into operational requirements **Preferred Qualifications** + 2 years Medicare Part D, Medicaid, and/or state or federal regulatory experience +… more
- ConvaTec (Spring, TX)
- …phone calls from clients regarding orders & customer service issues + Request Medicare documentation on Medicare clients + Contacts HH agencies to coordinate ... sending supplies + Make entries as appropriate in Medtrack an internal Microsoft Access database + Place orders in Medtrack + Change orders in Medtrack + Support Team Supervisor on miscellaneous projects + Obtain verbal authorization for supplies from… more
- Humana (Austin, TX)
- …+ SAS and/or Databricks experience + Programming experience in SQL and VBA + Medicare Part D knowledge Travel: While this is a remote position, occasional travel to ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Humana (Austin, TX)
- …2+ years SQL experience, or equivalent skillset **Preferred Qualifications** + Medicare Advantage background + Creative, high degree of self-accountability + ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Kelsey-Seybold Clinic (The Woodlands, TX)
- …and is in-network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with ... achieved an overall rating of 5-out-of-5-stars as part of the Centers for Medicare and Medicaid CMS annual assessment for eight consecutive years, including 2024.… more
- Kelsey-Seybold Clinic (Richmond, TX)
- …and is in-network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with ... achieved an overall rating of 5-out-of-5-stars as part of the Centers for Medicare and Medicaid CMS annual assessment for eight consecutive years, including 2024.… more
- Nestle (Dallas, TX)
- …understanding of the HME/DME market and reimbursement processes, including Medicaid, Traditional Medicare , Medicare Advantage and value based care. * Excellent ... communication, negotiation, and relationship-building skills. * Ability to think creatively and strategically to solve complex problems. * Self-motivated and aggressive in pursuing new business opportunities. **Preferred Skills:** * Strong business acumen for… more