- Humana (Austin, TX)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- Humana (Austin, TX)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- Humana (Austin, TX)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- Prime Therapeutics (Austin, TX)
- …or equivalent training and/or experience + Experience within the PBM industry, Medicaid, Medicare , and health plans + Pharmacist / Pharm D + Experience with contract ... language and risk mitigation concepts Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal… more
- Baylor Scott & White Health (Waco, TX)
- …authority. They are credentialed, privileged, and billed as independent providers by Medicare and Medicaid. The Advanced Practice Provider offers medical care based ... on the supervising physician's scope of practice. Intensivist Medicine providers work in critical care settings. They manage patients by rounding, performing procedures, and handling hospital admissions and discharges. **Essential Functions of the Role** +… more
- HCA Healthcare (San Antonio, TX)
- …and accepted internal (eg unit, department, and hospital) and external (eg JCAHO, Medicare , OSHA) standards in order to facilitate optimum care and health education ... for patients and appropriate utilization of resources which support daily operation in his/her area. 2. The following activities are unique to this position: a) Represents the MHS facility and interfaces with other facility Directors, MHS leadership, medical… more
- Molina Healthcare (Fort Worth, TX)
- …experience with HEDIS programs. + 2 years Medicaid experience + 2 years Medicare experience + 3 years management experience + Operational knowledge and experience ... with Excel and Visio (flow chart equivalent). + Proficiency with data manipulation and interpretation. + NCQA Accreditation experience. **Preferred Education** Master's Degree or higher in a clinical field, IT, Public Health or Healthcare Administration.… more
- Molina Healthcare (Fort Worth, TX)
- …Directory (including ongoing execution, QA and maintenance of supporting tables), Medicare Provider Directory preparation, and FQHC/RHC reports. + Generates other ... provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER, Network Access Fee, etc.).; and mailing label extract generation. + Develops and maintains documentation and guidelines for all… more
- HCA Healthcare (Mckinney, TX)
- …+ You will maintain a thorough working knowledge of the rules of Medicare , Medicaid, and private payer regulations and processes. You will possess a thorough ... understanding of managed-care concepts and length-of-stay management relating to patient and organizational fiscal responsibility. + You will perform thorough assessments and develop appropriate discharge plans for high-risk patients with discharge planning or… more
- HCA Healthcare (Houston, TX)
- …to providing patients with quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of a physician and our team ... of professionals develop an individualized plan of care. Our professionals include registered nurses, licensed practical nurses, therapists, and social workers. We provide the care you need in the comfort of your own home to restore your independence.… more