- University Health Careers (San Antonio, TX)
- …efforts, and reviewing HCC quality indicators, and RAF scores to eligible Medicare Advantage beneficiary. Will monitor opportunities within the Medicare ... Will coordinate the transition of care and the interdisciplinary treatment for Medicare managed patients across the healthcare continuum. Facilitates the delivery of… more
- Caris Life Sciences (Irving, TX)
- …cross-functional initiatives and manage timelines, resources, and deliverables. + Experience with Medicare Advantage plans and familiarity with Xifin is a plus. ... + Demonstrated ability to lead teams, manage change, and drive performance in a fast-paced environment. + Proficiency in Microsoft Office Suite (Excel, Word, Outlook, Access) and healthcare billing systems. + Strong interpersonal, communication, and… more
- Humana (Houston, TX)
- …Based Role:** + **Deliver** : Build trust and educate individuals on Humana's Medicare Advantage plans and additional offerings like Life, Dental, Vision, and ... The MarketPoint Career Channel Team is looking for skilled Medicare Sales Field Agents. This is a **field** **-based**...community. As part of a collaborative team of 8-12 Medicare Sales Field Agents, you'll work under the guidance… more
- Centene Corporation (Houston, TX)
- …+ Identify prospective enrollees and determine eligibility for participation in the Advantage Medicare product + Understand and apply all policies and ... procedures pertaining to: Disclosures and provisions of the Advantage Medicare product, enrollment and disenrollment + Develop a presence in the local community… more
- Humana (Austin, TX)
- …Policies and Procedures, and clinical literature as appropriate. Medical Directors will learn Medicare Part D and Medicare Advantage requirements and will ... Utilization management experience in a medical management review organization such as Medicare Advantage , managed Medicaid, or Commercial health insurance +… more
- Abbott (Austin, TX)
- …(CTR). **What You'll Work On** + Review clinical investigative plan and payer policies ( Medicare , Medicare Advantage , Medicaid and Private Payer) to provide ... affect existing and future clinical trials. + Assist sites with Medicare , Medicare Advantage , Medicaid and Private Payor prior authorization,… more
- Humana (Austin, TX)
- …internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or Commercial products, or other… more
- Humana (Austin, TX)
- …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare , Medicare Advantage , and Medicaid requirements and will ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or Commercial products, or other… more
- Humana (Austin, TX)
- …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare , Medicaid, and Medicare Advantage requirements and will ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or Commercial products, or other… more
- Humana (Austin, TX)
- …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand ... hours** **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or Commercial products, or other… more
