- Humana (Austin, TX)
- …**Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or Commercial products, or other ... Utilization management experience in a medical management review organization, such as Medicare Advantage , managed Medicaid, or Commercial health insurance. +… more
- Humana (Austin, TX)
- …+ Experience working in coding languages such as SAS and SQL + Prior Medicare Advantage or health insurance background + Additional skills developing reports and ... Information** + This role provides a unique opportunity to get hands on Medicare Advantage experience in a rapidly growing area outside of bid season + The… more
- Humana (Austin, TX)
- … and Medicaid Services (CMS). The CMS Stars quality rating system evaluates Medicare Advantage and Prescription Drug Plans using approximately 40 measures ... success working through ambiguity **Preferred Qualifications** + Master's Degree + Medicare Stars experience **Additional Information** As part of our hiring process… more
- Humana (Austin, TX)
- … and Medicaid Services (CMS). The CMS Stars quality rating system evaluates Medicare Advantage and Prescription Drug Plans using approximately 40 measures ... Qualifications** + Master's Degree + HEDIS Diabetes Eye Exam measure + Medicare Stars experience **Additional Information** As part of our hiring process for… more
- Humana (Austin, TX)
- … and Medicaid Services (CMS). The CMS Stars quality rating system evaluates Medicare Advantage and Prescription Drug Plans using approximately 40 measures ... insights **Preferred Qualifications** + Master's Degree + HEDIS experience/knowledge + Medicare Stars experience **Additional Information** As part of our hiring… more
- CenterWell (San Antonio, TX)
- …of two to five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... If selected for this role, you will be required to be screened for TB **Preferred Qualifications:** + Medicare Provider Number + Medicaid Provider Number + Minimum… more
- Kelsey-Seybold Clinic (Webster, TX)
- …value-based commercial health plans and is in-network with major insurance plans. KelseyCare Advantage , a Medicare Advantage plan offered to Houston-area ... 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 (Spring, TX)
- …value-based commercial health plans and is in-network with major insurance plans. KelseyCare Advantage , a Medicare Advantage plan offered to Houston-area ... 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 (Houston, TX)
- …value-based commercial health plans and is in-network with major insurance plans. KelseyCare Advantage , a Medicare Advantage plan offered to Houston-area ... 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 (Porter, TX)
- …value-based commercial health plans and is in-network with major insurance plans. KelseyCare Advantage , a Medicare Advantage plan offered to Houston-area ... 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