- UTMB Health (Galveston, TX)
- …with commercial and government payers, including HMOs, PPOs, ACOs, and Medicaid/ Medicare Advantage plans. * Analyze reimbursement methodologies and contract ... performance to ensure profitability and operational effectiveness. * Develop and maintain strong relationships with payer representatives to facilitate contract negotiations and dispute resolution. * Collaborate with finance, legal, revenue cycle, and clinical… 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
- CenterWell (Houston, TX)
- …marketing; ideally field sales with a focus on senior value-based care models or Medicare Advantage . + In-depth knowledge of senior healthcare market dynamics. + ... Exceptional communication and interpersonal skills, with the ability to engage and build rapport with diverse stakeholders, including seniors, caregivers, and licensed agents. + Strong consultative selling skills, with a demonstrated ability to understand… more
- TEKsystems (Dallas, TX)
- …prior authorization, inbound call, administrative support, customer service, medicare , medicaid, Quality assurance Top Skills Details insurance claim,call ... center,insurance verification,health care,patient access,medical terminology,patient registration,prior authorization,inbound call,administrative support,customer service, medicare ,medicaid Additional Skills & Qualifications * Relevant Skills &… more
- TEKsystems (Houston, TX)
- …- can purchase accident, hospital indemnity, and/or critical illness supplement insurance * Medicare - free online resources for anyone who is Medicare -eligible ... We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong,… more
- TEKsystems (San Antonio, TX)
- …- can purchase accident, hospital indemnity, and/or critical illness supplement insurance * Medicare - free online resources for anyone who is Medicare -eligible ... We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong,… more
- Sedgwick (Dallas, TX)
- …of experts to both learn from and to share your insights. + Take advantage of a variety of professional development opportunities that help you perform your best ... limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests… more
- Molina Healthcare (TX)
- …as well as Reporting modules related to Quality/HEDIS for Medicaid, Marketplace and Medicare /MMP. + Analysis and reporting related to Managed care data like Medical ... like Python and R programming would be an added advantage . + 3+ years of experience with Microsoft Azure,...least one line of business among Medicaid, Marketplace and Medicare /MMP. + 3+ Years of experience in working with… more
- Molina Healthcare (Fort Worth, TX)
- …member satisfaction - CAHPS, regulatory-related, Molina Quality programs, and taking advantage of electronic solutions (EDI, EFT, EMR, Provider Portal, Provider ... various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to, fee-for… more
- Sedgwick (Dallas, TX)
- …of experts to both learn from and to share your insights. + Take advantage of a variety of professional development opportunities that help you perform your best ... limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests… more