- NASCO (Austin, TX)
- …laws and regulations related to our products and services, including for our Medicare Advantage and ACA Exchanges business + Interacts with vendors and ... counsel on compliance issues, including related to HIPAA + Experience supporting Medicare Advantage and ACA Exchanges business **Required Training, Certification… 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 (Cypress, 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
- Humana (Austin, TX)
- …team and plays a critical part in forecasting risk scores and revenue for the Medicare Advantage Part D business. The successful candidate will lead efforts to ... FSA or plus relevant advanced degree + Experience with Medicare Part D + Familiarity with Risk Score Data...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… 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
- ChenMed (Houston, TX)
- …for multiple payers strongly preferred + Healthcare experience within the Medicare Advantage population preferred. + Medical Assistant certification preferred ... understanding of the company's patient population, including the complexities of Medicare programs + Exceptional organizational skills with the ability to… more
- ChenMed (Houston, TX)
- …for multiple payers strongly preferred + Healthcare experience within the Medicare Advantage population preferred. + Medical Assistant certification preferred ... understanding of the company's patient population, including the complexities of Medicare programs + Exceptional organizational skills with the ability to… more
- CenterWell (Alice, TX)
- …of two to five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... care environment in a value based relationship environment + Medicare Provider Number / Medicaid Provider Number + Knowledge...Provider Number / Medicaid Provider Number + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality… more
- CenterWell (Arlington, TX)
- …of two to five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... be required to be screened for TB **Preferred Qualifications:** + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum… more
- Humana (Austin, TX)
- …solutions to improve clinical outcomes and lower costs for millions of Medicare Advantage beneficiaries leveraging data science & analytics, clinical expertise, ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more