- Humana (Austin, TX)
- …the industry in how digital can be used to drive customer acquisition in the Medicare Advantage space. Within this business area, we are aggressively driving new ... of working, and employing next-gen technology to revolutionize how Medicare Advantage is sold. This role is...in Scrum meetings and product sprints + Reviewing key performance metrics on a regular cadence to ensure the… more
- CenterWell (Arlington, TX)
- …to be screened for TB **Preferred Qualifications:** + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum of ... team-based care environment. We are a value based care provider focused on quality of care for the patients...five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding… more
- CenterWell (San Antonio, TX)
- …this role, you will be required to be screened for TB **Preferred Qualifications:** + Medicare Provider Number + Medicaid Provider Number + Minimum of two ... our team-based care environment. We are a value-based care provider focused on quality of care for the patients...five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding… 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 ... coordinated care environment in a value based relationship environment + Medicare Provider Number / Medicaid Provider Number + Knowledge of Medicare … more
- 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)
- …data requests and perform valuations that help inform financial strategy related to the Medicare Advantage line of business. **Use your skills to make an ... organization focused on continuously improving consumer experiences **Preferred Qualifications** + Medicare Advantage experience + Finance background preferred +… more
- CenterWell (Rockport, TX)
- …of two to five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... our team-based care environment. We are a value-based care provider focused on quality of care for the patients...Referral Coordinators and more. Our approach allows us to provide an unmatched experience for seniors. Our model is… more
- Houston Methodist (Houston, TX)
- …managed care payers include commercial payers, separate transplant contracts, Medicare Advantage , Medicaid Health Maintenance Organizations (HMOs), ... hiring and terminating employment, coaching and counseling employees on work related performance , and developing and implementing policies and procedures to ensure a… more
- Datavant (Austin, TX)
- …+ Keep up to date with current coding policies for ICD-10, Medicare Advantage , HHS (ACA), and other markets. + Provide guidance and make strategic ... or inpatient setting. + Current CCS, CRC, or CPC required. + Previous Medicare Advantage Risk Adjustment, CDI, Medicaid, Commercial RA, and HEDIS experience.… more
- WTW (Richardson, TX)
- …a leading direct-to-consumer insurance services business, specializing in the distribution of Medicare Advantage , Medicare Supplement and Life & Supplemental ... professionals to deliver innovative solutions for our insurance carrier partners and provide consumers with a best-in-class experience. We work with some of… more