- Merck & Co. (Dallas, TX)
- …information to HCP offices on how the products are covered under the benefit design (Commercial, Medicare , Medicaid)- Answer questions about coverage, including ... Job DescriptionField Access ManagerThe Field Access Manager (FAM) serves as the subject-matter expert on access related issues for healthcare professionals (HCPs)… more
- Merck & Co. (Houston, TX)
- …management, or reimbursement support- Strong knowledge of health insurance structures ( Medicare Part B, Medicaid, commercial) and related access processes, including ... benefit verification, prior authorization, and appeal processes- Expertise in...by site or organization, with Friday designated as a remote -working day, unless business critical tasks require an on-site… more
- Molina Healthcare (Houston, TX)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality ... and education programs to support improved Star Ratings. Responsible for Medicare Star projects and programs involving enterprise, department, cross-functional and… more
- Molina Healthcare (Houston, TX)
- **Job Description** **Job Summary** The Distribution Manager at Molina Healthcare will be a critical team member responsible for making Molina a market leader in the ... different products that Molina offers in the Marketplace and Medicare space. This individual will be part of a...the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal… more
- Humana (Fort Worth, TX)
- …everything it does. The MarketPoint Career Channel Team is looking for skilled Medicare Sales Field Agents. This is a **field** **-based** role, and candidates must ... community. As part of a collaborative team of 8-12 Medicare Sales Field Agents, you'll work under the guidance...Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your… more
- Humana (Austin, TX)
- …of the business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare , Medicaid, and/or and Group ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies,...information **Additional Information - How we Value You** * Benefits starting day 1 of employment * Competitive 401k… more
- Providence (TX)
- **Description** ** Manager Reimbursements** **_Remote_** This position is responsible for operational implementation of various strategic reimbursement initiatives ... based optimization strategies, and any reimbursement methodology related to Medicare and Medicaid that have reimbursement implications. Providence caregivers are… more
- Molina Healthcare (TX)
- **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **JOB QUALIFICATIONS** **Required… more
- Molina Healthcare (Austin, TX)
- …online portals and databases. Preferred Qualifications * Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), Certified Professional ... or other health care or management certification. * Leadership experience. * Medicaid/ Medicare population experience. To all current Molina employees: If you are… more
- Molina Healthcare (Austin, TX)
- **JOB DESCRIPTION** **Job Summary** The Regional Manager Value Based Programs plays a critical role in the development and implementation of value-based programs and ... program & contract design and implementation for marketplace, Medicaid and/or Medicare + Experience in a complex healthcare delivery environment, specifically with… more
