- Humana (Austin, TX)
- …for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales, motivates and drives a team of Medicare ... coach, mentor, educate, motivate and train a team of sales individuals. The Senior Manager , Medicare Sales, must have a solid understanding of the market they… more
- Merck (Austin, TX)
- …information to HCP offices on how the products are covered under the benefit design (Commercial, Medicare , Medicaid) * Answer questions about coverage, including ... **Job Description** Field Access Manager The Field Access Manager (FAM)...compliance with healthcare regulations. The FAM role is a remote /field-based role that proactively provides approved education to defined… more
- NTT DATA North America (Plano, TX)
- …adaptable, and forward-thinking organization, apply now. We are currently seeking a Delivery Senior Manager to join our team. NTT DATA is seeking to hire a ** ... Medicare Appeals Clinical Leader** to lead service delivery engagements...delivery of services. This position is eligible for company benefits including medical, dental, and vision insurance with an… more
- Molina Healthcare (Austin, TX)
- …highly preferred Work hours: Monday- Friday 8:00am - 5:00pm Central time Remote position **Essential Job Duties** * Performs clinical/medical reviews of previously ... Procedure Coding (HCPC). * Experience demonstrating knowledge of Centers for Medicare and Medicaid Services (CMS) guidelines, MCG, InterQual or other medically… more
- Molina Healthcare (TX)
- …compliance with the National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all ... is highly preferred. Work hours: Monday - Friday 8:00am - 4:00pm Remote position **Essential Job Duties** + Coordinates, conducts and documents pre-delegation and… more
- Danaher Corporation (Dallas, TX)
- …which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE ) position is a provider ... we believe in designing a better, more sustainable workforce. We recognize the benefits of flexible, remote working arrangements for eligible roles and are… more
- Molina Healthcare (Dallas, TX)
- …activities and results to identify opportunities for improvement. + Surfaces to Manager and Director any gaps in processes that may require remediation. + ... Health or Healthcare. **Preferred Experience** 1 year of experience in Medicare and in Medicaid. **Preferred License, Certification, Association** + Certified… more
- Cognizant (Austin, TX)
- **Product Owner Health Sciences, Consulting Manager ** **About the Role:** As a Product Owner for Sales & Enrollment Platforms, you will make an impact by leading the ... and member onboarding for individual, group, and government-sponsored health plans ( Medicare , Medicaid, ACA), ensuring compliance with CMS, ACA, and other regulatory… more
- Cardinal Health (Austin, TX)
- …through all steps of the patient journey, including referral intake, benefit investigation (pharmacy and medical), prior authorization, and therapy delivery. . ... & Insurance Navigation** . Manage the entire care process from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience.… more
- Merck (Austin, TX)
- …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...by site or organization, with Friday designated as a remote -working day, unless business critical tasks require an on-site… more