- Humana (Houston, TX)
- …and Metro territory.** The MarketPoint Career Channel Team is looking for skilled Medicare Sales Field Agents. This is a **field** **-based** role, and candidates ... community. As part of a collaborative team of 8-12 Medicare Sales Field Agents, you'll work under the guidance...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- CVS Health (Austin, TX)
- …use, less expensive, and puts the consumer at the center of their care. Aetna's Medicare Stars Team is growing and expanding! This is exciting opportunity to join a ... role-based access control, masking, lineage, and metadata to support analytics and compliance . + Partner with product, ML/AI, BI, and engineering teams to translate… more
- Molina Healthcare (Dallas, TX)
- …to meet critical needs + Escalates gaps and barriers in implementation and compliance to AVP, VP and senior management + Consultative role, develops business case ... methodologies for programs, develops and coordinates implementation of business strategy + Collaborates and facilitates activities with other units at corporate and Molina Plans. **JOB QUALIFICATIONS** **Required Education** Bachelor's degree or equivalent… more
- Gentiva (Lake Jackson, TX)
- …+ Demonstrated ability to apply hospice principles, industry standards, and regulatory compliance ( Medicare , Medicaid, JCAHO, ACHC) + Knowledge and compassion ... and developing staff to uphold the highest standards of patient care and regulatory compliance . **As a Hospice Patient Care Manager, You Will:** + O versee and… more
- Cognizant (Austin, TX)
- …and member onboarding for individual, group, and government-sponsored health plans ( Medicare , Medicaid, ACA), ensuring compliance with CMS, ACA, and ... Sales & Enrollment team and work collaboratively with business stakeholders, sales, marketing, compliance , IT, and clients. **In this role, you will:** * Define and… more
- Gentiva (Fort Worth, TX)
- …ensuring compliance with state, federal, and accreditation standards (CMS, Medicare , Joint Commission, etc.) + Provide clinical oversight and ensure timely and ... health, or healthcare operations leadership + Strong understanding of hospice regulations, compliance , and Medicare conditions of participation + Proven ability… more
- HCA Healthcare (Corpus Christi, TX)
- …area. + Completes test authorizations (see page 8 for details). + Participates in the Medicare Laboratory Billing Compliance plan. + Alert to Errors in own work. ... + Uses ID badge consistently to document KRONOS time. + Completes all laboratory assigned continuing education timely. + Occurrence / discipline report frequency. + Completes annual self-evaluation timely. + Consistently completes maintenance worksheet entry.… more
- Prime Therapeutics (Austin, TX)
- …insurance/PBM operations and/or contract audit experience + Experience with regulatory compliance for Medicare /Medicaid/Commercial or ACA drug benefit + Project ... accountable for independently, or in collaboration with senior staff or compliance leader, managing regulatory and/or client-initiated audits. The Specialist is… more
- CenterWell (San Angelo, TX)
- …of third-party payers. Ensures final audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team ... Interprets Company standards and Company policies and procedures to ensure compliance with external regulatory authorities and ensures that caregiver clinical… more
- Abbott (Austin, TX)
- …Ensure reimbursement and compensation processes adhere to company standards, policies and compliance . + Data analysis utilizing Medicare data, procedure codes, ... for implementing and managing clinical trial reimbursement processes to secure Medicare and private payer reimbursement for designated clinical trials. This position… more
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