- TEKsystems (San Antonio, TX)
- Compliance Underwriter (Remote) We're looking for experienced mortgage professionals to join our team as Compliance Underwriters. In this role, you'll perform ... You'll play an important part in quality, accuracy, and compliance across our loan review process. ⭐ What You'll...accident, hospital indemnity, and/or critical illness supplement insurance * Medicare - free online resources for anyone who is… more
- Walgreens (Dallas, TX)
- …eligibility and all required reporting and documentation. + Responsible for ensuring compliance of team members regarding the documentation of patient management in ... the appropriate systems. + Fully abides to all compliance policies inclusive of participating in the billing and...of claims to government- sponsored health care programs, including Medicare , Medicaid, and all other third-party payers, as well… more
- Humana (Austin, TX)
- …to make an impact** **Required Qualifications** + 2 or more years of Experience with Medicare and/or managed care + 3 or more years of NCQA HEDIS measures, PQA ... and ability to collaborate with multiple + Experience with Medicare Risk Adjustment and/or medical coding + Understanding of...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Molina Healthcare (Fort Worth, TX)
- …providers, pharmacists, pharmacies and technicians - ensuring departmental and Centers for Medicare and Medicaid Services (CMS) standards are met. * Educates Molina ... adherence. * Enforces Health Insurance Portability and Accountability Act (HIPAA) compliance standards and regulations. * Provides clerical services and support to… more
- MD Anderson Cancer Center (Houston, TX)
- …* Must be able to move from one laboratory to another. Administrative * Must assure compliance with standards of CAP, JCAHO, FDA, Medicare , and CLIA. * Must give ... he/she is working complies with the CAP, JCAHO, FDA, Medicare , and CLIA regulations for accreditation. * Must be...and that laboratory complies with the CAP, JCAHO, FDA, Medicare and CLIA regulations for accreditation. * Must be… more
- Humana (Austin, TX)
- …develops, implements, and manages clinical program strategies to improve Medicare members' medication adherence and appropriate medication use. The Clinical ... from complex data Preferred Qualifications + Previous experience in Medicare Stars + Managed care and/or community pharmacy experience...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Austin, TX)
- …develops, implements, and manages clinical program strategies to improve Medicare members' medication adherence and appropriate medication use with specific ... + 2 or more years of project leadership experience + Prior Medicare /Medicaid experience + Strategic thinking and planning capabilities; organized and detail-oriented… more
- Highmark Health (Austin, TX)
- …clients and members, including executing events and campaigns across the commercial, Medicare and community segments. The incumbent works with highly complex members ... events and campaigns across all segments of business such as commercial, Medicare and community, independently and/or in partnership with executives across the… more
- CenterWell (Arlington, TX)
- …nurture relationships with brokers and intermediaries specializing in senior healthcare, Medicare Advantage, and value-based care models. + Identify and pursue new ... and value-based care models. + Deep understanding of Original Medicare , Medicare Advantage, and other senior healthcare...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Highmark Health (Austin, TX)
- …to the team. They support the full-cycle ownership of commercial and Medicare Advantage medical policies, both developed internally and by vendors. This includes ... required. **ESSENTIAL RESPONSIBILITIES** + Full-cycle ownership of commercial and Medicare Advantage medical policy creation process including writing clinical… more
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