- Molina Healthcare (Austin, TX)
- …cases, business analysis, task and workflow analysis. + Subject matter expert of Medicare and Healthcare enrollment 834 files. + Interpret customer business ... needs and translate them into application and operational requirements + Communicate and collaborate with external and internal customers to analyze and transform needs, goals and transforming in to functional requirements and delivering the appropriate… more
- Centene Corporation (San Antonio, TX)
- …all policies and procedures pertaining to: + Disclosures and provisions of the Advantage Medicare product + Enrollment and disenrollment + Develop a presence in ... access to competitive benefits including a fresh perspective on workplace flexibility. ** Medicare Field based sales position covering San Antonio and Austin, TX**… more
- Molina Healthcare (Fort Worth, TX)
- …management experience of 5 years or more + 5 years of experience in Medicare , DSNP and CSNP population, Enrollment , A&G, Claims, Compliance, or other Operations ... experience To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity… more
- TEKsystems (Houston, TX)
- …HIRING REMOTE HEALTHCARE CALL CENTER REPS! Project Overview: + Maximus is providing enrollment broker support for state Medicaid and Medicare open enrollment ... Monday-Friday 8:00 am to 4:30 pm EST. * Open Enrollment Period: 11/1 through 01/15 * Open Enrolment Hours:...Cards. * QHP- (Market Place Plans)- Enrollments, Terminations. * Medicare - Reporting and Coding Minimum Requirements: + High School… more
- Texas Health Resources (Arlington, TX)
- …program changes, and material risk. + Oversees the timely filing of regulatory enrollment , Medicare /Medicaid cost reports for all wholly owned system and managed ... other programs. + Oversees or supports departments and entities with various Medicare and Medicaid Supplemental Payment and incentive programs including but not… more
- Integrative Emergency Services (Dallas, TX)
- Integrative Emergency Services, LLC ("IES") is looking for a Provider Enrollment Coordinator to support the division in facilitating the enrollment (submitting ... managed care contracting plans, and third-party billing entities that require provider enrollment . This position will support operations in states including, but not… more
- Molina Healthcare (Austin, TX)
- …equivalent combination of education and experience **Required Experience** 5-7 years Enrollment -related experience in Managed care or Medicare setting ... or equivalent combination of education and experience **Preferred Experience** 7-9 years Enrollment -related experience in Managed care or Medicare setting To all… more
- Molina Healthcare (TX)
- …Summary** Responsible for leading, organizing and directing the activities of the Medicare Duals Grievance and Appeals Unit that is responsible for reviewing and ... accordance with the standards and requirements established by the Centers for Medicare and Medicaid. This position will provide direct support to the implementation… more
- Prime Therapeutics (Austin, TX)
- …our passion and drives every decision we make. **Job Posting Title** Mgr Medicare Part D Pharmacy Programs - Remote, Pennsylvania **Job Description** Manages the ... coordination of benefits in the pharmacy program with Medicare Part D plans. Provides the technical and leadership...include but are not limited to premium amounts, late enrollment penalties, and reimbursement of drug claims. + Ensures… more
- Molina Healthcare (Fort Worth, TX)
- …follow, and you keep complaint data synchronized across appeals & grievances, enrollment , claims, pharmacy, and quality functions. You surface systemic issues, steer ... Compliance Mastery * Track record coordinating cross-functional action plans with Enrollment , Claims, Pharmacy, Network, and Member Services * Hands-on experience… more