- Centene Corporation (Austin, TX)
- …per year Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....all enterprise-wide sales investigations, with a primary focus on Medicare sales. Leads a high-performing investigation team responsible for… more
- CVS Health (Austin, TX)
- …+ Understands and can respond to Executive complaints and appeals, Department of Insurance , Department of Health or Attorney General complaints or appeals on ... At CVS Health , we're building a world of health...or providers as assigned. **Required Qualifications** + 1-2 years Medicare part C Appeals experience. + Experience in reading… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Encounter Data Management Lead supports the Encounter Data Management team within the ... ensuring the accurate and timely submission of encounter data to Medicaid, Medicare , and DSNP states, while maintaining adherence to all regulatory requirements. The… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** We're seeking a highly analytical and data-driven Financial Analytics Lead to join our team. ... You'll play a key role in shaping financial insights, supporting Medicare -related initiatives, and guiding analytical projects that impact business outcomes. +… more
- NTT DATA North America (Plano, TX)
- …and vision insurance with an employer contribution, flexible spending or health savings account, life and AD&D insurance , short- and long-term disability ... Manager to join our team. NTT DATA is seeking to hire a ** Medicare Appeals Clinical Leader** to lead service delivery engagements and improve end-to-end delivery… more
- AccentCare, Inc. (Austin, TX)
- …Offer Based on Years of Experience What You Need to Know Reimagine Your Career in Home Health Caring for others is more than what you do - it's who you are. At ... supervisory experience. + Knowledge of accepted professional standards and practice, Medicare Conditions of Participation, and federal, state, and local regulatory… more
- Health Care Service Corporation (Richardson, TX)
- …each professional designation. + At least 5 years of actuarial experience in the health insurance or related field. + Verbal and written communications skills to ... Basic or other programming skills. + Data visualization tools experience + Medicare experience is a plus \#LI-LK1 \#LI-Hybrid \#INJLF **EEO Statement:** We are… more
- Health Care Service Corporation (Richardson, TX)
- …Access, SQL, Visual Basic or other programming skills. * Actuarial experience in the health insurance or related field. **EEO Statement:** We are an Equal ... meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, a minimum of 15… more
- Intermountain Health (Austin, TX)
- …true overpayments from false credits + Advanced knowledge of revenue cycle and health insurance payers + Reading and Understanding Payer Contracts + Advanced ... cycle (Payment Posting, Billing, Follow-Up) required + Knowledge of Medicaid and Medicare billing regulations required + Two (2) years of experience in hospital… more
- BrightSpring Health Services (Temple, TX)
- …and legal planning with families Benefits and Perks for You! + Medical, Dental, Vision insurance + Health Savings & Flexible Spending Accounts (up to $5,000 for ... as Noom , SkinIO (Virtual Skin Cancer Screening), childcare, gym memberships, pet insurance , travel and entertainment discounts and more! * Benefits may vary by… more