• Behavioral Health Medical Director…

    Humana (Austin, TX)
    …on quality management, utilization management, case management, discharge planning and/or home health or post-acute services such as inpatient rehabilitation ... teaching conferences, and other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , ...The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and Medicaid requirements, and… more
    Humana (08/09/25)
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  • Medicare Sales Representative - Bilingual…

    Centene Corporation (Houston, TX)
    …access to health insurance, by providing education and assistance to Medicare individuals. Distribute health education materials and arrange for health ... one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national… more
    Centene Corporation (06/18/25)
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  • Clinical Coding and OASIS Review Manager

    BAYADA Home Health Care (Austin, TX)
    …Apply now for immediate consideration. OASIS Review, Utilization Review, Quality Assurance, Remote, Home Health Coding, Coder, Medicare **As an accredited, ... considered, there is no flexibility around this requirement.** BAYADA Home Health Care has an immediate opening...Medicare Certified Offices with regards to CMS guidelines, Home Care Coding, PDGM guidelines and billing related issues.… more
    BAYADA Home Health Care (08/15/25)
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  • Medicare Specialist

    HCA Healthcare (Georgetown, TX)
    …individual is recognized. Submit your application for the opportunity below: Medicare Specialist Parallon **Benefits** Parallon, offers a total rewards package that ... supports the health , life, career and retirement of our colleagues. The...protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care… more
    HCA Healthcare (08/15/25)
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  • Bilingual Medicare Sales Field Agent…

    Humana (El Paso, TX)
    **Become a part of our caring community and help us put health first** Are you passionate about the Medicare population, looking for an opportunity to work in ... as well as, visiting prospects in their homes. Our ** Medicare Sales Field Agents** sell individual health ...by leadership + Associates who live and work from Home in the state of California, Illinois, Montana, or… more
    Humana (08/09/25)
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  • R-381302 - Medical Director - Medicare

    Humana (Austin, TX)
    **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims. The ... established clinical experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Must be passionate about… more
    Humana (08/15/25)
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  • Medical Director - Medicare Grievances…

    Humana (Austin, TX)
    **Become a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims ... clinical experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate about contributing… more
    Humana (08/08/25)
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  • Care Team Manager

    Elara Caring (Longview, TX)
    …+ 2 years of coordinating, and management experience is preferred + Knowledge of Medicare and Medicaid, home health care benefits, policies and procedures ... a huge role in the growth of an entire home care industry. Here, each employee has the chance...a huge role in the growth of an entire home care industry. Here, each employee has the chance… more
    Elara Caring (08/01/25)
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  • Medical Director - Medicare Appeals

    CVS Health (Austin, TX)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...care resources. This is a remote based (work from home ) role. Preferred candidates will have Internal Medicine or… more
    CVS Health (08/08/25)
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  • Patient Account Representative - Medicare

    Guidehouse (San Antonio, TX)
    …in either the Lewisville, TX or San Antonio, TX offices and three days from home ._** **Essential Job Functions** + Account Review + Appeals & Denials + Medicare ... Leave + 401(k) Retirement Plan + Basic Life & Supplemental Life + Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts + Short-Term &… more
    Guidehouse (06/19/25)
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