- Centene Corporation (Houston, TX)
- …accordance with company's policies and programs. Provide greater access to health insurance , by providing education and assistance to Medicare individuals. ... Provide Facilitated Enrollment, help facilitate the continuance of health insurance , and offer assistance with recertification. + Identify prospective enrollees… more
- Health Care Service Corporation (Richardson, TX)
- …that will invest in your professional development. **Job Summary** The Medicare Advantage Bid Optimization Principal Divisional Strategy Consultant will support MA ... position is responsible for assisting with leading the team with all Medicare Advantage short-term and multi-year planning, assisting the leadership team on… more
- CVS Health (Austin, TX)
- …all with heart, each and every day. **Position Summary** Located within the Medicare Stars Program Management team, in this individual contributor role you will ... years of work experience supporting business processes in the health or drug insurance industry. + 5+ years of work experience managing complex business projects… more
- Molina Healthcare (Houston, TX)
- …market leader in the different products that Molina offers in the Marketplace and Medicare space. This individual will be part of a rapidly growing business unit ... that will execute on Molina's Medicare national broker distribution strategy with National Marketing Organizations...travel required **Required License, Certification, Association** * Must be insurance licensed. If not must get license within 90… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** Individual Medicare Advantage (iMA) Rapid Solutions owns the MA Pricing Model (web app hydrated via ... annual pricing of Humana's largest segment of business, individual plan Medicare Advantage. The team consists of actuaries and business technology professionals… more
- Humana (Austin, TX)
- …clinical experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Possess analysis and interpretation ... **Preferred Qualifications** + Medical management experience, working with health insurance organizations, hospitals and other healthcare providers, patient interaction,… more
- Houston Methodist (Katy, TX)
- …Revenue Cycle, to include but not limited to: medical coding, insurance billing, collections, patient account resolution, appeals/denials, customer service, cash ... to ensure operational billing compliance with government/regulatory agencies and the Medicare and Medicaid programs. + Ensures optimization of timely cash… more
- Highmark Health (Austin, TX)
- …experience in managed care pharmacy + 2 years of clinical account management experience in Medicare as part of the 4 year managed care experience + 2 years of ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of… more
- HCA Healthcare (El Paso, TX)
- …and continued stay and discharge criteria. Orientation will also include Medicare and insurance benefits, grievance procedures, treatment plan process, ... + **Additional benefits** for fertility and family building, adoption assistance, life insurance , supplemental health protection plans, auto and home insurance ,… more
- HCA Healthcare (El Paso, TX)
- …and continued stay and discharge criteria. Orientation will also include Medicare and insurance benefits, grievance procedures, treatment plan process, ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving… more