- Humana (Austin, TX)
- …caring community and help us put health first** **Clinical Business Lead, Humana Medicare Advantage** As Regional Clinical Business Lead, you serve as a key member ... clinical strategy, performance monitoring, and continuous quality improvement within the Medicare Advantage program to support improving the health of members. The… more
- NTT DATA North America (Plano, TX)
- …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 ... of Medicare Appeals. Desire experience specifically for processes for clinical...eligible for company benefits including medical, dental, and vision insurance with an employer contribution, flexible spending or health… more
- Centene Corporation (Austin, TX)
- …Opportunity**_** **_The ideal candidate will have:_** + **_Deep knowledge of the Medicare Advantage program, with hands-on experience in Dual Eligible Special Needs ... for its Duals and SMAC regulatory filings. + Manages Duals (and Medicare with D-DSNP specific or separate) compliance reporting responsibilities and respond to… more
- Centene Corporation (Austin, TX)
- …fresh perspective on workplace flexibility. **Position Purpose:** Promote increased Medicare Supplemental Benefit efficiency, service levels, and value by capturing, ... Develop, plan, lead, monitor, and own multiple, concurrent resultant Medicare Supplemental Benefits utilizing cross functional teams to deliver defined… more
- Houston Methodist (Houston, TX)
- …surgical services, and for confirming and entering pertinent demographic and insurance information in the Electronic Health Record (EHR). The Pre-Registration ... such as conflict regarding financial responsibility. + Confirms registration and insurance data and obtains missing information with the patient or patient… more
- Health Care Service Corporation (Richardson, TX)
- …financial reporting functions. HSB is a profitably growing division selling Medicare Supplement and other Supplemental Health and Life products. Current annual ... and implement reserving/financial processes to coincide with new product and Medicare Supplement charter launches. * Own and execute Sarbanes-Oxley controls and… more
- CenterWell (Mcallen, TX)
- …service + Basic computer skills, including email and EMR **Preferred Qualifications:** + Medicare Provider Number + Medicaid Provider Number + Minimum of two to five ... years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best...+ bi-annual bonus + Excellent benefit package - _health insurance effective on your first day of employment_ +… more
- CenterWell (San Antonio, TX)
- …is a part of our Tuberculosis (TB) screening program. **Preferred Qualifications:** + Medicare Provider Number + Medicaid Provider Number + Minimum of two to five ... years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best...+ bi-annual bonus + Excellent benefit package - _health insurance effective on your first day of employment_ +… more
- HCA Healthcare (Austin, TX)
- …public nursing or acute hospital nursing experience + Familiar with Medicare home health regulations, documentation requirements, ICD-10 coding and PPS (Strongly ... preferred) + Reliable transportation and proof of valid automobile liability insurance + Must have valid driver's license + Current BCLS Certification prior to… more
- CenterWell (San Antonio, TX)
- …a part of our Tuberculosis (TB) screening program.** **Preferred Qualifications:** ** Medicare Provider Number** **Medicaid Provider Number** **Minimum of two to five ... years directly applicable experience preferred** **Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care… more