- Humana (Austin, TX)
- …ensuring the accurate and timely submission of encounter data to Medicaid, Medicare , and DSNP states, while maintaining adherence to all regulatory requirements. The ... is responsible for ensuring the integrity and accuracy of Medicaid and Medicare encounter data across multiple trading partners. This role collaborates with Product… more
- Humana (Austin, TX)
- …You'll play a key role in shaping financial insights, supporting Medicare -related initiatives, and guiding analytical projects that impact business outcomes. + ... Lead financial analytics projects, with a focus on outcomes of Medicare risk adjustment operations and initiatives. + Work independently to analyze historical and… 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)
- …candidate will have:_** + **_Knowledge of dual contract requirements (eg, Medicare -Medicaid plans)_** + **_Experience managing external audits and communicating with ... for its Duals and SMAC regulatory filings. + Manages Duals (and Medicare with D-DSNP specific or separate) compliance reporting responsibilities and respond to… more
- CenterWell (El Paso, TX)
- …role, you will be required to be screened for TB **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)
- …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
- CenterWell (Baytown, TX)
- …role, you will be required to be screened for TB **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 (Edinburg, 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 (Houston, TX)
- …Medicine or Geriatric Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Minimum of two to five years directly applicable ... experience preferred . Experience managing Medicare Advantage panel of patients with understanding of Best...salary +bi-annual incentive . Excellent benefit package - _health insurance effective on your first day of employment_ .… more
- CenterWell (Fort Worth, TX)
- …be screened for TB **Preferred Qualifications:** + Active and unrestricted DEA license + 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