- 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
- HCA Healthcare (Austin, TX)
- …plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving ... assistance, pet insurance and more. + Free counseling services and resources...Two years of experience within a licensed and certified ( Medicare ) home health agency required + Competent in Federal… more
- Humana (Austin, TX)
- …+ 3+ years of SQL experience, preferably in SSMS. **Preferred Qualifications** + Medicare Advantage experience. + Experience with SQL and VBA highly preferred. + ... Information** + This role is part of a team that owns the Medicare Advantage pricing methodology and supporting tools in the ecosystem. Travel: While this… more
- Humana (Austin, TX)
- …approvals, as well as modeling financial impact of emerging therapeutics across Medicare and Medicaid LOBs + Researches and analyzes drugs and emerging therapeutics, ... experiences **Preferred Qualifications** + PharmD + Health Plan experience + Knowledge of Medicare as it relates to pharmacy + Six Sigma and/or Project Management… more
- Humana (Austin, TX)
- …expert on the End Stage Renal Disease (ESRD) population for Humana's individual Medicare Advantage plans. This includes: + Owning and improving our ESRD claims ... technical skills, especially SQL, VBA, and Databricks/Python + Individual Medicare Advantage experience + Knowledgeable on ESRD population **Additional Information**… more
- Humana (Austin, TX)
- …This role will support a few tools used within our Individual Medicare Advantage pricing and internal reporting process. This includes: + Helping make ... Qualifications** + Strong technical skills, especially SQL and VBA + Individual Medicare Advantage experience Travel: While this is a remote position, occasional… more
- ChenMed (Houston, TX)
- …role works directly with our patient population and their families, insurance representatives and outside vendors, physicians, clinicians and other medical personnel ... understanding of the company's patient population, including the complexities of Medicare programs + Exceptional organizational skills with the ability to… more
- Deloitte (Dallas, TX)
- …+ 2+ years of health actuary experience and consulting and/or health plan/ insurance company experience + 1+ year(s) of experience with Medicaid managed care ... individual medical and small group markets + Experience with Medicare products, including Medicare Advantage or ...including value based care/ACO modeling + Knowledge of group insurance products including disability, long term care, etc. The… more
- Humana (Corpus Christi, TX)
- …Auditor ensures clinical documentation meets CMS regulations, OASIS accuracy, and Medicare Conditions of Participation. This role audits Start of Care, ... quality experience, with strong knowledge of CMS Home Health regulations and Medicare Conditions of Participation. + Familiarity with OASIS requirements and home… more