- Humana (Austin, TX)
- …Qualifications** + Previous experience with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + 3 or more years clinical ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. … more
- Danaher Corporation (Dallas, TX)
- …landscape. + Communicate regional and local coverage and reimbursement issues for Medicare , Medicaid and Commercial payers through internal meetings, payer ... diagnostics (preferred) + Demonstrated knowledge of all payer segments (eg Commercial, Medicare , Medicaid ) + Demonstrated and presentation skills Travel, Motor… more
- Danaher Corporation (Houston, TX)
- …understanding of national, regional and local coverage and reimbursement issues for Medicare , Medicaid and Commercial payers through internal meetings, payer ... (preferred) + Demonstrated knowledge of all payer segments (eg Commercial, Medicare , Medicaid ) + Demonstrated and presentation skills It would be a plus… more
- Humana (Austin, TX)
- …the following areas: + Insurance Strategy and Solutions + Clinical Operations + Medicare Divisional + Provider Experience + Medicaid **Location:** The summer ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. … more
- HCA Healthcare (San Antonio, TX)
- …care of the organization and meets the requirements or regulations of JACHO, Medicare , Medicaid , and appropriate licensing or certified boards. The supervisor is ... the conditions of participation, requirements or regulations of the following: JCAHO, Medicare , Medicaid , Texas State Licensures, and Certification as required.… more
- Humana (Austin, TX)
- …non-compact states: California, Hawaii, Nevada, Oregon + Health Plan experience + Previous Medicare / Medicaid Experience a plus + Call center or triage experience ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. … more
- Molina Healthcare (TX)
- …ensure compliance with the National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity ... delegated groups. + Assists in preparation of documents for Centers for Medicare and Medicaid Services (CMS), state Medicaid , National Committee for Quality… more
- Humana (Austin, TX)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... of SQL experience, preferably in SSMS. **Preferred Qualifications** + Medicare Advantage experience. + Experience with SQL and VBA...role is part of a team that owns the Medicare Advantage pricing methodology and supporting tools in the… more
- Humana (Austin, TX)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... expert on the End Stage Renal Disease (ESRD) population for Humana's individual Medicare Advantage plans. This includes: + Owning and improving our ESRD claims… more
- Humana (Austin, TX)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... This role will support a few tools used within our Individual Medicare Advantage pricing and internal reporting process. This includes: + Helping make… more