- Prime Therapeutics (Austin, TX)
- …variety of constituents **Preferred Qualifications** + Integrated health system or health plan experience + Medicare Part D and B experience + Call center or ... are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at ### or email… more
- WelbeHealth (Austin, TX)
- …of capitation payment model, including ability to track and analyze revenue streams (eg Medicare , Medicaid, Part D ) along with PACE rates and regulatory ... + Assist with month-end close, quarterly financial reporting, financial audit, Medicare /Medicaid audits, and other PACE specific projects + Keep a… more
- Centene Corporation (Austin, TX)
- …organization for its Duals and SMAC regulatory filings. + Manages Duals (and Medicare with D -DSNP specific or separate) compliance reporting responsibilities and ... working knowledge of laws and/or regulations in area of compliance, in particular Medicare , D -SNP, and state regulations required Pay Range: $68,700.00 -… more
- Centene Corporation (Austin, TX)
- …Plans ( D -SNPs) (compliance, product, and operations)._** + **_Experience in Medicare Managed Care and D -SNP compliance programs (audits, risk, ... with D -SNP SMAC, regulatory requirements and/or operations required + Medicare managed health experience required Pay Range: $86,000.00 - $154,700.00 per year… more
- Centene Corporation (Austin, TX)
- …Plans ( D -SNPs) (compliance, product, and operations)._** + **_Experience in Medicare Managed Care and D -SNP compliance programs (audits, risk, ... or related field, or equivalent experience required + 5+ years experience in Medicare and/or D -SNP audit and compliance, including conducting risk assessments… more
- BAYADA Home Health Care (Austin, TX)
- **Please note- Candidates must have COS-C, HCS-O or COQS and HCS- D or BCHH-C in order to be considered, there is no flexibility around this requirement.** BAYADA ... Coding Review Manager provides support to all BAYADA Home Health Care Medicare service offices by monitoring Outcome and Assessment Information Set (OASIS)… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us...as we prepare for the launch of Fully Integrated D -SNP (FIDE) plan in 2026. This individual will focus ... put health first** The MBA Intern - Illinois Medicaid ( Part -time, Fall 2025) will contribute as a team member while completing a full-time MBA program. The paid… more
- BAYADA Home Health Care (Austin, TX)
- **Please note- Candidates must have COS-C, HCS-O or COQS and HCS- D or BCHH-C in order to be considered, there is no flexibility around this requirement.** BAYADA ... the OASIS and ICD 10 coding while using the Medicare PDGM billing model and CMS guidelines. + Review...COQS OASIS Certification and experience required + BCHH-C or HCS- D Home Health Care Coding Certification and experience required… more
- CenterWell (San Antonio, TX)
- **Become a part of our caring community and help us put health first** The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a ... Our care team consists of Doctors, Advanced Practice professionals, Pharm D , Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based… more
- CenterWell (El Paso, TX)
- **Become a part of our caring community and help us put health first** The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a ... Our care team consists of Doctors, Advanced Practice professionals, Pharm D , Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based… more
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