- Humana (Austin, TX)
- …part of our caring community and help us put health first** The Manager , Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. ... The Manager , Fraud and Waste works within specific guidelines and...+ Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience with… more
- Gentiva (Lubbock, TX)
- **Overview** We're looking for a **Patient Care Manager Senior** to join our team. You will report directly to the Executive Director or Administrator. You will be ... new physicians and facilities, durable medical equipment (DME) pickup, Medicare patient eligibility, obtaining authorization and reauthorization as needed,… more
- Houston Methodist (Cypress, TX)
- At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a targeted ... stay are medically necessary, communicating clinical information to payors to ensure reimbursement . In addition to performing the duties of a CM, this position… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target patient ... are medically necessary and communicates clinical information to payors to ensure reimbursement . The CM PRN helps drive change by identifying areas where performance… more
- Aveanna Healthcare (San Antonio, TX)
- Care Experience Manager ApplyRefer a FriendBack Job Details Requisition #: 207113 Location: San Antonio, TX 78228 Category: Administrative/Clerical Salary: ... $40,000.00 per year Position Details Position: Care Experience Manager (CEM) Join a Company That Puts People First!...and Sick Days + Quarterly Bonus Opportunities + Mileage Reimbursement + 401(k) Savings Plan with Employer Matching +… more
- Aveanna Healthcare (Temple, TX)
- Care Experience Manager ApplyRefer a FriendBack Job Details Requisition #: 207205 Location: Temple, TX 76504 Category: Administrative/Clerical Salary: $40,000.00 per ... year Position Details Position: Care Experience Manager (CEM) Join a Company That Puts People First!...and Sick Days + Quarterly Bonus Opportunities + Mileage Reimbursement + 401(k) Savings Plan with Employer Matching +… more
- Amgen (San Antonio, TX)
- …worldwide. It's time for a career you can be proud of. **Key Account Manager - Cardiovascular** **Live** **What you will do** The Cardiovascular Account Manager ... Committee, etc., that act as partners or decision-makers within the Health System Manager assigned accounts + Presents MAC approved data and CV product messaging for… more
- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** The Health Plan Operations, Payment Integrity Program Manager is an individual contributor role designed for a highly capable ... of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations and action plans. +...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
- Humana (Austin, TX)
- …of the business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare , Medicaid, and/or and Group ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies,...match * Generous Paid Time Off accrual * Tuition Reimbursement * Parent Leave * Go365 perks for well-being… more
- Molina Healthcare (Austin, TX)
- **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... expert on developing financial models to evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, Claims, Medical… more