- Molina Healthcare (Houston, TX)
- …Help translate CMS audit requirements into data tasks under the guidance of senior analysts. + Document data sourcing steps, methodologies, and business rules to ... + Exposure to Databricks, Spark, or similar data platforms + Familiarity with Medicare Advantage or Medicaid programs + Awareness of CMS audit processes or… more
- CenterWell (Mineral Wells, TX)
- …and be able to problem solve effectively. + Must possess knowledge of Medicare guidelines governing home health and hospice agencies. + Must have exceptional ... that put patients at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of home health services, and… more
- Gentiva (Spring, TX)
- …Manager, You Will:** * Report directly to the Executive Director, Administrator, or Senior Patient Care Manager * Oversee and direct patient care services to ensure ... ability to apply hospice principles, industry standards, and regulatory compliance ( Medicare , Medicaid, JCAHO, ACHC) * Knowledge and compassion for terminally ill… more
- Humana (Austin, TX)
- …capabilities to enable federated Enterprise API development. + Works with senior executives to develop and drive enterprise-wide functional strategies, with ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Prime Therapeutics (Austin, TX)
- …Relations Sr Dir - Remote **Job Description** The Pharmaceutical Trade Relations Senior Director is responsible for managing Prime's Trade Relations program(s) for ... or equivalent training and/or experience + Experience within the PBM industry, Medicaid, Medicare , and health plans + Pharmacist / Pharm D + Experience with contract… more
- Molina Healthcare (Fort Worth, TX)
- …key Quality Improvement (QI) leader within the organization, empowered to advise senior management and other departments on Quality strategies and initiatives. This ... experience with HEDIS programs. + 2 years Medicaid experience + 2 years Medicare experience + 3 years management experience + Operational knowledge and experience… more
- Humana (Austin, TX)
- …objectives to technology strategy and assets. Collaborate with architects and senior leaders to define and communicate the enterprise architecture vision, prioritize ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- CenterWell (Athens, TX)
- …and be able to problem solve effectively. . Must possess knowledge of Medicare guidelines governing home health and hospice agencies. . Must have exceptional ... that put patients at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of home health services, and… more
- CenterWell (Lubbock, TX)
- …audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers ... that put patients at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of home health services, and… more
- CenterWell (Eastland, TX)
- …the HHA Registry (if applicable) and have completed HHA/CNA course to work for a Medicare certified agency. + At least one year experience in the last 24 months as ... that put patients at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of home health services, and… more