- HCA Healthcare (Austin, TX)
- …public nursing or acute hospital nursing experience + Familiar with Medicare home health regulations, documentation requirements, ICD-10 coding and PPS (Strongly ... health, public nursing or acute hospital nursing experience Familiar with Medicare home health regulations, documentation requirements, ICD-10 coding and PPS… more
- Molina Healthcare (Austin, TX)
- …needed + Primary point of contact for the internal partners, ie Medicare Administration, Compliance and Health Plan Operations. Coordinates and facilitates meetings ... findings + Identifies, defines and communicates opportunities for improvement to senior leadership + Strong knowledge of enrollment State, Federal, and business… more
- Molina Healthcare (TX)
- …for overseeing all aspects of healthcare subrogation operations across Medicaid, Medicare , and Marketplace lines of business. This includes direct management of ... to support efficient and compliant subrogation operations across Medicaid, Medicare , and Marketplace populations. + Collaborate with legal, claims, provider… more
- Molina Healthcare (Fort Worth, TX)
- …activities for the state health plan. Works with direct management, senior leadership/management, Corporate, and staff to develop and implement standardized provider ... and Joint Operating Committees. * Manages and reports network adequacy for Medicare , Marketplace, and Medicaid services. * In conjunction with direct management and… more
- Evolent (Austin, TX)
- …on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization ... for utilization management while working in conjunction with the Senior Medical Director. **Qualifications - Required and Preferred:** +...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Evolent (Austin, TX)
- …on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization ... for utilization management while working in conjunction with the Senior Medical Director. **Qualifications** + MD/DO/MBBS Degree + Current,...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- CenterWell (Fort Worth, TX)
- …budgeting, staffing, operational excellence, and clinical initiatives *Champion our senior -focused primary care strategic vision and initiatives and foster ... indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals *Personally… more
- CenterWell (Austin, TX)
- …put health first** Conviva Senior Primary Care has a strong emphasis on senior -focused primary care for members of Medicare Advantage health plans and is ... insurance and many other opportunities. **About Us** About Conviva Senior Primary Care: Conviva Senior Primary Care...Us** About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors,… more
- CenterWell (Arlington, TX)
- …staffing, operational excellence, and clinical initiatives + Champion our senior -focused primary care strategic vision and initiatives and foster stakeholder ... indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals + Personally… more
- Erickson Living (Dallas, TX)
- Location: Highland Springs by Erickson Senior Living Highland Springs is a beautiful 89-acre continuing care retirement community in North Dallas, Texas. We're part ... growing network of communities developed and managed by Erickson Senior Living, a national provider of senior ...we require: + Degree and training must meet current Medicare and state requirements. + Must possess a valid… more