- Kelsey-Seybold Clinic (Webster, TX)
- …advanced imaging, and diagnostics, 18 onsite Kelsey pharmacies and one specialty pharmacy , and MyKelseyOnline, a secure patient portal, are part of its comprehensive ... and is in-network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with… more
- Kelsey-Seybold Clinic (Houston, TX)
- …advanced imaging, and diagnostics, 18 onsite Kelsey pharmacies and one specialty pharmacy , and MyKelseyOnline, a secure patient portal, are part of its comprehensive ... and is in-network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with… more
- CenterWell (Austin, TX)
- …3 or more years experience in a high-volume community or mail order pharmacy practice environment + Previous experience in utilization management + Education: BSN or ... a related field + Health Plan experience + Previous Medicare /Medicaid Experience a plus + Call center or triage...largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health… more
- Lundbeck (Longview, TX)
- …internal and external partners and effectively addresses payer access issues ( Medicare , Medicaid, Commercial) using Lundbeck resources. **Local Market & Therapeutic ... experience in both the Outpatient Infusion setting and Specialty Pharmacy channel with a strong understanding of pricing and...migraine + Experience in both the medical or specialty pharmacy benefit market + Experience working with high influence… more
- CenterWell (Austin, TX)
- …services. Able to navigate healthcare options; care services post-acute offerings, Medicare coverage, billing issues, as well as accessing healthcare resources. + ... one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the… more
- Molina Healthcare (San Antonio, TX)
- …or equivalent experience (such as specialties in: surgical, Ob/Gyn, home health, pharmacy , etc.). + Experience demonstrating knowledge of ICD-9, CPT coding and HCPC. ... MCG, InterQual or other medically appropriate clinical guidelines, Medicaid, Medicare , CHIP and Marketplace, applicable State regulatory requirements, including the… more
- CenterWell (Eastland, TX)
- …audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers ... one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the… more
- CenterWell (Austin, TX)
- …improve quality and reduce costs for high-risk senior populations in full-risk Medicare arrangements. The Director will lead and oversee the strategic planning, ... one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the… more
- Prime Therapeutics (Austin, TX)
- …and resolve regulatory inquiries/complaints related to claims, contracting and pharmacy reimbursement. Works directly with business partners across the enterprise. ... or PBM organization, or other highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) + Must be eligible… more
- CenterWell (Corpus Christi, TX)
- …experience * Basic knowledge of Population Health Strategy * Familiarity with Medicare * Experience managing a budget of $500,000 **Work Schedule:** Full Time ... one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the… more