- Cardinal Health (Austin, TX)
- …negotiations and category management for Urology, Ostomy and Wound Care in pharmacy , DME and cash pay channels. **_Responsibilities_** + Leads strategy and plan ... and full portfolio management for Urology, Ostomy and Wound Care Categories in pharmacy , DME and cash pay channels. + Leads team of business development managers… more
- CenterWell (Alice, TX)
- …two to five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... coordinated care environment in a value based relationship environment + Medicare Provider Number / Medicaid Provider Number + Knowledge of Medicare guidelines… more
- Prime Therapeutics (Austin, TX)
- …strategy. This role provides leadership and subject matter expertise on Medicare Stars, Medicaid quality and the Commercial/Health Insurance Marketplace Quality ... goals + Drive the client quality strategy for all lines of business ( Medicare , Medicaid, Commercial/HIM); serve as primary point of contact and subject matter expert… more
- CenterWell (Arlington, TX)
- …be screened for TB **Preferred Qualifications:** + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum of two to five ... years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care… more
- CenterWell (El Paso, TX)
- …role, you will be required to be screened for TB **Preferred Qualifications:** + Medicare Provider Number + Medicaid Provider Number + Minimum of two to five years ... directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care… more
- Prime Therapeutics (Austin, TX)
- …Supports new client implementations + Supports all lines of business (commercial/HIM, Medicare and Medicaid) + Other duties as assigned **Education & Experience** + ... legal or compliance related roles for a healthcare or Pharmacy Benefit Management organization, or within a highly regulated...or within a highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) +… more
- J&J Family of Companies (El Paso, TX)
- …access and affordability solutions across multiple payer types and plans (ie, Medicare , Medicaid Managed Care, Commercial). + Execute business in accordance with the ... **Market Access Expertise:** + Extensive knowledge of medication access channels (ie, pharmacy and medical benefit including buy & bill and/or assignment of benefit… more
- Humana (Austin, TX)
- …to improve clinical outcomes and lower costs for millions of Medicare Advantage beneficiaries leveraging data science & analytics, clinical expertise, strategic ... to define various clinical concepts and extract clinical information from medical, pharmacy , and lab claims for analytics and modeling purposes + Translates analytic… more
- Cardinal Health (Austin, TX)
- …streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, ... a call center or customer service environment, preferred + Clear knowledge of Medicare , Medicaid & Commercial payer policies and guidelines for coverage, preferred +… more
- Cardinal Health (Austin, TX)
- …including Medicare , Medicaid, Managed Care, and Commercial medical and pharmacy plans while planning for various scenarios that may impact prescribed products ... streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas,… more