- Humana (Austin, TX)
- …group practice management + Utilization management experience in a medical management review organization, such as Medicare Advantage and managed Medicaid + ... other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and Medicaid requirements, and will understand how… more
- HCA Healthcare (Georgetown, TX)
- …you find this opportunity compelling, we encourage you to apply for our Medicare Specialist opening. We promptly review all applications. Highly qualified ... individual is recognized. Submit your application for the opportunity below: Medicare Specialist Parallon **Benefits** Parallon, offers a total rewards package that… more
- Humana (Austin, TX)
- …and Managed Medicaid. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or ... teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to… more
- Houston Methodist (Katy, TX)
- …HB Epic AR management experience + Strong working knowledge of Facility Medicare (Part A) guidelines. + Problem solving thought leader with proven execution ... competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees,… more
- Molina Healthcare (San Antonio, TX)
- …from government and accreditation regulators. + Directs the team in providing physician leadership and expertise in the performance of prior authorization, inpatient ... concurrent review , discharge planning, case management and interdisciplinary care team...License without restrictions (free of sanctions from Medicaid or Medicare ) **PREFERRED EDUCATION:** Master's in Business Administration, Public Health,… more
- CenterWell (Arlington, TX)
- …pay + bonus) could exceed $300K depending on experience and location.** The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a ... and spend more time with those they do. The Physician focuses on outpatient medicine, continuity of care, health...Leadership. + Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues.… more
- CenterWell (San Antonio, TX)
- …part of our caring community and help us put health first** The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a value-based ... Leadership. + Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues....required to be screened for TB **Preferred Qualifications:** + Medicare Provider Number + Minimum of two to five… more
- CenterWell (Alice, TX)
- …a part of our caring community and help us put health first** The Physician serves as a health-care professional and capable of handling a variety of health-related ... problems. The Physician work assignments involve moderately complex to complex issues...byClinical Leadership. + Meets with RMD about quality of care, review of outcome data,policy, procedure and records issues. +… more
- CenterWell (El Paso, TX)
- …part of our caring community and help us put health first** The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a value-based ... Leadership. + Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues....required to be screened for TB **Preferred Qualifications:** + Medicare Provider Number + Medicaid Provider Number + Minimum… more
- Kelsey-Seybold Clinic (Stafford, TX)
- …corrective measures as indicated, including urgent care + Consult with primary care physician of services provided and collaborate with other physicians as needed + ... of clinical practice guidelines/standards in support of quality palliative care + Timely review , oversight, and documentation of patient care by team NP (s) or RN… more