- Prime Therapeutics (Austin, TX)
- …our passion and drives every decision we make. **Job Posting Title** North Carolina Medicaid Account Manager - Remote Raleigh, NC **Job Description** The Senior ... Account Manager is responsible for providing complex level support for...for providing complex level support for the North Carolina Medicaid business by driving communications, client-facing initiatives, and product… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target patient ... initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from the physician… more
- Centene Corporation (Austin, TX)
- …benefits. Program Manager III is responsible for development, aspects of contract and rate negotiations, developing complex benefits that support Medicaid ... End-to-end development, filing and execution of the Medicare Supplemental benefits. Program Manager III will own a complex portfolio of designs, and directly… more
- Molina Healthcare (TX)
- …leadership to healthcare services function - providing support for project /program/process design, execution, evaluation and support, and ensuring compliance with ... (LMFT). Clinical licensure and/or certification required ONLY if required by state contract , regulation or state board licensing mandates. If licensed, license must… more
- Molina Healthcare (San Antonio, TX)
- …Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification. + Project Management Experience + Familiarity with Medicaid -specific Scorable ... Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits,… more
- Elevance Health (Houston, TX)
- …is a proud member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid ... programs. The **Audit and Reimbursement III** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and … more
- Elevance Health (Houston, TX)
- …is a proud member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid ... programs. The **Audit and Reimbursement II** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and … more
- Centene Corporation (Austin, TX)
- …Opportunity**_** **_The ideal candidate will have:_** + **_Knowledge of dual contract requirements (eg, Medicare- Medicaid plans)_** + **_Experience managing ... related to ongoing Duals compliance monitoring activities. + Partners with Duals Manager and health plans in managing relationships with regulatory agencies and seek… more
- HCA Healthcare (San Antonio, TX)
- …P-card purchases. + Tracking, documenting and reporting monthly prizes awarded. + Project Manager for special facility-wide events (Employee Appreciation Week, ... carpet stains/damage, etc.) and manage items through to completion + Manage contract and staffing for on-site Security Officers covering all hours of operation… more