- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
- CVS Health (TX)
- …compassionate. And we do it all with heart, each and every day. As the Senior Manager , Aetna Medical Pharmacy, you will be accountable for leading the ... and organizational compliance with regulations related to the organization's Medicare Part B program operations. + Triage...related to the organization's Medicare Part B program operations. + Triage escalation requests to the correct… more
- Molina Healthcare (Austin, TX)
- …**Job Summary** Establish a specifically designed Operational Regulatory Oversight program that effectively prevents and/or detects violation of applicable laws ... provisions, and internal policies and procedures. * Supports the Operational Oversight Manager , Director, and team in the general development of the Operational… more
- CVS Health (TX)
- …and more compassionate. And we do it all with heart, each and every day. As a Senior Manager within the Aetna Medicare Pharmacy team, you will play a ... critical role in shaping and executing the organization's Medicare Part D formulary and product strategy. Leveraging your...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- CVS Health (TX)
- …and more compassionate. And we do it all with heart, each and every day. As the Senior Manager , Aetna Medicare Medical Pharmacist, you will play a key role ... and execution of business strategies and programs within the Medicare Part B Pharmacy Team. You will act as...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- Humana (Austin, TX)
- …are looking for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales, motivates and drives a team of ... motivate and train a team of sales individuals. The Senior Manager , Medicare Sales, must...+ This role is part of Humana's Driver safety program and therefore requires an individual to have a… more
- NTT DATA North America (Plano, TX)
- …inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Delivery Senior Manager to join our team. NTT DATA is seeking to ... hire a ** Medicare Appeals Clinical Leader** to lead service delivery engagements...paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally… more
- Elevance Health (Houston, TX)
- …Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... of the Department of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and… more
- CVS Health (TX)
- …and every day. **Position Summary** We are seeking a highly skilled and experienced Senior Data Engineering Manager to lead and mentor our data engineering team ... team that is responsible for processing Claims, Revenue, and Medicare Specific files and data from 30+ payors into...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- Centene Corporation (Austin, TX)
- …Opportunity**_** **_The ideal candidate will have:_** + **_Deep knowledge of the Medicare Advantage program , with hands-on experience in Dual Eligible Special ... leadership in maintaining Centene Corporation's Compliance with Duals (D-SNP) Program requirements. Provide regulatory interpretation, perform compliance reporting, lead… more
- CenterWell (Austin, TX)
- …part of our caring community and help us put health first** The Senior RX Clinical Programs Pharmacist integrates programs developed to improve overall health ... outcomes with a focus on prescription drugs. The Senior RX Clinical Programs Pharmacist work assignments involve moderately complex to complex issues where the… more
- Gentiva (Spring, TX)
- … Manager , You Will:** * Report directly to the Executive Director, Administrator, or Senior Patient Care Manager * Oversee and direct patient care services to ... so, you could be the next Hospice Patient Care Manager on our team. At Gentiva Hospice, we believe...state of employment * Graduate of an accredited nursing program * Minimum of 3 years of direct patient… more
- CenterWell (Austin, TX)
- …appropriate. The Clinical Care Coordinator is under the general supervision of the Manager of Care Coordination and under established performance criteria. This is a ... services. Able to navigate healthcare options; care services post-acute offerings, Medicare coverage, billing issues, as well as accessing healthcare resources. +… more
- CenterWell (Houston, TX)
- …Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating nearly 340 centers across ... supporting patient's physical, emotional, and social wellness. At CenterWell Senior Primary Care, we want to help those in...Center. + Participates in the local primary care "on-call" program of CenterWell as needed. + Assures personal compliance… more
- CenterWell (Arlington, TX)
- …Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating 340 centers across fifteen ... supporting patient's physical, emotional, and social wellness. At CenterWell Senior Primary Care, we want to help those in...Center. + Participates in the local primary care "on-call" program of CenterWell as needed. + Assures personal compliance… more
- CenterWell (San Antonio, TX)
- …considered patient facing and is a part of our Tuberculosis (TB) screening program . **Preferred Qualifications:** + Medicare Provider Number + Medicaid Provider ... within the Center. + Participates in the local primary care "on-call" program of Conviva as needed. + Assures personal compliance with licensing, certification,… more
- CenterWell (San Antonio, TX)
- …facing and is a part of our Tuberculosis (TB) screening program .** **Preferred Qualifications:** ** Medicare Provider Number** **Medicaid Provider Number** ... within the Center. + Participates in the local primary care "on-call" program of Conviva as needed. + Assures personal compliance with licensing, certification,… more
- CenterWell (Austin, TX)
- …responsible for the medical direction, clinical oversight, and advancement of CenterWell Senior Primary Care's (and Conviva Senior Primary Care's) Home-Based ... Care portfolio, serving the highest-need and most complex senior patients. This role will lead clinical strategy, quality improvement, and care delivery innovation… more
- CenterWell (Mcallen, TX)
- …within the Center. + Participates in the local primary care "on-call" program of Conviva as needed. + Assures personal compliance with licensing, certification, ... of TX + Graduate of accredited MD or DO program of accredited university + Board Certification or Eligible...computer skills, including email and EMR **Preferred Qualifications:** + Medicare Provider Number + Medicaid Provider Number + Minimum… more
- CenterWell (Corpus Christi, TX)
- …Care Organization (PCO) is the largest and fastest growing value-based care, senior -focused primary care network in the country. The Primary Care Physician (PCP) ... the region of assignment, as required + Graduate of accredited MD or DO program of accredited university + Board Certification or Board Eligible in Family Medicine… more