- Elevance Health (Grand Prairie, TX)
- ** Business Change Manager ** **Location:** Grand Prairie, TX; Indianapolis, IN; Mason, OH; Tampa, FL; Norfolk, VA (preferred). This role requires associates ... and adaptable workplace. Alternate locations may be considered. The ** Business Change Manager ** is responsible...and resources + Leading various projects that support the Medicare Risk & Recovery Revenue Management - Data Ops… more
- Molina Healthcare (Fort Worth, TX)
- …data exchange of the Medicare /MMP product in support of strategic and corporate business objectives. Support for all Medicare lines of business the ... and MMP Welcome Kits, National Coverage Determinations, Mid-year change notices, and legal documents (ie Notice of Privacy...of Availability, etc.), in various formats and languages. Supports Medicare and MMP lines of business for… more
- Molina Healthcare (Fort Worth, TX)
- **Job Description** **Job Summary** Molina Medicare Stars Program Manager functions oversees, plans and implements new and existing health care quality ... improvement initiatives and education programs. Responsible for Medicare Stars projects and programs involving enterprise, department or cross-functional teams of… more
- Molina Healthcare (Fort Worth, TX)
- …and support change requests for existing reports with line-of-sight into business processes * Creates reports using Microsoft SQL Reporting Services and PowerBI. ... and plans for closing gaps. * Performs other duties as assigned by the Analytics Manager . * Completes training courses set forth by Analytics team manager . * May… more
- Skyline Nursing Center (Dallas, TX)
- …+ Dental + Vision + PTO + 401K Objective Direct the overall Business Office activities in accordance with current applicable federal, state, and local standards, ... and as directed by the Administrator, to assure that Business Office tasks are done correctly and on schedule,...ensures that the Centralized Statement process is followed. Manages Medicare ADRs and appeals per established procedure. Ensures that… more
- NTT America, Inc. (Plano, TX)
- …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...issues and agent downtime. Consistent availability is critical to business operations. + Remote employees must adhere to all… more
- WTW (Richardson, TX)
- **Description** **Who we are:** TRANZACT is a leading direct-to-consumer insurance services business , specializing in the distribution of Medicare Advantage, ... connect with consumers. Our diverse team of analysts, writers, engineers, designers, business leaders, data scientists and sales professionals all work together to… more
- Caris Life Sciences (Irving, TX)
- …5+ years of experience in a related industry + Expert in Business -to- Business (B2B) communications. + Advance knowledge of Medicare , Medicaid and commercial ... Caris is where your impact begins.** **Position Summary** The Manager of Billing Operations Accounts Receivable is responsible for...strong interpersonal skills and the ability to sell the business reason for the change . Act as… more
- Molina Healthcare (Fort Worth, TX)
- …improving performance, training needs, support to other business units + Strong business knowledge related to Medicaid and Medicare lines of business ... in health insurance + Knowledge of enrollment files, including extracts + Program Manager experience + Sr. Business or System Analyst experience + Process… more
- Caris Life Sciences (Irving, TX)
- **Position Summary** Caris is seeking a full time Manager for our Billing Operations to oversee the day-to-day operations for a defined payor group. This position ... of privacy of patient data. + Experience working with Medicare Advantage plans is a plus + Experience with...meeting/exceeding performance goals. + Demonstrated track record in managing change . + Demonstrated ability to lead and motivate a… more
- Elevance Health (Grand Prairie, TX)
- …member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services ... + Analyzes and interprets data and makes recommendations for change based on judgment and experience. + Associates in...a minimum of 5 years of audit/reimbursement or related Medicare experience; or any combination of education and experience,… more
- HCA Healthcare (Plano, TX)
- …and facility processes. . Prepares documentation for Notification of Non-covered Medicare Services or Advance Beneficiary notices to patients and follows practice ... education. . Refers conflicts and procedural questions to Practice Manager or designee as they arise. . Attends required...as requested. . Cross-trains as back up to other business office positions as requested. . Performs other general… more
- Molina Healthcare (Fort Worth, TX)
- …key stakeholders * Ensure performance and identification of process efficiencies, partner with business owners to effectuate change * Lead team of Sales ... **Job Description** **Job Summary** The Manager , Sales Operations will be key to the success of the Sales Support Organization by providing strategy, oversight and… more