- Molina Healthcare (Houston, TX)
- JOB DESCRIPTION Job Summary Provides medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting ... and cost-effective member care. Essential Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports… more
- Humana (Houston, TX)
- …everything it does. The MarketPoint Career Channel Team is looking for skilled Medicare Sales Field Agents. This is a **field** **-based** role, and candidates must ... community. As part of a collaborative team of 8-12 Medicare Sales Field Agents, you'll work under the guidance...under the guidance of a Senior Manager and Regional Director who are committed to your success. Together, you'll… more
- Molina Healthcare (Houston, TX)
- …to standardize policies and procedures. + Recruits, hires, trains, mentors, and develops medical director staff and team members as needed. + Ensures ... behavioral health and at least 3 years as a medical director in a managed care setting...management policies across health plans or navigating varied state Medicaid/ Medicare regulations. + Working knowledge of national, state, and… more
- Molina Healthcare (Houston, TX)
- …reviews behavioral health portions of state contracts. * Assists behavioral health medical director lead trainers in the development of enterprise-wide education ... JOB DESCRIPTION Job SummaryProvides medical oversight and expertise related to behavioral health...National Committee for Quality Assurance (NCQA) and Centers for Medicare and Medicaid Services (CMS). * Assists with the… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Director Governmental Reporting is responsible for ensuring that Houston Methodist meets all internal and external financial and ... governmental reporting requirements. Requirements include Medicare cost reports, Federal Tax Returns Health and Human Services (HHS)/Centers for Medicare and… more
- ChenMed (Houston, TX)
- …is a transitional position towards becoming a center clinical P&L leader (ie, Senior Medical Director [SMD]) in the organization. The incumbent Center Medical ... organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a...simultaneously completing PCP Black Belt Training and Mastering the Medical Director Essentials within a combined and… more
- HCA Healthcare (Houston, TX)
- …This position is incentive eligible. **Introduction** We are seeking a Director Clinical Nursing Operations with HCA Houston Healthcare Northwest to promote ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...benefits may vary by location._** We are seeking a Director Clinical Nursing Operations for our team to be… more
- Bausch + Lomb (Houston, TX)
- …**Overview** Through depth and breadth of customer and industry knowledge, the ** Director , National Accounts** will be responsible for aiding in the development of ... these programs it is also the expectation that the National Account Director will take responsibility for communication, facilitation and implementation with these… more
- Elara Caring (Conroe, TX)
- …the Right Care, at the Right Time, in the Right Place. **Job Description:** **Branch Director - Hospice** At Elara Caring, we care where you are and believe the best ... countless ways to make a difference as a Branch Director - Hospice. Being a part of something this...opportunities for all employees + Comprehensive insurance plans for medical , dental, and vision benefits + 401(K) with employer… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Director Case Management & Social Services RN position is responsible for strategy, function and operations of the Case Management & Social ... promoting the most cost-effective utilization of the hospital's resources. The Director Case Mgmt Social Svcs position deploys population-focused teams to enhance… more
- AbbVie (Houston, TX)
- …medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's ... cities: + Manchester, NH + Houston, TX The Associate Director , Field Reimbursement, Oral Migraine manages and coaches a...understanding of Parts A, B, C and D or Medicare and associated reimbursement dynamics + Strong understanding of… more
- Option Care Health (Houston, TX)
- …is maintained by providing direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also serve as the alternate ... administrator and or alternate director of nursing. **Job Description:** **Job Responsibilities** (listed... of Nursing of the Home Health Agency for Medicare certified home health agencies in the absence of… more
- CenterWell (Houston, TX)
- … medical expertise with the care team through daily huddles. . Helps regional medical director and center administrator in setting a tone of cooperation in ... doctors, advanced practice professionals, pharm D, care coach nurses, medical assistants, behavioral health, specialists, quality-based coders, referral coordinators… more
- CenterWell (Houston, TX)
- … medical expertise with the care team through daily huddles. + Helps Area Medical Director and Center Administrator in setting a tone of cooperation in ... protocol defined by Clinical Leadership. + Meets with Area Medical Director and Lead Cardiologist about quality...pump + Work experience in electrophysiology + Experience managing Medicare Advantage panel of patients with understanding of Best… more
- Danaher Corporation (Houston, TX)
- …engagement and responding to customer inquiries. This position reports to the Senior Director Market Access Americas and is part of the Value and Access team. ... + Communicate regional and local coverage and reimbursement issues for Medicare , Medicaid and Commercial payers through internal meetings, payer research, and… more
- HCA Healthcare (Conroe, TX)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...Society of Chest Pain Centers and governmental regulation for Medicare compliance. Manages all CV Data to include ACC,… more
- HCA Healthcare (Houston, TX)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- Aveanna Healthcare (Houston, TX)
- …a monthly, uncapped commission plan. Position Overview The Client Relations Director is responsible for general sales activity, sales communications, and marketing ... (may cover multiple locations). Essential Job Functions * Market Medical Solutions to existing and potential referral sources to...time with or without notice. As an employer accepting Medicare and Medicaid funds, employees must comply with all… more