- Molina Healthcare (Dallas, TX)
- …of education and experience. **PREFERRED EXPERIENCE** : * 5+ years of Program and/or Product management experience. * Medicare Managed Care experience. ... **JOB DESCRIPTION** **Job Summary** Responsible for leading Medicare and duals internal business projects and programs involving department or cross-functional teams… more
- Molina Healthcare (TX)
- …in health insurance + Knowledge of enrollment files, including extracts + Program Manager experience + Sr. Business or System Analyst experience + Process ... from inception through delivery + Subject matter expert of enrollment to Program Managers and Analyst and...units + Strong business knowledge related to Medicaid and Medicare lines of business + Reviews enrollment … more
- Cardinal Health (Austin, TX)
- …Must meet the daily task and benefit investigation goals associated with a high enrollment volume/low patient interaction program . + Assigned as point of contact ... therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient support services in… more
- UTMB Health (Galveston, TX)
- …degree in accounting, business, or related field. and ten (10) years Medicare and Medicaid reimbursement experience, with at least six years of reimbursement ... experience at manager level or above. **Preferred Qualifications:** + Master's degree...accounting or business and/or a CPA. + Experience with Medicare IME, DGME, DSH and Organ Acquisition reimbursement and… more
- Molina Healthcare (TX)
- …RN license in the state of MI. This position will support our MMP (Medicaid Medicare Population) that is part of the Personal Care team. This position will have a ... case load and manage members enrolled in this program . We are looking for Registered Nurses who have...of members per regulated timelines. + Facilitates comprehensive waiver enrollment and disenrollment processes. + Develops and implements a… more
- Molina Healthcare (Richardson, TX)
- …will be given to those candidates with previous experience working with the Medicare population within a Managed Care Organization (MCO). Mileage is reimbursed as ... assessments of members per regulated timelines. + Facilitates comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case… more
- Cardinal Health (Austin, TX)
- …needs, and handles accordingly + Creates and completes accurate applications for enrollment with a sense of urgency + Scrutinizes forms and supporting documentation ... when necessary to help support the needs of the patient and/or program + Conducts benefits investigations to identify patients' insurance plan coverage for… more
- Houston Methodist (Houston, TX)
- …to research patients under the supervision of the Clinical Trials Manager and Principal Investigator. This position implements clinical research patient care ... and orientation process for new staff in conjunction with Clinical Trials Manager . Precepts new clinical research staff in clinical setting. Uses peer-to-peer… more