- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements ... 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
- Gilead Sciences, Inc. (Dallas, TX)
- …that will improve the lives of patients with life-threatening illnesses worldwide. The ** Sr .** **Field Reimbursement Manager - HIV Prevention (** ** Sr . ... in navigating the complexities of the healthcare system. The Sr . FRM HIV Prevention will provide in-person and virtual...and reimbursement outcomes. + Assist the internal patient support program team in enhancing hub and FRM processes, such… more
- Elevance Health (Grand Prairie, 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
- Molina Healthcare (Dallas, TX)
- **Knowledge/Skills/Abilities** * Responsible for program development, implementation, and management of process improvement initiatives. * Coordinates, directs, and ... Conduct meetings and disseminates communication related to process improvement activities to senior leadership and staff as needed. * Knowledge of HEDIS measurement… more
- BrightSpring Health Services (Arlington, TX)
- …+ Tuition Reimbursement- Advance your education with our support. + Employee Discount Program - Enjoy perks that extend beyond the workplace. *Position will be posted ... regard to calls/claims per hour as determined by the Director and Clinical Hub Manager + Provide clinical support to members of the RxAllow team regarding prior… more
- HCA Healthcare (Irving, TX)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... **Description** **Introduction** We are seeking a Home Health Clinical Manager with Medical City Healthcare at Home to promote...Two years of experience within a licensed and certified ( Medicare ) home health agency required + Competent in Federal… more
- HCA Healthcare (Dallas, TX)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... an organization that invests in you as a Reimbursement Manager ? At Medical City Healthcare, you come first. HCA...part of our team. **Job Summary and Qualifications** Complete Medicare and Medicaid cost reports to obtain appropriate reimbursement… more
- CenterWell (Dallas, TX)
- …CenterWell is a subsidiary of Humana, seeking a Primary Care Clinic Manager , that develops and leads implementation for staffing plans, policies and procedures ... Knowledge of and experience working with Provider Communities. + Medicare knowledge + Managed care experience + Proven ability...facing and is part of Humana's Tuberculosis (TB) screening program . If selected for this role, you will be… more
- Elevance Health (Grand Prairie, TX)
- …**Responsible for monitoring quality performance data, and managing clinical program development for population-based clinical quality measures, focusing on HEDIS.** ... the strategies, programs and tools to be implemented. + Leads program development activities. + Develops and coordinates presentations, communications and… more
- Elevance Health (Grand Prairie, TX)
- …or related Medicare experience which includes previous experience at a Senior Auditor level in health care, public accounting, or a government agency; or ... member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services… more
- CenterWell (Dallas, TX)
- …Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating 300 centers across fifteen ... care team supporting patient's physical, emotional, and social wellness. At CenterWell Senior Primary Care, we want to help those in the communities we… more
- HCA Healthcare (Dallas, TX)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... + You will prepare documentation for Notification of Non-covered Medicare Services or Advance Beneficiary notices to patients and...chart requests from Medical Records and notify the Materials Manager /Nurse Manager of any physician requests… more
- HCA Healthcare (Dallas, TX)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... and facility processes. . Prepares documentation for Notification of Non-covered Medicare Services or Advance Beneficiary notices to patients and follows practice… more
- HCA Healthcare (Dallas, TX)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... and facility processes. . Prepares documentation for Notification of Non-covered Medicare Services or Advance Beneficiary notices to patients and follows practice… more
- CenterWell (Dallas, TX)
- …other providers to form a narrow network of quality service focused on senior population health + Responsible for medical interpretation, reviews, and decisions as ... facing and is part of our Tuberculosis (TB) screening program . If selected for this role, you will be...**Preferred Qualifications** + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum… more
- HCA Healthcare (Fort Worth, TX)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... and facility processes. + Prepares documentation for Notification of Non-covered Medicare Services or Advance Beneficiary notices to patients and follows practice… more
- CenterWell (Dallas, TX)
- …of hands-on healthcare experience in a clinical setting, preferably within the Medicare population + Proficient with medical terminology + Proficient with Microsoft ... and is part of the company's Tuberculosis (TB) screening program . If selected for this role, you will be...insurance and many other opportunities. **About Us** About CenterWell Senior Primary Care: CenterWell Senior Primary Care… more
- Baylor Scott & White Health (Dallas, TX)
- …and accreditation standards, such as the Joint Commission, Centers for Medicare and Medicaid (CMS), National Committee for Quality Assurance (NCQA), Health ... larger, more complex organization or functional area than a manager . Often has one or more managers or supervisors...Tracks the resolution of corrective actions agreed to by senior leadership in response to compliance audits or investigations… more