- Molina Healthcare (Houston, 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. (Houston, 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 (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
- Molina Healthcare (Houston, 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
- HCA Healthcare (Texas City, TX)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... other healthcare provider. We are seeking a(an) Registered Nurse RN Case Manager to join our healthcare family. **Benefits** HCA Houston Healthcare Mainland, offers… more
- HCA Healthcare (Houston, TX)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... Management Supervisor RN opportunity. **Job Summary and Qualifications** The Supervisor Case Manager is responsible for the supervision of the Case management Staff… more
- The Cigna Group (Houston, TX)
- This position will provide external actuarial analytics support within the regulated Medicare market and Pharmacy Benefit Manager (PBM) Healthplan space. The ... Part D Health Plans: PDP, MAPD, and Special Needs Program (SNPs) + Review Medicare Part D...D bid development consulting experience preferred + Regulated Markets Medicare Part D Experience Pharmacy Benefit Manager … more
- Elevance Health (Houston, 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 (Houston, 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
- HCA Healthcare (Houston, TX)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... Performs in accordance with physician's orders and under the supervision of the Clinical Manager . **What you will do in this role:** + Assesses home care patients… more
- CenterWell (Pasadena, TX)
- …Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating nearly 300 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 (Pearland, TX)
- …within the Center. . Participates in the local primary care "on-call" program of CenterWell as needed. . Assures personal compliance with licensing, certification, ... See Additional Information on testing + Graduate of accredited MD or DO program of accredited university; successful completion of an accredited ACGME/AOA residency … more
- CenterWell (Baytown, TX)
- …Carolina and Texas. CenterWell Senior Primary Care has a strong emphasis on senior -focused primary care for members of Medicare Advantage health plans and is ... role is considered patient facing and is part of Humana/ Senior Bridge's Tuberculosis (TB) screening program . If...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- CenterWell (Houston, TX)
- …Carolina and Texas. CenterWell Senior Primary Care has a strong emphasis on senior -focused primary care for members of Medicare Advantage health plans and is ... **Become a part of our caring community and help us put health first** CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary… more
- CenterWell (Houston, TX)
- …experience + This role is considered patient facing and is part of Humana/ Senior Bridge's Tuberculosis (TB) screening program . If selected for this role, ... caring community and help us put health first** The Manager , Clinic/Center Administration plans and directs the work of...Qualifications** + Basic knowledge of Population Health Strategy + Medicare knowledge + Managed care experience + Value Based… more
- CenterWell (Houston, TX)
- …in field sales or grassroots marketing; ideally field sales with a focus on senior value-based care models or Medicare Advantage. + In-depth knowledge of ... of industry trends, competitor activities, and emerging opportunities within the senior healthcare market adjusting sales strategies and identify new growth avenues.… more
- CenterWell (Houston, TX)
- …within the Center. + Participate in the local primary care "on-call" program of CenterWell as needed. + Ensure personal compliance with licensing, certification, ... patient care. **Required Qualifications** + Graduate of an accredited MD or DO program ; successful completion of an accredited ACGME/AOA residency program . +… more
- Houston Methodist (Houston, TX)
- …new hire feedback sessions, coaching/corrective counseling, and providing recognition /commendations to achieve desired outcomes. + Identifies opportunities and ... discharge planning, progression of care, documentation of improvement, and Medicare Conditions of Participation. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Ensures a… more
- CenterWell (Houston, 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