- The Cigna Group (Austin, TX)
- **Work Location - Dallas, East Texas (must live in/or near area)** **Excited to grow your Medicare career?** We value our talented employees, and whenever possible ... requirements and organizational policies & procedures, marketing guidelines and broker engagement . . Coordinates effectively with Sales Operations team for lead… more
- Molina Healthcare (TX)
- …level engagement as required. * Educates internal customers on provider contracts. * Clearly and professionally communicates contract terms, payment structures, ... **_ Remote and must live in Texas _** **Job Description** **Job Summary** Molina Health...contracting, etc. * Working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid and… more
- CareOregon (Portland, OR)
- …well as provider compliance requirements and ability to operationalize or provide technical assistance to other entity. + Knowledge of managed health care ... remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas , Montana, or Wisconsin. Job Title Planning and Operations Manager -… more
- Houston Methodist (Houston, TX)
- …offering assistance. Contributes to meeting department score for employee engagement **SERVICE ESSENTIAL FUNCTIONS** + Follows the patient and family-centered ... with inter-professional team discharge planning for the transplant recipient to provide for recipient's continuity of care. Explains procedures required for… more
- Mindoula Health (MO)
- …the human connection," Mindoula helps health plans, health systems, hospitals, and provider groups extend their reach and achieve their value-based service delivery ... community health workers, peer support specialists, therapists, and psychiatrists to provide 24/7 support to even the most complex and underserved behavioral… more
- Houston Methodist (Houston, TX)
- …offering assistance. Contributes to meeting department score for employee engagement . **SERVICE ESSENTIAL FUNCTIONS** + Coordinates with interprofessional team the ... and regulatory agencies, if applicable, such as OPTN/UNOS/CMS/NMDP/CIBMTR/FACT, and Medicaid to ensure compliance with all government reporting requirements, and… more
- BlueCross BlueShield of North Carolina (NC)
- …vendors and solution partners to align to BCNC's strategic direction + Ongoing provider engagement functions + Data gathering, management and analysis + Evaluate ... utilization and effective resource management + Facilitates conformance to Medicare, Medicaid , NCQA and other regulatory requirements + Reviews quality referred… more
- Houston Methodist (Houston, TX)
- …or exceeds threshold goal for department and/or system metrics on employee engagement indicators: action readiness score, tier level. + Manages the development and ... billing compliance with government/regulatory agencies and the Medicare and Medicaid programs. + Ensures optimization of timely cash collections...as a subject matter expert in assigned area to provide support for staff + Knowledge of full revenue… more