Average salary: $100,080 /yearly
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- Actalent is hiring a 100% REMOTE Pharmacy Technician to support coverage determinations for Medicare Part D. This role requires a California pharmacy technician license or national certification, with at least one year of experience in a pharmacy setting. Responsibilities...SuggestedRemote work
Actalent
Dallas, TX3 days ago - ...families with the highest quality of care and maintain an enduring commitment to excellence. We are a multi-specialty facility and Medicare-certified. All of our physicians are board-certified with significant training and experience in their respective specialties. Our...SuggestedFull time
Christus Health
Corpus Christi, TX6 hours ago - A healthcare technology company seeks a remote Medical Doctor licensed across multiple U.S. states to provide high-quality telemedicine care. Responsibilities include consulting with patients, diagnosing conditions, and ensuring compliance with healthcare regulations while...SuggestedFull timeRemote work
Scriptful
Austin, TX4 days ago - ...consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. NeueHealth delivers clinical care to health consumers through our owned clinics - Centrum Health and Premier...SuggestedRelocation packageMonday to Friday
Centrum Health
Houston, TX6 hours ago - ...healthcare services company is seeking a Licensure & Enrollment Supervisor to handle regulatory filings necessary for participation in Medicare and Medicaid programs. The ideal candidate should have substantial experience in credentialing and provider enrollment,...SuggestedRemote workMonday to Friday
Addus HomeCare
Frisco, TX4 days ago - ...families with the highest quality of care and maintain an enduring commitment to excellence. We are a multi-specialty facility and Medicare-certified. All of our physicians are board-certified with significant training and experience in their respective specialties. Our...SuggestedDaily paidPart timeReliefImmediate startShift work
Christus Health
Corpus Christi, TX2 days ago $65k
...nurses providing in-home skilled nursing care to infants, children, adolescents, and adults. Note: As an employer receiving Medicare and Medicaid funds, Aveanna employees must comply with all health-related requirements in applicable jurisdictions, including vaccinations...SuggestedFull timeLocal areaMonday to FridayAveanna Healthcare
Houston, TX6 hours ago- ...consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. NeueHealth delivers clinical care to health consumers through our owned clinics - Centrum Health and Premier...Suggested
Centrum Health
Houston, TX6 hours ago - ...consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. NeueHealth delivers clinical care to health consumers through our owned clinics Centrum Health and Premier...SuggestedWork at office
Centrum Medical Ventures
Mansfield, TX4 days ago $19 per hour
...Healthcare Customer Service Specialist II (SCA) you will work within a team and be the primary point of contact for all providers, Medicare contractors, etc. This position provides professional, accurate and timely responses to CMS (Medicare) and provider inquiries....SuggestedHourly payContract workFor contractorsWork at officeRemote workWork from homeHome officeShift workPerformant Healthcare, Inc.
Goodfellow Air Force Base, TX6 hours ago$223.8k - $313.1k
...Medical Director in Austin, Texas. You will ensure healthcare services align with CMS guidelines and evaluate medical necessity for Medicare and Medicaid members. This remote role requires strong clinical and communication skills, along with significant experience in...SuggestedRemote workHumana
Austin, TX4 days ago- ...consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. NeueHealth delivers clinical care to health consumers through our owned clinics - Centrum Health and Premier...SuggestedRelocation packageMonday to Friday
Centrum Health
Fort Worth, TX6 hours ago $115.2k - $158.4k
...Bachelor's Degree or equivalent work experience ~7 or more years of operations, program management and/or strategy experience ~2+ Medicare Stars and HEDIS knowledge or experience ~ Experience leading special projects and producing metrics, measurements and reports...SuggestedBi-weekly payFull timeContract workTemporary workApprenticeshipWork experience placementWork at officeRemote workWork from homeHome officeHumana
Austin, TX1 day ago- ...delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. It is the policy of Humana not to...SuggestedDaily paidFull timePart timeApprenticeshipLocal area
OneHome
Corpus Christi, TX2 hours agonew - ...consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. NeueHealth delivers clinical care to health consumers through our owned clinics - Centrum Health and Premier...Suggested
NeueHealth
Houston, TX9 days ago $97.9k - $133.5k
...related field OR a bachelor's degree in one of these fields Must have at least 2 years of healthcare experience supporting Medicare and/or Medicaid Preferred Qualifications Epic Healthy Planet Fundamentals for Health Plans Certification or Healthy Planet...Full timeTemporary workFor contractorsApprenticeshipCasual workRemote workWork from homeHome officeMonday to FridayHumana
Austin, TX3 days ago$94.9k - $130.5k
...experiences. Our brokerage business is poised to advance the industry in how digital can be used to drive customer acquisition in the Medicare Advantage space. Within this business area, we are aggressively driving new digital capabilities for our eCommerce website,...Full timeTemporary workApprenticeshipRemote workHumana
Austin, TX5 days ago$115.2k - $158.4k
...community At Humana, we are dedicated to delivering superior experiences and improving health outcomes for every member we serve. Our Medicare Risk Adjustment Prospective Programs Organization is looking for a Program Delivery Leader to guide strategy, planning, and...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeHumana
Austin, TX2 days ago- ...patients in San Marcos, Texas. You will ensure patients understand their options, help with applications, and monitor statuses for Medicare and Medicaid. The ideal candidate will have a Bachelor's Degree and 2-5 years of experience in healthcare. Strong communication,...Local area
- ...seeking a full-time Medical Set-Aside & Medical Cost Projection Specialist. This role involves managing cases to ensure compliance with Medicare guidelines. Responsibilities include overseeing workflow from intake to completion, ensuring accurate documentation, and...Remote jobFull time
$94.9k - $130.5k
...delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at?...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeHumana
Austin, TX4 days ago- A leading healthcare company is looking for an RPh Advisor to support Medicare Part D members and providers regarding their pharmacy benefits. The role includes reviewing clinical information, ensuring accurate case setups, and performing provider outreach. Candidates...
- ...levels of our organization. SUMMARY The Reimbursement Representative performs reconciliation and review of all outstanding Medicare/Commercial patient balances in accordance with US Renal Care reimbursement policies and procedures. Essential Duties and...Full timePart timeWork at office
U.S. Renal Care
Plano, TX6 hours ago $89k - $121.4k
...delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at?...Full timeTemporary workApprenticeshipRemote workHome officeHumana
Austin, TX6 hours ago$25k
...focused on improving patient outcomes. You will support safe Transitions of Care (TOC), reduce avoidable ED utilization, and drive Medicare Advantage Stars and quality performance. The Clinical Care RN plays a critical role in advancing clinical quality and supporting...Full timeTemporary workApprenticeshipWork at officeMonday to FridayCenterWell
Mcallen, TX3 days ago$25k
...focused on improving patient outcomes. You will support safe Transitions of Care (TOC), reduce avoidable ED utilization, and drive Medicare Advantage Stars and quality performance. The Clinical Care RN plays a critical role in advancing clinical quality and supporting...Full timeTemporary workApprenticeshipWork at officeMonday to FridayCenterWell
Houston, TX1 day ago- ...healthcare delivery for the nation. Purpose-Led : We help our patients live healthier, longer lives. Value-Based Care : As a Medicare Advantage health system, we focus on quality outcomes-not volume. ?? Practice Highlights Outpatient-Only, Adult Primary...Monday to Friday
Optum
Alice, TX4 days ago $50k
...employed/contracted sub-specialists What makes an OptumCare organization different? WellMed is mostly a Medicare Advantage Plan that operates as a health system focused on quality/value-based outcomes Physician, heal thyself! Our...Local areaRelocationOptum
Corpus Christi, TX2 days ago- ...consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. Clinic location 2223 S Buckner Blvd, Dallas, TX 75227 Job Summary Perform administrative and certain clinical...
- ...data reporting applications, especially in the healthcare domain. The role requires experience in operational roles at Medicaid or Medicare agencies, as well as extensive document writing skills. Knowledge of tools like Microsoft Outlook, SharePoint, and JIRA is...
