Medicare Advantage Jobs in Texas
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Search Results - Medicare Advantage Jobs in Texas
DW Simpson-St Louis
Medicare network reviews. The ideal candidate would be an ASA or FSA with 5+ years of health insurance experience, including Medicare knowledge, data querying and modeling experience in cloud platforms. This individual will build models & work with provider...
4 similar jobs: Eagan, San Francisco, New York, Chicago
University Health-San Antonio
POSITION SUMMARY/RESPONSIBILITIES
Provides direct and indirect patient care activities and supports the review of assigned Medicare managed groups. Reviews medical records, documentation, and care gaps for members listed within Medicare advantage...
DW Simpson-St Louis
Play a vital role in strategic discussion across the company! A large health insurer is looking for an ASA with at least 3 years of overall experience to be their Associate Actuary. This role analyzes Medicare Advantage actuarial and statistical...
University Health-San Antonio
scores to eligible Medicare Advantage beneficiary.
Will monitor opportunities within the Medicare managed group to enhance financial outcomes.
Will coordinate the transition of care and the interdisciplinary treatment for the Medicare managed patients...
Harris Health System-Houston
regardless of pre-existing conditions.
• Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage...
University Health-San Antonio
POSITION SUMMARY/RESPONSIBILITIES:
Assist, and direct the activities of Member Advocates and all staff within the Member Services Resolution Unit who represent STAR, STAR Kids, CHIP, Medicare Advantage, and Commercial members in navigating benefits...
Signify Health-Fluvanna
hiring board-certified nurse practitioner contractors to conduct In-home Health Evaluations for Medicare Advantage, Medicaid, and certain commercial plan members.
• Conduct in-home visits that focus on a person’s overall health and well-being...
University Health-San Antonio
POSITION SUMMARY/RESPONSIBILITIES:
Supervise, assist, and direct the activities of Member Advocates and all staff within the Member Services Resolution Unit who represent STAR, STAR Kids, CHIP, Medicare Advantage, and Commercial members...
Signify Health-Boyd (TX)
hiring board-certified physician assistant/physician associate (PA) contractors to conduct In-home Health Evaluations for Medicare Advantage, Medicaid, and certain commercial plan members.
• Conduct in-home visits that focus on a person’s overall health...
UnitedHealth Group Inc-Dallas
at each visit
• "Quality vs. Quantity Model" - Typically see 14 to 16 patients per day
• Patient panel is predominately geriatrics with Medicare Advantage coverage
• Bonus incentives are based on quality metrics
What makes an OptumCare organization...
Kelsey-Seybold-Pearland
commercial health plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with Kelsey-Seybold Clinic, has achieved the coveted 5-out-of-5-star rating from the Centers for Medicare and Medicaid for six...
appcast.io -
CenterWell Senior Primary Care-Mcallen
for TB
Preferred Qualifications:
• Minimum of two to five years directly applicable experience preferred
• Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value based...
Conviva-Jourdanton
measures and quality indicators
• Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value-based relationship environment
#nursepractitionercareers
#physicianassistantcareers...
ChenMed-Houston
and joy?
We're different than most primary care providers. We're rapidly expanding and we need great people to join our team.
ChenMed, a physician-led and mission-driven, primary care organization, is currently one of the most successful full-risk Medicare...
San Antonio
or equivalent healthcare related experience)
• Insurance Verification Experience (Commerical, Medicare, Medicare Advantage and Medicaid Policies)
• Referral & Intake Coordination, Pre-certification, Medical Terminology and Accounts Receivable Knowledge...
icims.com -
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