Medicare Prescription Drug Consultant - Licensed L&H - Contract
Austin or Oklahoma City or Maumelle or Lafayette or Toledo
$25/hrRemoteContract
Arthur J. Gallagher & Co.NYSE: AJG: Global insurance brokerage and risk management services provider.
1+ YOEHigh school diploma or 1-2 years related experience; active Life & Health insurance license required; ability to be appointed by multiple carriers; proficiency with sales systems; strong verbal and written communication.
ADVI Health: Strategic consulting for healthcare market access and policy.
3+ YOEMaster’s or PhD in data science, biostatistics, health economics, epidemiology, public health, computer science, or related quantitative field; 3+ years in healthcare data analytics.
SAS, SQL, Health data analysis, CMS data systems, VRDC, SAF, RIF, T-MSIS
3+ YOEHigh school diploma, 3 years general office experience, 1 year Medicare appeals experience; Medicare Part C preferred; US residency 3 of last 5 years required.
TMF Health Quality Institute: Provides healthcare quality improvement services to government and providers.
5+ YOE3+ MgmtAssociate's degree (or equivalent experience),5+ years conducting or overseeing Medicare appeals/medical review,3+ years supervisory experience,clinical background with Medicare Part C decision experience preferred.
Hospice Austin: Provider of non-profit hospice and palliative care services.
3+ YOE3+ years revenue cycle/medical billing experience (Medicare Part A focus), knowledge of CMS/Medicare rules, UB-04 billing, EHR and claims systems, Microsoft Excel, strong analytical and communication skills.
Electronic health records (EHR), Patient accounting system, Claims management software, Microsoft Office, Microsoft Excel, UB-04 (CMS-1450)
Hospice Austin: Provides end-of-life medical care and bereavement support services.
3+ YOEManage Medicare Part A billing and collections, claims submission, payment posting, AR follow-up, denial management and appeals; 3+ years revenue cycle or medical billing experience; strong Medicare Part A knowledge.
UB-04 (CMS-1450), Electronic Health Records (EHR), Microsoft Excel, Medicare Common Working File (CWF), Direct Data Entry (DDE), patient accounting system, claims management software, ERA/EOB
Chicago or Las Vegas or San Diego or Atlanta or Salt Lake City or Austin or Houston or Denver or Sacramento or Phoenix or Los Angeles or San Francisco or Minneapolis or Charlotte or Dallas
$165k-$220k/yrRemoteFull Time
LivaNovaNASDAQ: LIVN: Manufactures medical devices for cardiac and neurological therapies.
10+ YOE10+ years advocating to payers, Medicare/Medicaid; payer engagement; reimbursement and health economics; neuromodulation experience preferred.
Brookdale Senior LivingNYSE: BKD: Operates senior living communities providing residential care and healthcare.
2+ YOE2+ MgmtBachelor's in Social Work, ACSW registration, minimum 2 years supervisory experience, knowledge of Medicare/Medicaid, discharge planning and community referrals.
Urology Austin: Provides specialized urological healthcare and cancer treatment services.
2+ YOETwo years medical office experience; healthcare customer service preferred; basic knowledge of Medicare/Medicaid; proficiency with Word, Excel, Outlook.
Gonzales Healthcare Systems: Provides acute hospital care and community health services.
1+ YOEHigh school diploma or equivalent; 1 year medical office experience; Word/Excel skills; Medicare/Medicaid knowledge preferred; Spanish preferred.
Bastrop or Bastrop County or Lee County or Fayette County
FieldFull Time
Enhabit Home Health & HospiceNYSE: EHAB: Provider of home-based health and hospice care services.
Graduate of an approved occupational therapy school and licensed occupational therapist in the practice state; one year of experience preferred, with Medicare home health experience preferred.
Central Health: Travis County public hospital district providing safety-net healthcare services.
7+ YOE7+ years payer contracting experience, Bachelor's in business/healthcare/finance, experience with Medicaid/Medicare/MCOs, value-based arrangements, strong analytical and negotiation skills.
Patient Care Manager / Registered Nurse, Home Health
Austin, Texas, United States
$100k-$110k/yrOnsiteFull Time
AccentCare: Provides in-home medical, hospice, and personal care services.
Active RN licensure in practicing state required. Experience in home care and management/supervisory experience preferred. Knowledge of professional standards, Medicare Conditions of Participation, and regulatory requirements.
American Cancer Society: Provides cancer research funding, patient support, and health education.
5+ YOEBachelor's degree or equivalent experience; 5+ years healthcare management or account oversight; deep knowledge of Medicaid/Medicare; strong stakeholder engagement, program design, and evaluation skills.
ConcentraNYSE: CON: Provider of occupational health, urgent care, and physical therapy.
Unrestricted state physician license and DEA, MD or DO from accredited institution, eligible for Medicare participation, ability to supervise staff, strong clinical decision-making and HIPAA compliance.
American Cancer Society: Provides patient support services and funds cancer research.
5+ YOEBachelor's degree (or equivalent experience), 5+ years healthcare-related management or account oversight, deep knowledge of Medicaid/Medicare, stakeholder engagement, program planning, and data-informed decision making.