- CVS Health (Austin, TX)
- …and performance oversight + PMP Certification + Key concepts (high level) of provider networks as they pertain to Medicaid products (contracting, adequacy, ... within network as well as other business areas (clinical, operations, Medicaid segment). **Skills In** + Project management fundamental skills: planning,… more
- CVS Health (Austin, TX)
- …of strategies to monitor quality and performance metrics, resolving escalated provider issues, and collaborating with other departments to enhance the overall ... that systems are configured appropriately to allow proper claims payment and provider reimbursement. * Collaborates with multiple departments to identify root cause… more
- CVS Health (Austin, TX)
- …Lead HRBP to provide strategic and day-to-day HR support for the Aetna Medicaid organization. The Senior HR Business Partner will be expected to regularly ... well as strategic initiatives.Responsibilities: + Strategic business advisor to executive/ senior business leaders to align talent management practices, workforce… more
- Elevance Health (Austin, TX)
- **Government Relations Director Senior ** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of ... **, TX** Elevance Health PulsePoint location. The **Government Relations Director Senior ** will be responsible for developing and implementing strategies to advocate… more
- CVS Health (Austin, TX)
- …one line of business** **( Medicaid ) and/or** **less complex VBS Medicaid models** **and** **smaller provider partnerships** **(small Physician practices, ... with contract terms and expectations** **Coordinates and prepares for external provider meetings and ensures that the most impactful internal subject matter… more
- HealthEdge Software Inc (Austin, TX)
- **Overview** **Position** **Overview:** As a Senior Product Manager , within theclaimsvalue stream forHealthRulesPayor, you will have ownership of system ... functionality related toclaims adjudication,benefitsconfiguration,interfaces to third-partyclaims editors,and Provider data maintenance processes. You willdefine and prioritize the… more
- Centene Corporation (Austin, TX)
- …TX, Carrizo Springs, TX, Eagle Pass, TX, Del Rio, TX, Laredo, TX, or Uvalde, TX** ** Senior LTSS RN Case Manager - position provides flexibly to work from home ... and travel to conduct IN-PERSON medically approved Medicaid assessments** **Monday - Friday: 8 am - 5...appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Senior Project Manager manages all aspects of a project, from start to finish, so that ... it is completed on time and within budget. The Senior Project Manager works on problems of...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Public Consulting Group (Austin, TX)
- …and client presentations + Plan, monitor, and manage ongoing tasks with the project manager + Provide guidance and support to project teams in subject matter ... reporting + Analyze and interpret federal and state law and regulations + Provide guidance related to cost allocation for public assistance programs including but… more
- Humana (Austin, TX)
- …part of our caring community and help us put health first** The Senior Release Train Engineer (RTE) has Comprehensive, end-to-end responsibility as facilitator and ... adds both speed and value to product delivery. The Senior Release Train Engineer performs moderately complex to complex...working within the SAFe Framework as an IT Project Manager , scrum master, other related mentorship type role, or… more
- Humana (Austin, TX)
- …our caring community and help us put health first** Humana is seeking a Senior Economist to lead the development and management of advanced econometric models to ... forecast and understand drug utilization trends and costs. As a Senior Economist, you will use open-source programming languages (R or Python) in Databricks to… more
- HCA Healthcare (Austin, TX)
- …integrity. We care like family! Jump-start your career as a Patient Access Manager today with St. David's South Austin Medical Center. **Benefits** St. David's South ... (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid...location._** Come join our team as a Patient Access Manager . We care for our community! Just last year,… more
- Deloitte (Austin, TX)
- …September 7, 2024. Work you'll do As a Deloitte Consulting Health Actuary Manager in Deloitte's GPS Human Capital Actuarial and Insurance Solutions Practice, you ... will assist Deloitte Senior Managers and Partners in providing strategic and technical...Bachelor's Degree Required + 3 years' + experience with Medicaid managed care capitation rate development and/or fee-for-service rate… more
- The Cigna Group (Austin, TX)
- …excel. . Carry out appropriate sales activity standards as directed by their manager . Responsible for reporting their daily & weekly activities to ensure alignment ... with data analytics . Knowledge of marketing strategy, value proposition and senior market . Adherence to CMS Medicare Marketing Guidelines and procedures .… more
- HCA Healthcare (Austin, TX)
- …as we do. We want you to apply! Job Summary and Qualifications As a Case Manager Social Worker in Rehab, you will provide overall coordination in the delivery of ... where diversity and inclusion thrive? Submit your application for our Case Manager Rehab Social Services opening with St. David's Medical Center today and… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Manager , Business Intelligence for Membership and Plan Services will support the account services, ... business decision makers within the business and drive results. The ** Manager , Business Intelligence** will utilize various tools, technologies, applications and… more
- Humana (Austin, TX)
- …an exciting opportunity for you! Humana Digital Shopping team is seeking a Lead Product Manager . In this role, you will be focused on building best in class digital ... experiences for consumers and members and will also lead Senior Product Managers. You will collaborate with cross-functional teams...that align with our organization's goals. The Lead Product Manager is a key member of the Digital Shopping… more
- Humana (Austin, TX)
- …Humana is actively searching for a dedicated and proficient Lead Product Manager to enhance our Interoperability team. This pivotal role focuses on advancing ... strategy. + Communicates strategy, progress, roadblocks, and value to senior leadership. This is an opportunity to work with...Requirements** + WAH requirements: Must have the ability to provide a high-speed DSL or cable modem for a… more
- CenterWell (Austin, TX)
- …CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of ... CPT, & HCPCS codes that are submitted to the Centers for Medicare and Medicaid Services (CMS), other payers, and over government agencies. In addition, the Associate… more