- Molina Healthcare (Austin, TX)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
- CVS Health (Austin, TX)
- …largest CVS Health PBM clients. The Medicare Business Analytics - FEP - Sr . Manager provides technical, analytical and business support for the FEP Account ... team. The role serves as the authority for FEP program data analytics, trend analysis, contractual guaranteed financial metrics,...the Medicare Business Analytics - FEP - Sr . Manager incorporates these into all aspects… more
- Gilead Sciences, Inc. (Austin, TX)
- …that will improve the lives of patients with life-threatening illnesses worldwide. The ** Sr .** **Field Reimbursement Manager - HIV Prevention (** ** Sr . ... in navigating the complexities of the healthcare system. The Sr . FRM HIV Prevention will provide in-person and virtual...and reimbursement outcomes. + Assist the internal patient support program team in enhancing hub and FRM processes, such… more
- Cardinal Health (Austin, TX)
- …receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case ... Manager supports patient access to therapy through Reimbursement Support...therapy through Reimbursement Support Services in accordance with the program business rules and HIPAA regulations. This position is… more
- Prime Therapeutics (Austin, TX)
- …and drives every decision we make. **Job Posting Title** PBM Contract Representative Sr - LA Medicaid **Job Description** The Senior Contract Representative is ... years of comprehensive experience working with Rebate contracts, or within Medicare /Medicaid (eg insurance, government program operations, managed care… more
- CVS Health (Austin, TX)
- …within network as well as other business areas (clinical, operations, Medicare segment). **Required Qualifications** + Successful project management experience in ... increasingly more complex projects across a highly-matrixed organization + Project/ program expertise in stakeholder facilitation, communications and relationship management… more
- Prime Therapeutics (Austin, TX)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Clinical Program Manager - Remote **Job Description** The Clinical Program ... and member materials and communications, and product ownership for Medicare and Medicaid formularies + Provide consultation and recommendations...Structure** + Reports to Sr Principal or Sr Director in the Clinical Program Management… more
- Prime Therapeutics (Austin, TX)
- …vision, depth perception and ability to adjust focus **Reporting Structure** + Reports to Sr Professional, Manager , Director or Senior Director in the ... fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Interpretation and Advising) - Remote **Job Description** The … more
- Cardinal Health (Austin, TX)
- …+ Pharmacy benefits management experience preferred with specific knowledge of Medicare , Medicaid and commercially insured payer common practices and policies, ... and internal customers, create and complete applications for enrollment within program timeframes, review forms and supporting documentation thoroughly for any… more
- CenterWell (Austin, TX)
- …part of our caring community and help us put health first** The Senior RX Clinical Programs Pharmacist integrates programs developed to improve overall health ... outcomes with a focus on prescription drugs. The Senior RX Clinical Programs Pharmacist work assignments involve moderately complex to complex issues where the… more
- Humana (Austin, TX)
- …of our caring community and help us put health first** Humana's seeking a Senior Release Train Engineer (RTE) to join the Marketing Analytics team. In this role, ... Train (ART). This includes leveraging various Agile methodologies and program maturity, assessments, metrics, dashboards to both coach and...are impeding the flow of work. Overall, as the Senior Release Train Engineer, you will encourage a culture… more
- Humana (Austin, TX)
- …help us put health first** Humana's Marketing organization is seeking a Senior Business Intelligence Engineer, Measurement Strategy & Marketing Performance to join ... market trends, and campaign performance. **Key Role Functions** + Works with Campaign Manager and Campaign Strategy roles to define the measurement approach for each… more
- HCA Healthcare (Austin, TX)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... the PRN career opportunities as a Registered Nurse Case Manager you want with your current employer? We have...each Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental… more
- HCA Healthcare (Austin, TX)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... and inclusion thrive? Submit your application for our Seasonal Registered Nurse Case Manager opening with St. David's South Austin Medical Center today and find out… more
- Humana (Austin, TX)
- …the role for you. We are seeking a dynamic and experienced Lead Product Manager to lead our self-service and support product line encompassing both services and ... and other product teams as needed. A successful product manager is highly analytical, able to work effectively in...the success of solutions pursued. + Interact directly with senior management to advise on and obtain input for… more
- Gentiva (Austin, TX)
- …to join our team.You will report directly to the Executive Director, Administrator, or Senior Patient Care Manager . You will be responsible for maintaining a ... high performing hospice program including managing, overseeing, and directing patient care activities to ensure the delivery of quality patient care. This role is… more
- HCA Healthcare (Austin, TX)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... Performs in accordance with physician's orders and under the supervision of the Clinical Manager . **What you will do in this role:** + Assesses home care patients… more
- HCA Healthcare (Austin, TX)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... + You will prepare documentation for Notification of Non-covered Medicare Services or Advance Beneficiary notices to patients and...chart requests from Medical Records and notify the Materials Manager /Nurse Manager of any physician requests… more
- CenterWell (Austin, TX)
- …performance **Preferred Qualifications** + Bachelor's Degree + Comprehensive knowledge of Medicare policies, processes and procedures + Value based care knowledge ... Statement** This role is part of Humana's driver safety program and therefore requires an individual to have a...insurance and many other opportunities. **About us** About CenterWell Senior Primary Care: CenterWell Senior Primary Care… more