- 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)
- …the strategic subject matter expert for all forecasting cycles with the approval of the Senior Manager and Health Plan CFO /CEO for reporting to the Enterprise ... make health care more personal, convenient and affordable. **Position Summary** As the Manager , FP&A, you will report directly to Director of Finance and will… more
- CVS Health (Austin, TX)
- …manage the implementation of Medicare guidance and regulatory updates. As the Senior Manager , Regulatory Affairs, you must be able to work independently, as ... more personal, convenient and affordable. **Position Summary** As the Senior Manager , Regulatory Affairs for CVS Health,...Health, you will be a crucial contributor to the Medicare regulatory agenda of the Government Services division and… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Senior Portfolio Management Professional collaborates with the business portfolio team to align the ... IT portfolio and demand. The Senior Portfolio Management Professional work assignments involve moderately complex to complex issues where the analysis of situations… more
- J&J Family of Companies (Austin, TX)
- Johnson & Johnson Innovative Medicine is recruiting for a Senior Regional Business Manager , Site of Care, to lead the South Central region. This region consists ... we all belong. The role of the Regional Business Manager is to expand the sales of the Immunology...and appeals / grievances; practice management, as well as Medicare and Medicaid rules and regulations. The RBM will… 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
- HCA Healthcare (Austin, TX)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... from any other healthcare provider. We are seeking a(an) Registered Nurse Case Manager to join our healthcare family. **Benefits** St. David's South Austin Medical… 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
- Mathematica (Austin, TX)
- …We are seeking a highly motivated person to join our team as an *IT Program Manager * in the Delivery Management practice in Health Solutions Insights. As an ... IT Program Manager , you will lead teams and...work with our largest client, Centers for Medicaid & Medicare Services (CMS). Most staff working on CMS contracts… more
- Ascension Health (Austin, TX)
- …Health Analytics will support Ascension's Value Based Care (VBC) populations, such as our Medicare Shared Savings Program (MSSP) ACOs and other Medicare ... population's total cost of care and strategic initiatives. The Manager will support the creation of management presentations and...a thought leader + Act as a resource to senior leadership + Develop pioneering approaches to emerging industry… more
- The Cigna Group (Austin, TX)
- This position will provide external actuarial analytics support within the regulated Medicare market and Pharmacy Benefit Manager (PBM) Healthplan space. The ... Part D Health Plans: PDP, MAPD, and Special Needs Program (SNPs) + Review Medicare Part D...D bid development consulting experience preferred + Regulated Markets Medicare Part D Experience Pharmacy Benefit Manager … 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
- 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
- CenterWell (Austin, TX)
- …of our caring community and help us put health first** The Program Delivery Lead strategically identifies, develops, and implements programs that influence ... or market leadership towards value-based relationships and/or improved quality metrics. The Program Delivery Lead works on problems of diverse scope and complexity… more
- CenterWell (Austin, TX)
- …health outcomes for seniors, serving as a behavioral health (BH) strategy, program and operations expert, and advancing BH goals through innovative, data-driven ... position formulates national goals and strategies, benchmarks best practices, drives program design and implementation, evaluates program effectiveness, and… more