- 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
- 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 ... 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
- 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
- CVS Health (Austin, TX)
- …care delivery setting, population health or care management + 5+ years of strong Medicare and clinical program experience including clinical program delivery ... these needs and communicate a value proposition in a compelling manager + Proactively identify opportunities for improvement, identify holistic solutions, identify… 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