• Medicare National

    The Cigna Group (Houston, TX)
    **What You'll Do** The Medicare National Partnerships Manager is an integral member of the National Network team, reporting directly to the Medicare ... value-based relationships and driving growth strategy across the rapidly expanding Cigna Medicare business. You must possess the energy to mobilize a matrixed team… more
    The Cigna Group (08/09/24)
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  • Medicare Broker Sales Manager - Remote…

    The Cigna Group (Austin, TX)
    …- Dallas, East Texas (must live in/or near area)** **Excited to grow your Medicare career?** We value our talented employees, and whenever possible strive to help ... about the role: **SUMMARY:** Responsible for the execution of the Cigna Medicare strategy for local topline sales agencies, directly contracted agents, and broker… more
    The Cigna Group (08/14/24)
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  • Medicare Broker Sales Manager - Remote…

    The Cigna Group (Austin, TX)
    …about the role:_** **SUMMARY:** Responsible for the execution of the Cigna Medicare strategy for local topline sales agencies, directly contracted agents, and broker ... our product and promoting our brand + Execute on national topline strategies with downline sales agencies & local...Conduct advertised sales presentations for prospects and leverage community partnerships to host events + Meet with brokers and… more
    The Cigna Group (08/07/24)
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  • Business Analytics Senior Advisor…

    The Cigna Group (Houston, TX)
    …role will work collaboratively with our business stakeholders to provide partnership in analytics, developing analytics solutions, leveraging data science and ... Perform complex data research and analysis to support business operations including: creating data mining architectures/models/protocols, statistical reporting, and… more
    The Cigna Group (08/17/24)
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  • Sr Operations Analyst

    Public Consulting Group (Austin, TX)
    …Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies ... to audits and other quality assurance reviews within a Medicare or Medicaid setting. + Demonstrate a detailed and...Conditions** + Office Setting **Supervisory Responsibility** + The Sr. Operations Analyst will have 2-4 direct reports. **The above… more
    Public Consulting Group (08/14/24)
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  • Administrative Director of Clinical…

    HCA Healthcare (El Paso, TX)
    …United Kingdom. We are looking for a(an) Administrative Director of Clinical Operations for our Las Palmas Medical Center team where excellence creates excellence. ... + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, certification support,… more
    HCA Healthcare (08/07/24)
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  • Broker Relationship Manager - Conviva

    Conviva (San Antonio, TX)
    …Broker Relationship Manager will be responsible for cultivating and maintaining strategic partnerships with brokers to drive new patient growth and expand our ... nurture relationships with brokers and intermediaries specializing in senior healthcare, Medicare Advantage, and value-based care models. + Identify and pursue new… more
    Conviva (07/31/24)
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  • SVP Value-based Care Enablement & Employer…

    Baylor Scott & White Health (Dallas, TX)
    …objectives, which includes directing BSWH shared services functions, overseeing operations and driving business development opportunities. Responsible for overall ... VBC operations , including financial performance, clinical excellence, comprehensive care management,...among employers, employees and providers to create mutually beneficial partnerships that unlock sustainable value for the customer and… more
    Baylor Scott & White Health (07/12/24)
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  • Division Assistant Vice President

    HCA Healthcare (San Antonio, TX)
    …Vice President 340B Program** Methodist Healthcare System is a 50-50 partnership between the Methodist Healthcare Ministries (South Texas' largest non-public funding ... nation's leading provider of health care services). This creates a unique partnership that ensures Methodist Healthcare Ministries continues to benefit the community… more
    HCA Healthcare (07/04/24)
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  • Audit Manager

    Public Consulting Group (Austin, TX)
    …Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies ... . **Job-Specific Responsibilities** + Provide strong leadership on all Medicare /Medicaid cost settlement and supplemental payment projects, effectively supervising… more
    Public Consulting Group (08/09/24)
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  • Strategy Advancement, Principal (Fide-SNP/PACE)

    Humana (Austin, TX)
    …frameworks to maximize available resources to achieve growth. + Leads National Medicaid Strategic Priorities, effectively develops LTSS-based strategic goals and ... turns them into specific operating and business plans executed in partnership across the Enterprise. + Leads the strategic direction for RFP bid processes within the… more
    Humana (07/25/24)
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  • Director Provider Quality Outcomes

    Highmark Health (Austin, TX)
    …data strategies to support STARs performance, and provider incentive programs in partnership with senior leadership for the Medicare Advantage Quality ... and departments to improve Stars and/or Quality Rating outcomes for Medicare Advantage across footprint. Designs, implements and executes strategies and works… more
    Highmark Health (08/10/24)
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  • Medical Coding Director - East and West

    CenterWell (Austin, TX)
    …organization capabilities interrelate across the function or segment. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for ... (CODER) tool to improve the medical coder experience. + Oversees coding operations by identifying Dyad partner needs and developing solutions. + Responsible for… more
    CenterWell (08/16/24)
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  • Capture Lead, Medicaid Clinical & Population…

    Humana (Austin, TX)
    …will work horizontally across the organization, coordinating with Medicaid and Medicare leadership and clinical subject matter experts to synthesize, assess, and ... limited resources to achieve growth. Candidates will possess Medicaid managed care operations expertise and have experience in designing solutions for key Medicaid… more
    Humana (08/15/24)
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  • Provider Contracting Senior Manager - Evernorth…

    The Cigna Group (Plano, TX)
    …with medical contracting as well as partner with large regional and select national systems. In addition, the Senior Manager will contribute to the overall Network ... develop a competitive intel process leveraging transparency data as well as Medicare and Medicaid pricing. + Collaborate with Network Directors, Medical Directors,… more
    The Cigna Group (07/20/24)
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  • Director of Diagnostic Imaging

    HCA Healthcare (Arlington, TX)
    …is more than a job? Our Medical City Arlington team is committed to partnership , innovation, legacy and improving more lives in more ways. Share your resume today. ... + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, certification support,… more
    HCA Healthcare (06/06/24)
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  • Medical Billing Representative (Fully Remote)

    TEKsystems (Plano, TX)
    …Account Representative - Billing provides administrative support to the daily operations within the assigned function(s). The incumbent generates and analyzes ... insurance regulations, including but not limited to: commercial insurance, Medicaid, Medicare and managed care plans desirable. Detail oriented with great analytical… more
    TEKsystems (08/17/24)
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  • Senior HEDIS Medicaid Data Manager

    Humana (Austin, TX)
    …maintaining strong relationships with corporate and market teams, including IT, Quality Operations and Compliance, and vended partners. This is a remote position. ... state measure needs, development, and reporting + Drive internal and external partnerships to coordinate, guide, and oversee implementation of clinical measures, as… more
    Humana (08/07/24)
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  • Director, Managed Care - Navista

    Cardinal Health (Austin, TX)
    …regarding managed care contracts. This includes coordination of commercial, Medicare Advantage, Managed Medicaid and other third-party managed care contracts ... physician satisfaction as it relates to managed care contracts and operations . This position is responsible for administrative, strategic, business development, and… more
    Cardinal Health (08/14/24)
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  • Director, Medicaid Procurement and Supplier…

    Humana (Austin, TX)
    …that supports Medicaid, to coordinate and simplify the end-to-end third party operations and performance management of third parties / subcontractors for all ... leadership traits required include the ability to influence and form strong partnerships with business and finance leaders, and operational excellence in supplier… more
    Humana (08/08/24)
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