- Humana (Austin, TX)
- …with an emphasis on Medicare Advantage strategy development. As a Medicare Strategy Lead , you will deconstruct issues and challenges, perform ... largest health benefits organizations in the country. Location: remote The Healthcare Strategy team supports Humana's Medicare and Medicaid business unit. This… more
- The Cigna Group (Houston, TX)
- **Summary** The Business Analytics Lead Analyst will be responsible for performing reporting and analysis within the Clinical & Data Science Analytics team for ... Medicare Strategic Analytics. Reporting to the Manager of Care...Reporting to the Manager of Care Management Analytics, the lead analyst will analyze healthcare claims and clinical outcomes… more
- The Cigna Group (Austin, TX)
- …all Medicare businesses being managed + Support Product & Strategy leadership team to develop key business strategies, including providing competitive landscape ... Medigap, SHL, as well as companion products in the Medicare portfolio. + Assist Product & Strategy ...contribute individually and as part of a team + Lead and quickly demonstrate credibility as a subject matter… more
- Elevance Health (Grand Prairie, TX)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... Date:** 2024-09-19 **Position Title:** Audit & Reimbursement III - Medicare Cost Report Audit **Job Description:** **Audit & Reimbursement...of our culture. They are how we achieve our strategy , power our business outcomes and drive our shared… more
- Elevance Health (Houston, TX)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... **Anticipated End Date:** 2024-09-17 **Position Title:** Audit & Reimbursement Senior- Medicare Cost Report Audit **Job Description:** **Audit & Reimbursement Senior… more
- USAA (San Antonio, TX)
- …currently seeking a talented **Business Process Owner I** that will support Medicare Supplement Claims for USAA Life Company Claims Operations. This employee will ... the Life Company Chief Claims & Fraud Officer and will work on Medicare Supplement Claims activities and ensure a flawless execution of business-related processes,… more
- Elevance Health (Houston, TX)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... **Anticipated End Date:** 2024-09-30 **Position Title:** Audit & Reimbursement III- Medicare Cost Report Appeals **Job Description:** **Audit & Reimbursement III- … more
- Elevance Health (Houston, TX)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... **Anticipated End Date:** 2024-09-23 **Position Title:** Pharmacy Account Director, Medicare **Job Description:** A proud member of the Elevance Health family of… more
- Humana (Austin, TX)
- …Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments ... other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and/or Medicaid requirements, and will understand how… more
- The Cigna Group (Austin, TX)
- …talk about the role: **SUMMARY:** Responsible for the execution of the Cigna Medicare strategy for local topline sales agencies, directly contracted agents, and ... (must live in/or near area)** **Excited to grow your Medicare career?** We value our talented employees, and whenever...and sales growth. **RESPONSIBILITIES:** . Execute multi-year local broker strategy for book of business . Influence brokers to… more
- Elevance Health (Grand Prairie, TX)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... **Anticipated End Date:** 2024-09-30 **Position Title:** Actuarial Analyst III - Medicare Risk Adjustment **Job Description:** **Location:** This position will work… more
- The Cigna Group (Austin, TX)
- …success of CSB. **Responsibilities:** + Accountability for executing new business pricing strategy to drive profitable growth in the Medicare Supplement ... Cigna Supplemental Benefits (CSB) has been growing rapidly with Medicare Supplement (MedSupp) annual revenues now exceeding $1.2b. The Medicare Supplement… more
- Travelers Insurance Company (Austin, TX)
- …strategies for addressing and resolving various types of debt, including Medicare , to deliver positive financial outcomes. This role requires leveraging economic ... at industry related conferences and forums. **What Will You Do?** + Claim Strategy : + For specific national line of business initiatives develops and directs… more
- The Cigna Group (Austin, TX)
- …advertising and broker sales support. Play a pivotal role in driving marketing strategy and initiatives with a strong focus on data-driven decision-making and a deep ... with other channels, meet brand standards and can positively impact Cigna's Medicare PDP growth goals. **Responsibilities** + Partner to provide the strategic… more
- The Cigna Group (Houston, TX)
- …to lead complex analytics projects and initiatives for Cigna's Medicare Advantage Risk Adjustment business. The Manager will work collaboratively with business ... Adjustment Analytics programs in support of the broader RA Business Strategy . **Responsibilities** + Lead a team of analytics professionals to develop and apply… more
- Humana (Austin, TX)
- …and Medicare integration, D-SNPs, and Self-Directed Services. The Capture Lead , Medicaid Clinical & Population Health Strategy key responsibilities include: ... and help us put health first** Humana Healthy Horizons is seeking a Capture Lead , Clinical & Population Health Strategy , to lead initiatives developing… more
- Humana (Austin, TX)
- …of our caring community and help us put health first** The Strategy Advancement Advisor provides data-backed strategic direction to identify and address business ... issues and opportunities related to the high-needs Medicare Advantage (MA) and Special Needs Plan (SNP) populations that benefit from payer led clinical services.… more
- Humana (Austin, TX)
- …and help us put health first** Humana Healthy Horizons is seeking a Strategy Advancement Principal for Long Term Supports and Services (LTSS). The Strategy ... quality improvements, establishing long range goals, objectives, and plans. The Strategy Advancement, Principal is an experienced healthcare strategist with broad,… more
- Prime Therapeutics (Austin, TX)
- …cost saving opportunities; support rebate related product development and implementation + Lead and coordinate work for Prime's Medicare Center of Excellence, ... passion and drives every decision we make. **Job Posting Title** Trade Client Strategy Director - Remote **Job Description** The Trade Client Relations Director is… more
- Humana (Austin, TX)
- …and help us put health first for our members, providers and ourselves. Desired Lead Associate to lead and manage the enterprise framework to facilitate and ... and clinical policy) as well as enterprise support teams (process, risk, strategy , delegate oversight teams and regulatory compliance). As needed, they facilitation… more